1005 91ST PL SW 2020-05-21 - Laserfiche WebLink

Intake & Approval Sheet (FOR PERMIT STAFF ONLY) PERMIT# C . go ZS -CO6 BUILDING PLANNING Intake OK by: di-fr.' Date: ,9//b70 Intake OK by: IL k Date: Z4 -I5-i4 Intake Comments: Intake Comments: Assign To: K, . 14q ❑ Route to Commercial Building ❑ Attach to Project No. Route to Residential Building ❑ Route to Historic Reviewer ❑ Make this a"W" Permit p,OK to Route to Other Departments Bldg/TI/Addn/Rem Size '(D ❑ Hold in Planning File Drawer Garage/Accessory Struct. Size Zone f2,- I , Number of Stories Overlay/Agreement Basement �No ❑Yes , Fin/Unfin Nonresidential Use Type of Construction 1f j Residential Use 4A0\1.- c-ay-y)i) 46f-Q. 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 i4No . ..o. . Reason Sprinklers Required: Fire Alarm: Update Existing ❑New System ❑Not Req'd School Impact Fee: Total $ ------ Reason Fire Alarm Required: Calculated: Cre ' RCW 64.55 MF worksheet req'd for permit? ❑Yes 0 No DEverett School Dist ❑ llteo School Dist Add'I RCW 64.55 docs required prior to final? ❑YYes ❑No Additional Notes: VALUATION CALCULATION: Total $ 10'31,0E--)c, Approved By: L,11(.,„y Date: 16...<4- 1 PUBLIC WORKS Intake OK by: -nZ-� Date: Y�i,/,4A, Additional Notes: Zo 15 plc. It, cus 1gL Intake Comments: PW Worksheet Needed if: 1o�n .-Av-1�_S --o rvn �ys Dev Eval ❑Traffic Mit Eval 64..),L ,..,f V6-`i-""T DSite Work or Drainage Proposed Approved By: - Date: 10A //ft 1,-%<.1,4-1 '7\,.,, ��,,,,.T ,1',1,-2- Backflow Prevention for high hazard: (dental,medical,animals,mortuary,hospital, PAtLe.-tiF Am- supportive housing) FIRE DEPARTMENT EaRoute 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 2--This Permit is Approved by Public Works Date: (OK to Route to Other Departments) ®-See PW Review Worksheet and associated attached items Fire Sprinklers: ❑Update Existing ❑New System 0 Not Req'd 13 A Separate PW Permit is Required (Permit#: PW IS/0 -024 ) Fire Alarm: ❑Update Existing ❑New System 0 Not Req'd AND ®--Is located in this folder Chemical Sup: ❑Update Existing ONew System ❑ Not Req'd ❑ 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 Adal Notes: ELECTRICAL SC ,.4=w, IA A 0-0 5Vrc<41ct Additional Notes: F..rac..,�� 4T4f+-a a" DC7 "" `""' <0/99/g Approved By: Date: Approved B Date:, /. /1 ,