2325 ADAMS AVE 2020-05-04 - Laserfiche WebLink

Intake &Approval Sheet (FOR PERMIT STAFF ONLY PERMIT#C I b Io--0\1.- BUILDING 1` PLANNING Intake OK by: Date: t'©/23 ((S Intake OK by: f�I Date: 1d14, -Ta-146 Intake Comments: Intake Comments: Assign To: 1` SIC ter?3tii. 00 ❑ 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 /74/9 Hold in Planning File Drawer Garage/Accessory Struct. Size f if Zone 1 -2- Number -ZNumber of Stories 2.. Overlay/Agreement Basement ENo ❑Yes , Fin/Unfin Nonresidential Use Type of Construction "L 13 Residential Use (4.06.6a4-44 'r"r--' Occupancy Group Q /L) Proposed No. of Dwelling Units: i Occupancy Load Total No. of Dwelling Units: 1„ ft �I Fire Sprinklers: ❑Update Existing ❑New System }lot Req'd Planning/Landscape Inspection Required before Final? I��Yes ONTO* Reason Sprinklers Required: nI "In Lieu" Fee:Type: _ Anj,ount$ Fire Alarm: ❑Update Existing El New System to iNot Req'd School Impact Fee: Total $ (eA j O V ) \/ Reason Fire Alarm Required: Calculated: G 95'O Credit: '�(� �!^ RCW 64.55 MF worksheet req'd for permit? ❑Yes �No Rverett School Dist ❑Mukilteo School Dist " \� Add'I RCW 64.55 docs required prior to final? ❑Yes 11No Additional Notes: VALUATION CALCULATION: Total$ 27-2-7--j 453 Approved By: 04f Date: 1-1.11 PUBLIC WORKS Intake OK by:� Date: Q Additional Notes: Z 0/S MC W..5- C Intake Comments: PW Worksheet Needed if: ►ilt'I irc,j New Ste, —rmosT- ys Dev Eval Traffic Mit Eval -^''//�� //' /g Approved By: �, Date: `�6/ghard stove/ehSite Work or Drainage Proposed u UPS ❑Backflow Prevention for high hazard: j (dental,medical,animals,mortuary,hospital, supportive housing) FIRE DEPARTMENT Route this folder for PW Review at end ---PW Review Worksheet t 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 El This Permit is Approved by Public Works Date: (OK to Route to Other Departments) 1�K4 See PW Review Worksheet and associated attached items Fire Sprinklers: ❑Update Existing ONew System 0 Not Req'd kd A Separate PW Permit is Required (Permit#: PW I2 II-052 ) Fire Alarm: ❑Update Existing ❑New System ❑ Not Req'd AND ► Is located in this folder Chemical Sup: ❑Update Existing ❑New System 0 Not Req'd 0 Is in a Separate Green Folder coin 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: ///2Ao2 (z' )