4116 CLIFF DR 2020-01-22 - Laserfiche WebLink

Intake & Approval Sheet (FOR PERMIT STAFF ONLY) PERMIT# BUILDING PLANNING Intake OK by: `1 " Date: 7 9 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 ❑ Make this a"W"Permit 0 OK to Route to Other Departments Bldg/TI/Addn/Rem Size 0 Hold in Planning File Drawer Garage/ ccesso Struct. Size (q, 0 . ,, Zone 'p-1 Number of Stories l Overlay/Agreement Basement IRINo ❑Yes , Fin/Unfin Nonresidential Use Type of Construction Y - Residential Use Occupancy Group u 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 qNo Reason Sprinklers Required: "In Lieu"Fee:Type: Amount$ Fire Alarm: ❑Update Existing ❑New System ❑Not Req'd School Impact Fee: Total $_ Reason Fire Alarm Required: Calculated: Credit: RCW 64.55 MF worksheet req'd for permit? ❑Yes El No ❑Everett School Dist ❑Mukilteo School Dist Add'I RCW 64.55 docs required prior to final? ❑Yes ONo Additional Notes: VALUATION CALCULATION: Total$ 417.&7 Approved By: � Date: "" , vp,-z_o\R � PUBLIC WORKS Intake OK by:—11--Nd Date: "-I , I.to I 2a 6 4 Additional Notes: 20 /'' Z-EC Intake Comments: PW Worksheet Needed if: INi E`er `ID IS Cr-- ❑Sys Dev Eval ❑Traffic Mit Eval C.Ot-+P o S. 'c,E -oce- ❑Site Work or Drainage Proposed Approved By: Date: 7/ / /0 '^"'-c Gv..►4c�f� ❑Backflow Prevention for high hazard: ( ` (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) DFire Sprinklers ❑Fire Alarm ❑Other: AND ❑Create Green Folder ❑Submitted Previously ❑Deferred Additional Notes: j, 0 This Permit is Approved by Public Works A0 I 0 See PW Review Worksheet and associated attached items Fire Dept. Fees: 0 A Separate PW Permit is Required (Permit#: PW ) ❑ Review of As-Built Plans-NO FIRE FEE AND 0 Is located in this folder O Minimal or No Fire Scope-NO FIRE FEE 0 Is in a Separate Green Folder(join with this folder for permit issuance) ❑ Review/Inspection Scope-ADD FIRE FEE 0 Will be issued separately(Separate Green Folder,PW issued ahead of Bldg) Approved By: Date: 8-Public Works has no scope---PW Not equired Additional Notes— T -0 V 40 lei ELECTRICAL Additional Notes: Approved By: Date: Approved By: Date: