3003 W CASINO RD BLDG 40-21 2020-01-22

Intake & Approval Sheet (FOR PERMIT STAFF ONLY) PERMIT#8 `9O CS"A BUILDING PLANNING Intake OK by: Date: Intake OK by: Date: Intake Comments: Intake Comments: Assign To: ❑ Route to Commercial Building 0 Attach to Project No. ❑ Route to Residential Building 0 Route to Historic Reviewer O Make this a"W" Permit 0 OK to Route to Other Departments Bldg/TI/Addn/Rem Size 2,ZOO SW 0 Hold in Planning File Drawer Garage/Accessory Struct. Size /�/`...6f Zone '��J --� Number of Stories I Overlay/Agreement t�ac7+``' pla4--- Basement ❑N Yes , Fin/Unfin Nonresidential Use '"iV Z/7.-- 1C-4)�/I Type of Construction -� Residential Use -CCe.SSd/ � Occupancy Group J4' Proposed No. of Dwelling Units: — Occupancy Load AI Total No. of Dwelling Units: Fire Sprinklers: pUpdate Existing ❑New System ❑Not Req'd Planning/Landscape Inspection Required before Final? ❑Yes hlo Reason Sprinklers Required: sEF Dom..t%/ 7 "In Lieu" Fee:Type: Amount$ Fire Alarm: ElUpdate Existing ❑New System El Not Req'd School Impact Fee: Total $ Reason Fire Alarm Required: SX£ OLJ4 A/ 75 Calculated: Credit: RCW 64.55 MF worksheet req'd for permit? ❑Yes le'No ❑Everett School Dist ❑Mukilteo School Dist Add'I RCW 64.55 docs required prior to final? ❑Yes EINo Additional Notes: VALUATION CALCULATION: Total$ Z� D,6VOD �— Approved B Date:eR11t ne/f 7 PUBLIC WORKS Intake OK by: Date: Additional Notes: Intake Comments: PW Worksheet Needed if: DSys Dev Eval ❑Traffic Mit Eval Approved By' A..44- Date: /a/2Z/z6/J' ❑Site Work or Drainage Proposed ❑Backflow Prevention for high hazard: (dental,medical,animals,mortuary,hospital, supportive housing) FIRE DEPARTMENT DRoute 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) ❑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. Fees: ❑ A Separate PW Permit is Required (Permit#: PW ) ❑ Review of As-Built Plans- NO FIRE FEE AND 0 Is located in this folder 0-Minimal or No Fire Scope-NO FIRE FEE 0 Is in a Separate Green Folder(join with this folder for permit issuance) O Review/Inspection Scope-ADD FIRE FEE ❑ Will be issued separately(Separate Green Folder,PW issued ahead of Bldg) Approved By: K,13rd�, n Date: /© //--� Public Works has no scope---PW Not Required Additional Notes: � I 49 ELECTRICAL � Additional Notes: Approved By: Date: Approved By: Date: q..2 .