3420 BELL AVE 2020-05-04 - Laserfiche WebLink

Intake & Approval Sheet (FOR PERMIT STAFF ONLY) PERMIT#C--\C O`A -O k(.o BUILDING q PLANNING Intake OK by:_ Date: 0 g5/i / Intake OK by: Date: q -)4c -1i Intake Comments: Intake Comments: Assign To: €A\ 6 oo 'Caul-- lb 0-1- CDU cogen aN.k- ❑ Route to Commercial Building rAl Attach to Pro'ect No. r Z. '_ WI Route to Residential Building P fRoutetoHistoric Reviewer p d ' o V•..0 L-, ❑ Make this a"W" Permit_ 71 OK to Ro t. to Other Department 144' 1 S4 0.-, Bldg/TI/Add Qgikize !08 /c ' . 'o • '- -I. • il- : - -r U e_t Garage/Accessory Struct.Size )e' Zone — K-71 taah r -. , Number of Stories j Overlay/Agreement 'RV(}ti*2( \VA\1 s-cw'1 L Basement ❑No Ryes , In Unfin Nonresidential Use Type of ConstructionResidential Use I c\eituks2A 5PR, F A90 - Occupancy Group `� u Proposed No. of Dwelling Units: A A00 Occupancy Load Total No. of Dwelling Units: 7- rtatt.se, k At J Fire Sprinklers: ❑Update Existing ❑New System ❑Not Req'd Planning/Landscape Inspection Required before Final? DYes 'lo Reason Sprinklers Required: "In Lieu" Fee:Type: Amo 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? DYes it.C1 No El Everett School Dist /1:IMukilteo School Dist Add!RCW 64.55 docs required prior to final? DYes C No Additional Notes: A)0 604.b SattlIXA tA\-t)Trah- VALUATION CALCULATION: Total$ Li O 00 14 lAtbgtfiyi i-b .4(eActAI -41,61 Approved By: )L.1Date: „13..19 PUBLIC WORKS Intake OK by: 05 Date: ,I//$ Additional Notes: Zo 15 I/Zc 0 WSIntake Comments: PW Worksheet Needed if: ❑Sys Dev Eval ❑Traffic Mit Eval ❑Site Work or Drainage Proposed Backflow Prevention for high hazard: Approved By: Date: Jr�9 ❑ (dental,medical,animals,mortuary,hospital, supportive housing) FIRE DEPARTMENT ❑Route this folder for PW Review at end ---PW Review Worksheet Separate/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 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 ❑ Minimal or No Fire Scope-NO FIRE FEE 0 Is in a Separate Green Folder Goin 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 Required dditional Notes: ELECTRICAL Additional Notes: Approved By: Date: Approved By: Date: