4702 W GLENHAVEN DR 2020-06-16 - Laserfiche WebLink

Intake & Approval Sheet (FOR PERMIT STAFF ONLY) PERMIT#£i S ICLO Z ' BUILDING PLANNING Intake OK by: Date: Intake OK by: .1-1 Date: (cYw-ici/ Intake Comments: Intake Comments: Assign To: JL. 't.X )v re- T.e -- / ;,. ` pAA,r..ej ❑ Route to Commercial Building 0 Attach to Project No. ❑ Route to Residential Building 0 Route to Historic Reviewer ❑ Make this a"W" Permit 0 OK to Route to Other Departments Bldg> ddn/Rem Size 460E2 %Hold in Planning File Drawer Garage/Accessory Struct. Size Zone Number of Stories Overlay/Agreement Basement ❑No Oyes , Fin/Unfin Nonresidential Use Type of Construction 6 Residential Use jk-FaLl 4 490-- Occupancy Group F-- Proposed No. of Dwelling Units: Occupancy Load Total No. of Dwelling Units: 7- Fire Sprinklers: DUpdate Existing ❑New System ❑Not Req'd Planning/Landscape Inspection Required before Final? ❑Yes)No Reason Sprinklers Required: "In Lieu" Fee: Type: A nt$ 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? DYes ® No DEverett School Dist ❑M ilteo School Dist Add'I RCW 64.55 docs required prior to final? DYes 4No Additional Notes: 6-6 Idke---4 O�Qe) Q VALUATION CALCULATION: Total $ (e .d, `y l 5 . Zolq el Z3o30(01 Approved By: :4.44,1Date: ?. 2. .)41 PUBLIC WORKS • Intake OK by: Date: q/7Rjz2 is Additional Notes: Intake Comments: PW Worksheet Needed if: NakrE Legs-°d J_ QkvE. ❑Sys Dev Eval ❑Traffic Mit Eval 6 I D� I b �' S� fJ G DSite Work or Drainage Proposed Approved By: 17 Dater b �,l/r►„ m��j�_ ❑Backflow Prevention for high hazard: battling �-�J (dental,medical,animals,mortuary,hospital, supportive housing) FIRE DEPARTMENT ❑Route 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 0 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 0 A Separate PW Permit is Required (Permit#: PW ) Fire Alarm: ❑Update Existing ❑New System 0 Not Req'd AND 0 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: Public Works has no scope--- PW Not Required Additional Notes: ELECTRICAL Additional Notes: dE,.‘... OehdeApproved By: Date: Approved By: Date: