4824 COLLEGE AVE 2020-05-07 - Laserfiche WebLink

Intake & Approval Sheet (FOR PERMIT STAFF ONLY) PERMIT# b 4) i! D 0 '109 BUILDINGPLANNING Intake OK by: di 1--- Date: e4-7/03 Intake OK by "'" Date: ° 2 "\Ts . I Intake Comments: Intake Comments: Assign To: , ,❑r Route to Commercial Building 0 Attach to Project No. Y� Route to Residential Building 0 Route to Historic Reviewer 4 Make this a"W"Permit 0 OK to Route to Other Departments Bldg/TI/Addn/Rem Size NI Hold in Planning File Drawer arc Accessory Struct. Size Z1963 Sf Zone f,-\ Number of Stories I Overlay/Agreement Basement VINo ❑Yes, Fin/Unfin Nonresidential Use Type of Construction Itrig Residential UseS�� Occupancy Group Proposed No. of Dwelling Units: Occupancy Load IJ/4 Total No. of Dwelling Units: Fire Sprinklers: ❑Update Existing ❑New System RrNot Req'd Planning/Landscape Inspection Required before Final? ❑Yes ®No Reason Sprinklers Required: "In Lieu"Fee:Type: Amount$ Fire Alarm: ❑Update Existing El New System PNot Req'd School Impact Fee: Total $ Reason Fire Alarm Required: Calculated: Credit: RCW 64.55 MF worksheet req'd for permit? ❑Yes I No ❑Everett School Dist ❑Mukilteo School Dist. Add'I RCW 64.55 docs required prior to final? ❑Yes JNo A ddd►W *itii\onal Notes: ,(1f VALUATION CALCULATION: Total$ I )21f3 RA'I� ' �br\NAS C'cN' i copmss PAV.1 b4. S/c\td ,(ACIITCOAS4ACVCSA. Approved By:�---�EDate: k - \k. 1 PUBLIC WORKS Intake OK by: 'T Date: e)12..-7 /"d Additional Notes: 10/S- //L C- Intake Comments: PW Worksheet Needed if: ❑Sys Dev Eval Traffic Mit Eval ilece.5sea-t s LD4 Site Work or Drainage Proposed LESS T744*" 200 3F N4.1 Backflow Prevention for high hazard: Approved By: �' Date: /Q Z Ims tr..aPf.RuwuS Asr..EA. ADD (dental,medical,animals,mortuary,hospital, T,E:AG W4s, ir,1cK�5 -r0 8t-Dxa supportive housing) 1'Ea.ww►T FIRE DEPARTMENT. ' ?it if--' BEIRoute this folder for PW Review at end ---PW Review Worksheet Intake: (Needed for Townhomes,Alley to R,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 0Deferred ❑Sending Fire Notes t. roject Team lThis Permit is Approved by Public Works Date: (OK to Route to Other Departments) 0 See PW Review Worksheet and associated attached items Fire Sprinkler ' Update Existing ❑New System 0 Not Req'd 0 A Separate PW Permit is Required (Permit#: PW ) Fire Alaray Systemq L❑U date Existing ❑New 0 Not Req'd AND 0 Is located in this folder p 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 If Additional Notes: - Approved By: Date: Approved 139.." 1----- Date: /v/3/f if, -. r r_