910 RUCKER AVE 2020-04-02 - Laserfiche WebLink

Intake &Approval Sheet (FOR PERMIT STAFF ONLY) PERMIT# 1wt 3 s O?3 BUILDING PLANNING i Intake OK by: „/(, Date:/Z//7.60/9 Intake OK by: Assign To:141V Date:12i/i1 I I Intake Comments. Intake Comments: ❑ Route to Commercial Building 0 Attach to Project No. ❑ Route to Residential Building 0 Route to Historic Reviewer ❑ Make this a"W"Permit OK to Route to Other Departments Bldg/TI/Addn/Rem Size Hold in Planning File Drawer Garage/Accessory Struct. Size Zone f`-—2- Number of Stories Overlay/Agreement r, Basement ❑No ❑Yes , Fin/Unfin Nonresidential Use Type of Construction Residential Use S--g. Occupancy Group 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 %lo Reason Sprinklers Required: "In Lieu"Fee:Type: Amount$ Fire Alarm: El Update Existing El 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 Dist Add]RCW 64.55 does required prior to final? ❑Yes ❑No Additional Notes: VALUATION CALCULATION: Total _ Approved By:0,6 Date: i 2_,ll`1/1 a PUBLIC WORKS `` 1 Intake OK by: •1' Date: 0L1‘ 51 110‘4. Additional Notes: Intake Comments: I PW Worksheet Needed if: i❑Sys Dev Eval ❑Traffic Mit Eval rmat> 'P .& S C.o'-T G '❑Site Work or Drainage Proposed Approved By: 4 Date: lel (9 i❑Backflow Prevention for high hazard: Fe.►..Thibs evwoa..�— ;(dental,medical;animals,mortuary,hospital, G `� €supportive housing) FIRE DEPARTMENT ❑Route folder for PW Review alt( t end ---PW Review Worksheet Separate I Deferred Submittals Required: ❑This project also has a separate concurrent PW Review(Green Folder) ❑Fire Sprinklers El 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 O 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 Re uired Additional Notes' it—/14 )to 4v9 ELECTRICAL Additional Notes: Approved By: Date: Approved By: Date: