2215 PINEHURST AVE 2020-05-04 - Laserfiche WebLink

.66A) Intake &Approval Sheet FOR PERMIT STA FON PERMIT# tg R-00 l pp 111- BUILDING PLANNING Intake OK by: Date: I 1/( i / Intake OK by: It-W- Date:_____ 11 I" 1 )(c Intake Comments: Intake Comments: Assign To: 14...‘q o Route to Commercial Building 0 Attach to Project No. ,Route to Residential Building 0 Route to Historic Reviewer ❑ Make this a"W"Permit yr OK to Route to Other Departments Bldg/Tl/Addn/Rem Size 0 Hold in Planning File Drawer `—ZNuGarage/Accessory Struct. Size 400 S'1e: Zone 1Z-7-- Number mber of Stories Overlay/Agreement Basement ElNo ❑Yes , Fin/Unfin Nonresidential Use Type of Construction Residential Use t _)of .ii S'rR_ Occupancy Group V` Proposed No. of Dwelling Units: Occupancy Load Total No. of Dwelling Units: X Fire Sprinklers: ❑Update Existing ❑New System ❑Not Req'd Planning/Landscape Inspection Required before Final? ❑Yes 2ciNo 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: it: RCW 64.55 MF worksheet req'd for permit? ❑Yes EI1.'No ❑Everett School Dist ukilteo School Dist Add'I RCW 64.55 docs required prior to final? ❑Yes ®,No Additional Notes: O\jes2\ VALUATION CALCULATION: Total$ l al.400 � C 40 Approved By: i ), Date: l'-1/' 1g PUBLIC WORKS Intake OK by: P5 Date: //I/ I Additional Notes: C.�0 S' /2 C- Intake Comments: PW Workshee Needed if: a,ac P) OSys Dev Eval ❑Traffic Mit Eval w�J, ` `C SA/7—s— 2TO/7—s— ❑Site Work or Drainage Proposed El Backflow Prevention for high hazard: Approved By: Date: ///Q /Le 612^'6 •,/trwL (dental,medical,animals,mortuary,hospital, (SYN, . €. supportive housing) FIRE DEPARTMENT EtRoute this folder for PW Review at end ---PW Review Worksheet Intake: (Needed for Townhomes,Alley load SFR,New Commercial) ❑This project also has a separate concurrent PW Review(Green Folder) ❑Route to Fire Drawer---Fire Preliminary Review Notice AND ❑Create Green Folder ❑Submitted Previously ❑Deferred ❑Sending Fire Notes to Project Team 0 This Permit is Approved by Public Works Date: (OK to Route to Other Departments) 0 See PW Review Worksheet and associated attached items Fire Sprinklers: ❑Update Existing ❑New System 0 Not Req'd 0 A Separate PW Permit is Required (Permit#: PW ) Fire Alarm: ❑Update Existing ❑New System 0 Not Req'd AND 0 Is located in this folder Chemical Sup: ❑Update Existing ❑New System 0 Not Req'd 0 Is in a Separate Green Folder(join with this folder for permit issuance) Additional Notes: ❑ Will be issued separately(Separate Green Folder,PW issued ahead of Bldg) Approved By: Date: 0 Public Works has no scope---PW Not Required Additional Notes: ELECTRICAL Additional Notes: Approved By: Date: Approved By: Date: a