2115 OAKES AVE 2020-02-24 - Laserfiche WebLink

Intake & Approval Sheet (FOR PERMIT STAFF ONLY) PERMIT# 91` 1`)b-°LI 1 BUILDING PLANNING Intake OK by: • Date:G -,a, 20/9 Intake OK by : & �A I-- Date: Y i A /wj� Y 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 RI OK to Route to Other Departments Bldg/TI/Addn/Rem Size 0 Hold in Planning File Drawer Garage/Accessory Struct.Size Zone C-2 Number of Stories Overlay/Agreement Basement ❑No ❑Yes , Fin/Unfin Nonresidential Use Type of Construction Residential Use "F�., Occupancy Group Proposed No. of Dwelling Units: Occupancy Load Total No. of Dwelling Units: d' _ 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 ❑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 0 No DEverett School Dist ❑Mukilteo School Dist Add'I RCW 64.55 docs required prior to final? ❑Yes ❑No Additional Notes: �ey eV '\-C: e�\s\vi Q� -1`/\\S VALUATION CALCULATION: Total$ Approved Date: `VQ,(j-k'7_4.)-\(-1 PUBLIC WORKS Intake OK by:—7'4 Date: 8 free jzoi s Additional Notes: Intake Comments: PW Worksheet Needed if: V.A,S,,a c.. Fo u.wp-c.o4 ❑Sys Dev Eval ❑Traffic Mit Eval DSite Work or Drainage Proposed Approved By: / Date: 7I Q 1� ❑Backflow Prevention for high hazard: C (dental,medical,animals,mortuary,hospital, supportive housing) FIRE DEPARTMENT DRoute 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 ❑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 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: Public Works has no scope---PW Not Required Additional Notes 6 /24 120-Ls} ELECTRICAL Additional Notes: Approved By: Date: Approved By: (7../7.,