5409 S 2ND AVE 2020-06-15 - Laserfiche WebLink

Intake & Approval Sheet (FOR PERMIT STAFF ONLY) PERMIT# `JW ISOQ --D°`-\ BUILDINGll PLANNING ` Intake OK by: Date: a/t1 Intake OK b nn Date: v\ . 1�-\.\y Intake Comments: Intake Comments: Assign To: • cep ❑ Route to Commercial Building ❑ Attach to Project No. r\C;:':n-($1:171 ( 4.) Est Route to Residential Building ❑ Route to Historic Reviewer ,® Make this a"W" Permit 0 OK to Route to Other Departments Bldg/TI/Addn1Reni ,ize 'Zito .5r. ❑ Hold in Planning File Drawer Garage/Accessory Struct. Size Zone Number of Stories '7— Overlay/Agreement Basement ? No ❑Yes , Fin/Unfin Nonresidential Use Type of Construction ye Residential Use s ( _ Occupancy Group 1Z/A. Proposed No. of Dwelling Units: Occupancy Load Total No. of Dwelling Units: CAC__ Fire Sprinklers: ❑Update Existing ❑New System ❑Not Req'd Planning/Landscape Inspection Required before Final? ❑Yes ❑No Reason Sprinklers Required: "In Lieu" Fee:Type: Amount$ Fire Alarm: DUpdate 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 .,No ❑Everett School Dist DMukilteo School Dist Add]RCW 64.55 docs required prior to final? ❑Yes CNVo Additional Notes: VALUATION CALCULATION: Total $ 5-7 1Z.'' m Approved By: _____,,,e_-- , Date: W, tlf:i,2O\v" PUBLIC WORKS Intake OK by: Date: y Additional Notes: Z,/S /,( Ws.c_ Intake Comments: PW WorksheetnrNeeded if.- (a/( p cid ❑Sys Dev gal ❑Traffic Mi(Eval ��! S /��v� ��Qrv2i 2��1y� r__ {a-r � VNbE/_ S-74–p4 AA7� Pe►z'iI-7(S) Q0') 0'(„",(; �� r Site Work or Drainage Proposed wr ` ❑Backflow Prevention for high hazard: Approved By; l� Date: t pt17/( ar- nFu)194011 medical,animals,mortuary,hospital, U supportive housing) FIRE DEPARTMENT gRoute 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 [1] This Permit is Approved by Public Works Date: (OK to Route to Other Departments) See PW Review Worksheet and associated attached items Fire Sprinklers: DUpdate Existing ❑New System ❑ Not Req'd p A Separate PW Permit is Required (Permit#: PW /8/l-co co ) Fire Alarm: DUpdate Existing ❑New System ❑ Not Req'd AND j Is located in this folder Chemical Sup: ❑Update Existing ❑New 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: ❑ Public Works has no scope--- PW Not Required Additional Notes: ELECTRICAL Additional Notes: Approved By: Date: Approved By:_,,,- ,,,- 7 -6ate: /(AFL,/24;1 i 8 /