2911 CALIFORNIA ST 2020-04-01 - Laserfiche WebLink

Intake &Approval Sheet (FOR PERMIT STAFF ONLY) PERMIT# 110B 0B 'ttb BUILDING PLANNING Intake OK by: Date: 311 l't Intake OK by: Date: Intake Commen t 1...nsv - Up 4612_ Intake Comments: Assign To: TEA,0.1--P t.¢t. Aa.L rev.,noOLTE MLR, bra?v7:4T.co ei C� N \_ " CRQ'(�Q \O'4,4"& (Ask , .4. Fk tuts 1,.t.Ad wt/'4+a-e. sys.14"-Lee'R. (n19T.cti. , ` DKI 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/Tl/Addn/Rem Size (D 80 0 Hold in Planning File Drawer Garage/Accessory Struct. Size Zone Number of Stories . GverlayiAgreerstent Qt A ..N.4q/ Basement No ❑Yes, Fin/Unfin Nonresidential Use Type of Construction _ Residential Use Occupancy Group I> Proposed No. of Dwelling Units: Occupancy Load 3 L Total No. of Dwelling Units: Fire Sprinklers: ❑Update Existing New System iZiNot Req'd Planning/Landscape Inspection Required be e e Final? ❑Yes ❑No Reason Sprinklers Required: "In Lieu"Fee:Type: Amount$ ` Fire Alarm: ❑Update Existing X,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 No ❑Everett School Dist ❑Mukilteo School Dist Add'I RCW 64.55 docs required prior to final? ❑YesNo Additional Notes: VALUATION CALCULATION: Total$ .2 / 4743Z7 Approved -----1 Date: -1..,'" \,2.0\9 PUBLIC WORKS Intake OK by: T+J Date: "7/3 112_c' i °e Additional Notes: Intake Comments: PW Worksheet Needed if: t--i c, ,_, f--1 I✓4, SC -t\,l -P cz ,"1- �DSys Dev Eval ❑Traffic Mit Eval !7 1 . 1 1 ' 04. ` � "P'-rz-'-'"'c Lc,-r W�Site Work or Drainage Proposed l U � � � gil S ' 2' ,,e 1"'c" ❑Backflow Prevention for high hazard: Approved By: Alf Date o di (dental,medical,animals,mortuary,hospital, supportive housing) E DEPARTMENT 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) ❑Fire Sprinklers ❑Fire Alarm ❑Other:_ _ AND ❑Create Green Folder ❑Submitted Previously ❑Deferred Additional Notes: eCThis Permit is Approved by Public Works ❑ See PW Review Worksheet and associated attached items Fire Dept. Fees: Separate PW Permit is Required (Permit#: PW tib$-60-3 ) O Review of As-Built Plans- NO FIRE FEE AND iA . 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) iReview/Inspection Scope-ADD FIRE FEE 0 Will be issued separately(Separate Green Folder,PW issued ahead of Bldg) Approved By:K, R 0,,t,,tih Date: 8-6,-/9 0 Public Works has no scope---PW Not Required Additional Notes: ELECTRICAL Additional Notes: Approved By: Date: Approved : - '! 1 ate: B/Z420,9 pp pp Y=-`, 2C-241