1200 INDUSTRY ST EL DORADO STONE 2020-01-29

Intake &Approval Sheet (FOR PERMIT STAFF ONLY) PERMIT# -1Cko--CC C 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 ❑ Make this a"W"Permit 0 OK to Route to Other Departments Bldg/TI/Addn/Rem Size 94-11.. ❑ Hold in Planning File Drawer Garage/Accessory Struct.Size — Zone A- 1 Number of Stories \ - Overlay/Agreement Basement JINo ❑Yes, Fin/Unfin Nonresidential Use \41 VikelINA1/4 Type of Construction V T' Residential Use Occupancy Group Proposed No. of Dwelling Units: Occupancy Load 40 Total No. of Dwelling Units: Fire Sprinklers: Vtupdate Existing ❑New System ONot Req'd Planning/Landscape Inspection Required before Final? ❑Yes 18:1No Reason Sprinklers Required: "In Lieu"Fee:Type: Amount$ Fire Alarm: )nUpdate Existing ❑New System ❑Not Req'd School Impact Fee: Total $ Reason Fire Alarm Required: Calculated: it: RCW 64.55 MF worksheet req'd for permit? DYes No El Everett School Dist ukilteo School Dist Add'I RCW 64.55 docs required prior to final? ❑Yes J1No Additional Notes: VALUATION CALCULATION: Total$ Zo, rte, Approved By: Date: (o. C S Z,cjt9 PUBLIC WORKS Intake OK byr "'It. Date: to IS/17-o I. 9 Additional Notes: Intake Comments: PW Worksheet Needed if: 1�A'«v-•o sr- C i 0-4`-`1 ❑Sys Dev Eval ❑Traffic Mit Eval r40 1:)%t4 S co?� ❑Site Work or Drainage Proposed Approved By: Date: 45-4A0? ❑Backflow Prevention for high hazard: "� (dental,medical,animals,mortuary,hospital, supportive housing) FIRE DEPARTMENT PA =s ute 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 121 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: 0 : -•arate PW Permit is Required (Permit#: PW ) 0 Review of As-Built Plans-NO FIRE FEE AND 0 Is ocated in this folder I 1 Minimal or No Fire Scope-NO FIRE FEE 0 Is i a Separate Green Folder Goin with this folder for permit issuance) .14 Review/Inspection Scope-ADD FIRE FEE 0 Will .e issued separately(Separate Green Folder,PW issued ahead of Bldg) Approved By: .- Date: &S (oi Public W.rks has n scope---PW Not Required 9 F t R A ' lona 4 otes: ELECTRICAL Additional Notes: Approved By: Date: Approved By: Date: