2215 PINEHURST AVE 2020-05-04 - Laserfiche WebLink

MMP V Intake &Approval Sheet (FOR PERMIT STAFF ONL u PERMIT# IN D BUILDING PLANNING Intake OK by: Date: Intake OK by: )1.1R , Date: 1 1'01'-Mil 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 .1-- /Accessory Struct. Size Zone Number of Stories Overlay/Agreement Basement KNo ❑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 ❑No 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: Credit: RCW 64.55 MF worksheet req'd for permit? ❑Yes 1rr�I-No El Everett School Dist ❑Mukilteo School Dist Add'I RCW 64.55 docs required prior to final? ❑ u Yes :No Additional Notes: VALUATION CALCULATION: Total$_ , Approved By: ll * Date: -I Z- i ---1.-)g PUBLIC WORKS Intake OK by: ,/ ,) Date: /1// Additional Notes: Intake Comments: PW Worksheet Needed if: vv 4r 2 'e ❑Sys Dev Eval ❑Traffic Mit Eval mite Work or Drainage Proposed Approved By: Date: — / �,o� �,t, c ,{ Backflow Prevention for high hazard: Iv !ti (dental,medical,animals,mortuary,hospital, supportive housing) FIRE DEPARTMENT IERoute 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: 6:;e7)