330 HEATHER RD 2020-06-17 - Laserfiche WebLink

Intake & Approval Sheet I (FOR PERMIT STAFF ONLY) PERMIT# e.,vs(( - 004- BUILDING PLANNING Intake OK by /t. Date: I/Z//7,o/8 Intake OK by:C Date: . /2 , tF Intake Comments: S' C2 Intake Comments: Assign To: CACO icekly 4cc.04603tAS Cexte, \fit Ce- . f A(Aild 2r StLP‘\C\ - OQ)1._ ❑ Route to Commercial Building ®Attach to Project No. ❑ Route to Residential Building 0 Route to Historic Reviewer ❑ Make this a"W"Permit 4t,QJ fibticao 0 OK to Route to Other Departments Bldg/Tl/Addn/Rem Size 250 S"f./ 1570 0 Hold in Planning File Drawer Garage/Accessory Struct. Size N/4 Zone - l Number of Stories I Overlay/Agreement _ Basement ❑No ❑Yes, Fin/Unfin Nonresidential Use Type of Construction Residential Use S Ff. Occupancy Group 12-- Proposed No. of Dwelling Units: Occupancy Load Total No. of Dwelling Units: 5(\-Q. Fire Sprinklers: ❑Update Existing ❑New System ❑Not Req'd Planning/Landscape Inspection Required before Final? ❑Yes lalNo Reason Sprinklers Required: "In Lieu"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 (�1 No DEverett School Dist ❑Mukilteo School Dist Add'I RCW 64.55 docs required prior to final? ❑Yes 123.No Additional Notes: ` VALUATION CALCULATION: Total$ /27,59t �P� y \A t Q& (� ok/� r s\e_ :,K t&LCC\16AA Approved By( Date: eS, Off.2©\q 25t0 K IA(p PUBLIC WORKS l $a-%)G SO Intake OK by:MA Date: \\ /2'1 Jio t S Additional Notes: Intake Comments: PW Worksheet Needed if: ..4 52 SG ,Proof-r.a.► o 54L. OSys Dev Eval ❑Traffic Mit Eval NW) AAD-r+ES da -g`va t>> ite Work or Drainage Proposed Approved By: Date: // 3o /9 1'E'""."c El Backflow Prevention for high hazard: (dental,medical,animals,mortuary,hospital, supportive housing) FIRE DEPARTMENT !'Il 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 El Deferred ❑Sending Fire Notes to Project Team r► his Permit is Approved by Public Works Date: (OK to Route to Other Departments) 0 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 ONew 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 B • - j _ 05/- 4 -- Date: Z 6 26p a 1. /"/