3301 BROADWAY YWCA 2020-01-21 - Laserfiche WebLink

� 1 Intake &Approval Sheet (FOR PERMIT STAFF ONLY) PERMIT# iq OI� � / BUILDING PLANNING Intake OK by: Date: Intake OK by: Assign To: Date: Intake Comments: Intake Comments: ❑ Route to Commercial Building 0 Attach to Project No. ❑ Route to Residential Building 0 Route to Historic Reviewer ❑ Make this a"W"Permit 0 OK to Route to Other Departments Bldg/TI/Addn/Rem Size 0 Hold in Planning File Drawer Garage/Accessory Struct. Size • Zone LI Number of Stories Overlay/Agreement '(pj7 S)v ek — brO(XeL30 -� Basement ❑No ❑Yes, Fin/Unfin Nonresidential Use "Yu -- J 1 G Type of Construction Residential Use Occupancy Group Proposed No. of Dwelling Units: Occupancy Load Total No. of Dwelling Units: Fire Sprinklers: ❑Update Existing ❑New System ❑Not Req'd Planning/Landscape Inspection Required before Final? ❑Yes i No Reason Sprinklers Required: "In Lieu"Fee:Type: Amount$ Fire Alarm: ❑Update Existing ❑New System ❑Not Req'd School Impact Fee: Total $ Reason Fire Alarm Required: Calculated: Credit: RCW 64.55 MF worksheet req'd for permit? ❑Yes 0 No ❑Everett School Dist ❑Mukilteo School st Add'I RCW 64.55 docs required prior to final? ❑Yes ❑No Additional Notes: ye—,rock � (to (...,\^c^• • ,A. ) -� VALUATION CALCULATION: Total$ '445704 QO or (() 214..1/43U.k\brrj t�� l `�; . ag r-Oc Sm- Approved rt.: 1 Date: 10. � )1 PUBLIC WORKS Intake OK by: Date: Additional Notes: Intake Comments: 3PW Worksheet Needed if: 3 OSys Dev Eval ❑Traffic Mit Eval 'OSite Work or Drainage Proposed Approved B Date: /17 0,8/zelj9 I DBackflow Prevention for high hazard: i(dental,medical,animals,mortuary,hospital, ;supportive housing) FIRE DEPARTMENT ❑Route this folder for PW Review at end ---PW Review Worksheet Separate/Deferred Submittals Required: ❑This project also has a separate concurrent PW Review(Green Folder) Cl Fire Sprinklers ❑Fire Alarm ❑Other: AND ❑Create Green Folder ❑Submitted Previously ❑Deferred Additional Notes: 0 This Permit is Approved by Public Works 0 See PW Review Worksheet and associated attached items Fire Dept. Fee 0 A Separate PW Permit is Required (Permit#: PW ❑ Review of As-B t Plans-NO FIRE FEE AND 0 Is located in this folder O Minimal or No Fire .ope-NO FIRE FEE 0 Is in a Separate Green Folder(join with this folder for permit issuance) ❑ Review/Inspection Sco.- -ADD FIRE FEE 0 Will be issued separately(Separate Green Folder,PW issued ahead of Bldg) Approved By: Date: 0 Public Works has no scope---PW Not Required Additional Notes: ELECTRICA . Additional Notes: Approved By: Date: Approved By: Date: .j