2515 HOYT AVE 2020-01-29 - Laserfiche WebLink

Intake & Approval Sheet 1 (FOR PERMIT STAFF ONLY PERMIT# 1 (D 'k BUILDING PLANNING Intake OK by: l Date: �� I� Intake OK by: Date: l Intake Comme 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 Bldre•'ddn f Siz .7 ST 0 Hold in Planning File Drawer Garage/Accessory Struct. Size /✓/..Q Zone _ Number of Stories / Overlay/Agreement Basement ❑No Efres , Fin/Unfin Nonresidential Use ettgy11 %kms Type of Construction �J Residential Use Occupancy Group 4 J 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 ❑No Reason Sprinklers Required: "In Lieu" Fee:Type: Amount$ Fire Alarm: ❑Update Existing Chew 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 Dist Y Add'I RCW 64.55 docs required prior to final? ❑Yes ONo Additional Notes: 1 — �Qa„� \O(p'1 I7,r(;fl(vl t $40VALUATION CALCULATION: Total $ .0.00.60' �- "'- C Warc,44. i5f44"°- ir Approved By: It-. Date: 1p—1—K' L PUBLIC WORKS Intake OK by: Date: Additional Notes: Intake Comments: PW Worksheet Needed if: ❑Sys Dev Eval ❑Traffic Mit Eval ❑Site Work or Drainage Proposed Approved B ,.,A- ' Dater�., /// y 2/� ❑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 Intake: (Needed for Townhomes,Alley load SFR,New Commercial) OThis project also has a separate concurrent PW Review(Green Folder) ❑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:EUpdate Existing ❑New System 0 Not Req'd 0 A Separate PW Permit is Required (Permit#: PW ) Fire Alarm: ,®Update Existing ONew System 0 Not Req'd AND 0 Is located in this folder Chemical Sup: ❑Update Existing ❑New System El Not Req'd 0 Is in a Separate Green Folder(join with this folder for permit issuance) Additional Notes: i ❑ Will be issued separately(Separate Green Folder,PW issued ahead of Bldg) Approved By:1# Date: I '-t 49 -L$ q -ublic Works has no scope---PW Not Required Aj ditional Notes: ELECTRICAL f t ON KA- Additional Notes: Approved By: Date: Approved By: Date: Z