2603 E GRAND AVE 2020-03-06 - Laserfiche WebLink

Intake & Approval Sheet (FOR PERMIT STAFF ONLY) PERMIT# $P -004- BUILDING BUILDING PLANNING Intake OK by: <iftDate: 5/3//i 43 Intake OK by: -W. Date: q-ZS- ) Intake Comments: Intake Comments: Assign To: u.. (� Qk \f Y-e- creo- c crcxr- 0-1 Yzta___wal) ti3J rev ze a - Go rr5 `01'r.2-0 1-- J ❑ Route to Commercial Building 0 Attach to Project No. rf 'mute to Residential Building ❑ Route to Historic Reviewer =1 :ke this a"W" Permit / OK to Route to Other Departments s -./TI/Add '- `Size 2.0t —,W Hold in Planning File Drawer Garage/Accessory Struct. Size O Zone (2.—Z. Number of Stories I Overlay/Agreement Basement ❑No Yes , Finr0...±..9 Nonresidential Use Type of Construction -a-g Residential Use X-o-thati yFijL Occupancy Group 12, Proposed No. of Dwelling Units: Occupancy Load Total No. of Dwelling Units: I. Fire Sprinklers: ❑Update Existing ❑New System ❑Not Req'd Planning/Landscape Inspection Required before Final? ❑Yes to Reason Sprinklers Required: "In Lieu" Fee:Type: Amount$ 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? oyes co No ❑Everett School Dist ❑Mukilteo School Dist. Add'I RCW 64.55 docs required prior to final? ❑Yes JNo Additional Notes: for- rotA44 Wo4A r- aAl--- r'o VALUATION CALCULATION: Total$ �S/ CXX> 1A4..4,- k lit.z" e- ee) or 64,eorej t,)/{-(A112[ ;, COA / C.7 P� OP e.Aon ie ' Approved By: )1,, Date: It/7,11M PUBLIC WORKS Intake OK by: -"Via i.t Date: .1 2v 1$ �1.,�S- /ems c. PW Worksheet -eded if: Additional Notes: LU S'.EG Intake Comments: 1.10 S 1,-CEwow4- ❑Sys Dev E :I ❑Traffic Mit Eval 11. M-eto4- oumm.•Y' Mite W. or Drainage Proposed Approved By: Cjtt. Date: h/21 I/ 3 ❑Bac °ow Prevention for high hazard: (den ,medical,animals,mortuary,hospital, su,.ortive housing) FIRE DEPARTMENT Route this folder for PW Review . end ---PW Review Worksheet Intake: (Needed for Townhomes,Alley load SFR,New Commercial) ❑This project also has a separa , concurrent PW Review(Green Folder) ❑Route to Fire Drawer---Fire Preliminary Review Notice AND ❑Create Green Folder TA Submitted Previously ❑Deferred ❑Sending Fire Notes to Project Team 0 This Permit is Approved Public Works Date: (OK to Route to Other Departments) 0 See PW Review Work- eet and associated attached items Fire Sprinklers: ❑Update Existing ❑New System 0 Not Req'd 0 A Separate PW Per it is Required(Permit#: PW ) Fire Alarm: ❑Update Existing ❑New System 0 Not Req'd AND 0 Is located i, this folder Chemical Sup: ❑Update Existing ❑New System 0 Not Req'd 0 Is in a S-..arate Green Folder(join with this folder for permit issuance) Additional Notes: ❑ Will be. sued separately(Separate Green Folder,PW issued ahead of Bldg) Approved By: Date: 0 Public W% s has no scope---PW Not Required Additional Notes: ELECTRICAL Additional Notes: Approved By: Date: Approved By: Date: