1202 GRAND AVE 2020-06-17 - Laserfiche WebLink

Intake & Approval Sheet (FOR PERMIT STAFF ONLY) PERMIT# u VIA O 013 BUILDING PLANNING Intake OK by: Date: Dt7-3//.¢3 Intake OK by: F4_ Date: Ib- 2-3-Pg Intake Comments: Intake Comments: Assign To: ‘412jkA) "T• tt rte►-- L - l&eni-oL. ❑ Route to Commercial Building R,Attach to Project No. N 18 c.).3 %Route to Residential Building '►: 'oute to Historic Reviewer 0 Make this a"W"Permit 1+ OK to Route to Other Departments Bldg/TRem Size /25- $ iHold in Planning File Drawer Garage/Accessory Struct.Size 570 ‹f:- Zone .F,--7.---/14 Number of Stories &AN 01444) �y� 2 Overlay/Agreement 'R , A:41511r Basement EpiC i.c-r-m to C^�Yes , Fin/Q I Nonresidential Use Type of Construction `r1 Residential Use CW5f12.— Occupancy Group TZA A Proposed No. of Dwelling Units: -- Occupancy Load Total o. of Dwelling Units: I Fire Sprinklers: ❑Update Existing ❑New System ❑Not Req'dtannin,/Landscape Inspection Required before Final? Yes ,No Reason Sprinklers Required: "I eu"Fee:Type: Amount$ 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 fallo ❑Everett School Dist ��, ❑Mukilteo chool Dist Add'I RCW 64.55 docs required prior to final? ❑Yes .No Additional Notes: 7.1S—Vi *z-4 P(/1`tY'AR 5 (Z— l2/I_I/1 6 VALUATION CALCULATION: Total$ 72 7 O Approved By: Date: 0( 5-(t.b„,, PUBLIC WORKS Intake OK by:1 to Date: t6/23 jaa t 9 Additional Notes: 2.co/S-- /2C CO S)(<- Intake Comments: PW Worksheet Needed if: kol) 140-ries -ro ^-61..Q4 ❑Sys Dev Eval UTraffic Mit Eval pf¢"""•-r . ❑Site Work or Drainage Proposed Approved By: Date: /2/1 Y/I l ❑Backflow Prevention for high hazard: (dental,medical,animals,mortuary,hospital, supportive housing) FIRE DEPARTMENT Li -oute 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) El Route to Fire Drawer---Fire Preliminary Review Notice AND ❑Create Green Folder ❑Submitted Previously ❑Deferred ❑Sending Fire Notes to Project Team iii,This Permit is Approved by Public Works Date: (OK to Route to Other Dep- ments) 0 See PW Review Worksheet and associated attached items Fire Sprinklers: ❑Update Existing ❑New System r4r Not Req'd 0 A Separate PW Permit is Required (Permit#: PW ) Fire Alarm: ❑Update Existing ❑New System/rijiir Not Req'd AND 0 Is located in this folder Chemical Sup: ❑Update Existing ❑New System ://'Not Req'd ❑ Is in a Separate Green Folder Goin with this folder for permit issuance) Additional Notes: pc. ,rf41 et� El Will be issued separately(Separate Green Folder,PW issued ahead of Bldg) Approved By:c-- 3 - r j Date: rzizgI25,l 0 Public Works has no scope---PW Not Required J Additional Notes: VELECTRICAL Additional Notes: Approved By: Date: Approved : 7" �" Date: /2/Z6 /z6/8 4