917 RIVERSIDE RD 2020-04-02 - Laserfiche WebLink

Intake &Approval Sheet (FOR PERMIT STAFF ONLY) PERMIT#�k96�"CO� BUILDING PLANNING Intake OK by: Date: Intake OK by: Date: 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 0 OK to Route to Other Departments Bldg/TI/Addn/Rem Size 0 Hold in Planning File Drawer Garage/Accessory Struct. Size Zone --7..- Number "UNumber of Stories Overlay/Agreement Basement ❑No ❑Yes , Fin/Unfin Nonresidential Use 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 ❑Not Req'd Planning/Landscape Inspection Required before Final? ❑Yes 16-No Reason Sprinklers Required: "In Lieu"Fee:Type: Amount$ Fire Alarm: ❑Update Existing ❑New System El 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 Dist Add'i RCW 64.55 docs required prior to final? ❑Yes ❑No Additional Notes: rot) SS - gpap VALUATION CALCULATION: Total$ /0/000,019 ,M11 `et 8emeA �r �g - vvrale vbet t(3 f�41 cc ciaero4edo 9or4- oP- ii„„ germ )1-- Approved By: 1 � Date: -1-Z5- PUBLIC WORKS Intake OK by: �I 1.1 Date: 7125/Za l 9 Additional Notes: Intake Comments: PW Worksheet Needed if: `D=IP% O ❑Sys Dev Eval ❑Traffic Mit Eval m o 'Pv-I S co y^�E ❑Site Work or Drainage Proposed Approved BN Date:Q 7/7AS)2e/� ❑Backflow Prevention for high hazard: ://% /"_ (dental,medical,animals,mortuary,hospital, supportive housing) FIRE DEPARTMENT ❑Route this folder for PW Review at end ---PW Review Worksheet Separate I 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 El See PW Review Worksheet and associated attached items Fire Dept. Fees: 0 A Separate PW Permit is Required (Permit#: PW ) O 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 quired Additional Notes: -T/y,S 120 r9 ELECTRICAL Additional Notes: Approved By: Date: Approved By: Date: