310 OLYMPIC BLVD 2020-06-05 - Laserfiche WebLink

Intake &Approval Sheet (FOR PERMIT STAFF ONLY) PERMIT# CAI 1 b\-O1 BUILDING PLANNING Intake OK by: Date: Intake OK by: k.A Date: - l 1,1 Intake Comments: Intake Comments: Assign To: F..0 /41 '1 Aca V6. co,1c- c 55, e_ r, 5— 1ncsrmd , , f*Q Cakjnl ❑ Route to Commercial Building 0 Attach to Project No. r Route to Residential Building 0 Route to Historic Reviewer ❑ Make this a"W" Permit OK to Route to Other Departments Bldg/T1/69/Rem Size 9 3 B St' Hold in Planning File Drawer l Garage/Accessory Struct. Size Zone r--1 Number of Stories I Overlay/Agreement Basement EgNo ❑Yes, Fin/Unfin Nonresidential Use Type of Construction -Y6 Residential Use ( A-04 S F-g- Occupancy Group . Proposed No. of Dwelling Units: — Occupancy Load Total No.of Dwelling Units: l Fire Sprinklers: ❑Update Existing ❑New System , Not Req'd Planning/Landscape Inspection Required before Final? ❑Yes IS/No Reason Sprinklers Required: "In Lieu"Fee:Type: Amoun Fire Alarm: ❑Update Existing ❑New System ❑Not Req'd School Impact Fee: Total $ Reason Fire Alarm Required: Calculated: edit: / RCW 64.55 MF worksheet req'd for permit? ❑Yes NtNo ❑Everett School Dist Mukilteo School Dist Add'I RCW 64.55 docs required prior to final? ❑Yes TstNo Additional Notes: VALUATION CALCULATION: Total $ Y k3 1Z5 Approved By: ()C‘}...4_,...A Date: u� 1s--'111 f `PUBLIC WORKS I : e OK by: Date: f/Z'7i/iv l 5 Additional Notes: Zois /,C GiUS C- Intake Comments: -., Worksheet Needed if: llSy- Dev Eval ❑Traffic Mit Eval --� / u- � 4^r'� Site ork or Drainage Proposed Approved By: jtk Date: �-f /ill /O' r"1"/�4'J/ e_E-S OBackflo Prevention for high hazard: i j�e,,-- (dental,med al,animals,mortuary,hospital, supportive h.using) FIRE;,DEPARTMENT Route this folder for PW Review at end --- 'W Review Worksheet Intake: (Needed for Townhomes,Alley load SFR,New Commercial) This project also has a separate concurren PW Review(Green Folder) ❑Route to Fire Drawer---Fire Preliminary Review No "ce AND ❑Create Green Folder ❑Submitted •reviously ❑Deferred ❑Sending Fire Notes to Project Team 0 This Permit is Approved by Public Wo' s Date: (OK to Route to Other Departments) 0 See PW Review Worksheet and .:sociated attached items Fire Sprinklers: ❑Update Existing ❑New System 0 Not Req'd 0 A Separate PW Permit is Required (Permit#: PW ) Fire Alarm: ❑Update Existing ❑New System 0 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(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 Additional Notes: / Approved By: Date: Approved By:'4"i, 17 'L Date: e 29'. A,�