1712 HOYT AVE 2020-01-29 - Laserfiche WebLink

Intake & Approval Sheet (FOR PERMIT STAFF ONLY) PERMIT# '11v \ 07y bob BUILDING PLANNING Intake OK by: Date: Intake OK by: Date: Intake Comments: Intake Comments: Assign To: UCQ,0).> tR1/44. \cc sou, e,ra &444 Use \ q.- 2 R o 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/Tl/Addn/Rem Size 0 Hold in Planning File Drawer `) Garage/Accessory Struct. Size Zone - 2_ Number of Stories Overlay/Agreement Basement ❑No DYes , Fin/Unfin Nonresidential Use Type of Construction Residential Use Occupancy Group Proposed No. of Dwelling Units: Occupancy Load Total No. of Dwelling Units: Fire Sprinklers: DUpdate Existing ❑New System ❑Not Req'd Planning/Landscape Inspection Required before Final? DYes ❑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? DYes 0 No DEverett School Dist DMukilteo School Dist ,^ Add'I RCW 64.55 docs required prior to final? DYes ❑No A di loon l Notes: ;CY&t'\' '\ �� q �"" L2_1( a\ VALUATION CALCULATION: Total $ ) e, d e Y S 1A©��4-Co Approved By: 1 Date: PUBLIC WORKS. Intake OK by: Date: Additional Notes: Intake Comments: PW Worksheet Needed if: ❑Sys Dev Eval ❑Traffic Mit Eval D Site Work or Drainage Proposed Approved By: Date: ❑Backflow Prevention for high hazard: (dental,medical,animals,mortuary,hospital, FIRE DEPARTMENT ❑Route this folder for PW Review at end ---PW Review Worksheet Intake: (Needed for Townhomes,Alley load SFR,New Commercial) ❑This project also has a separate concurrent PW Review(Green Folder) El Route to Fire Drawer---Fire Preliminary Review Notice AND ❑Create Green Folder ❑Submitted Previously ❑Deferred ❑Sending Fire Notes to Project Team 0 This Permit is Approved by Public Works Date: (OK to Route to Other Departments) 0 See PW Review Worksheet and associated attached items Fire Sprinklers: ❑Update Existing ❑New System 0 Not Req'd 0 A Separate PW Permit is Required (Permit#: PW Fire Alarm: ❑Update Existing El New System 0 Not Req'd AND 0 Is located in this folder Chemical Sup: ❑Update Existing ❑New System 0 Not Req'd ❑ Is in a Separate Green Folder(join with this folder for permit issuance) Additional Notes: 0 Will be issued separately(Separate Green Folder,PW issued ahead of Bldg) ❑ ADD FIRE FEE 0 NO FIRE FEE 0 Public Works has no scope--- PW Not Required Approved By: Date: Additional Notes: ELECTRICAL Additional Notes: Approved By: Date: Approved By: Date: vi)