6300 MERRILL CREEK PKY SAFRAN 2020-01-30

Intake &Approval Sheet (FOR PERMIT STAFF ONLY) PERMIT#S k \ t0 -CO LA BUILDING {� PLANNING # Intake OK by: Date: Intake OK by: �ir'6- Assign To:#1 1.e )/ Date:16/1(;tl i G, Intake Comments: Intake Comments: ❑ Route to Commercial Building 0 Attach to Project No. ❑ Route to Residential Building 0 Route to Historic Reviewer ❑ Make this a"W"Permit 1'OK to Route to Other Departments Bldg/TI/Addn/Rem Size 0 Hold in Planning File Drawer Garage/Accessory Struct.Size Zone 01— , Number of Stories Overlay/Agreement --- Basement ❑No ❑Yes, Fin/Unfin Nonresidential Use (;i(6(-e Type of Construction Residential Use Occupancy Group Proposed No.of Dwelling Units: Occupancy Load Total No.of Dwelling Units: Fire Sprinklers: ❑Update Existing ❑New System [hot Req'd Planning/Landscape Inspection Required before Final? ❑Yes j2.1.No Reason Sprinklers Required: "In17eu"Fee:Type: ---7�mount$ Fire Alarm: ❑Update Existing ❑New System CI Not Req'd School Impact-re-e:-..Total $,------ Reason ,-,•-"'Reason Fire Alarm Required: Calculated: .P.- .,,Credit: RCW 64.55 MF worksheet req'd for permit? ❑Yes 0 No ❑Eve retttSc ool Dist ❑Mukilteo ScProol Dist Add'i RCW 64.55 docs required prior to final? ❑Yes ❑No Additional Notes: VALUATION CALCULATION: Total$ Approved By: ( `'Y Date: I 0/1 1?/i el PUBLIC WORKS / Intake OK by: Date: Additional Notes: Intake Comments: PW Worksheet Needed if: DSys Dev Eval ❑Traffic Mit Eval CI Site Work or Drainage Proposed Approved By: .2 sy( Date: 'el frej/fGJ s�Backflow Prevention for high hazard: ( (dental,medical,animals,mortuary,hospital, :supportive housing) FIRE DEPARTMENT CI 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) CI Fire Sprinklers CI Fire Alarm ❑Other: AND ❑Create Green Folder ❑Submitted Previously 1:1 Deferred Additional Notes: 0 This Permit is Approved by Public Works ❑ 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 ❑ 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: 0 Public Works has no scope---PW Not Required Additional Notes: ELECTRICAL Additional Notes: Approved By: Date: Approved By: Date: