1630 OAKES AVE 2020-05-08 - Laserfiche WebLink

Intake & Approval Sheet (FOR PERMIT STAFF ONLY) PERMIT# VA121/01+-0 �1 BUILDING PLANNING Intake OK by: �J Date: /24/(1 Intake OK b : Date: 4 j1 \. tO�.ON n Intake Comments: Intake Comments: Assign To: `�A\Ona\ ❑ Route to Commercial Building 0 Attach to Project No. 4 ,E .\° vO✓\ Route to Residential Building 0 Route to Historic Reviewer ❑ Make this a"W" Permit ® OK to Route to Other Departments Bidg/TI/Addn/Rem Size 0 Hold in Planning File Drawer Garage ccessory Struct.Size 29- " ' Zone �.- Z Number of Stories ( Overlay/Agreement Basement IK1No ❑Yes , Fin/Unfin Nonresidential Use Type of Construction 2 Residential Use S k Occupancy Group Proposed No. of Dwelling Units: Occupancy Load Total No.of Dwelling Units: 04Ve. Fire Sprinklers: ❑Update Existing ❑New System ❑Not Req'd Planning/Landscape Inspection Required before Final? ❑Yes Rho Reason Sprinklers Required: . "In Lieu"Fee:Type: Almy t-$-- 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 n No ❑Everett School Dist ❑Mukilteo School Dist Add'I RCW 64.55 docs required prior to final? Yes IErNo Additional Notes: VALUATION CALCULATION: Total$ 71�72- iCACVZrJ 2AR Q)`21 Approved B . Date: 5. ZR PUBLIC WORKS Intake OK by:—"ir-1 Date: 4 /2.4 / 1 9 Additional Notes: Z 0/ /4 C Intake Comments: PW Worksheet Needed if: NI E vf 2. 4-2 Cs -ev Sys ev EEvval ❑Traffic Mit Eval jg3ite Work or Drainage Proposed Approved By: Date: Z6 9 '�' toe,* 5F ❑Backflow Prevention for high hazard: �� SN t_esc.K eta (dental,medical,animals,mortuary,hospital, _.e supportive housing) FIRE DEPARTMENT toute 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(join 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: 0 Public Works has no scope---PW Not Required Additional Notes: ELECTRICAL Additional Notes: Rjr-,(1*14�Approved By: Date: Approved By: ` Date: 57/ i,