412 106TH PL SE 2020-02-25 - Laserfiche WebLink

Intake &Approval Sheet (FOR PERMIT STAFF ONLY) PERMIT# �Ck 03 LO BUILDING PLANNING Intake OK by: Date: 3/ lei./11-Ilei. Intake OK by: Date: Intake Comment . .S Intake Comments: Assign To: "be> �TO S b ❑ 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 0 Hold in Planning File Drawer Garage/Accessory Struct. Size Zone \ Number of Stories Overlay/Agreement Basement ❑No ❑Yes , Fin/Unfin Nonresidential Use Type of Construction Residential Use `JFK Occupancy Group 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? JlYes 121—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 ❑Everett School Dist ❑Mukilteo School ist Add'I RCW 64.55 docs required prior to final? ❑Yes ❑No Additional Notes: Are",_ l.~u _ 7 pn �np�� 4,0 �� VALUATION CALCULATION: Total$ CC�Cs(h5i L. � iw.,� ''CeqCAzi Approved By: ` --.W./.25, Date: -3— L )0i PUBLIC WORKS Intake OK by: 'r ems\ Date: 3 1 4 h9 Additional Notes: Intake Comments: PW Worksheet Needed if: ,..1 ?«G 1"..u.a •6.3 ❑Sys Dev Eval ❑Traffic Mit Eval '4 o s.nt'oo--c E14brc•'►.o. ❑Site Work or Drainage Proposed S F ❑Backflow Prevention for high hazard: Approved By: Date: �j� I a 1 (dental,medical,animals,mortuary,hospital, • supportive housing) FIRE DEPARTMENToute 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: ELECTRICAL No Pal sebegicrulti 4"hdirrIry Additional Notes: Approved By: Date: Approved By: Date: 4.6/261,01,