3623 HOYT AVE 1-3 2020-06-17 - Laserfiche WebLink

C)64 Intake&Approval Sheet (FOR PERMIT STAFF ONLY) PERMIT# •K l `O \ w BUILDING PLANNING Intake OK by: Date: Intake OK by: Date: Intake Comments: Intake Comments: Assign To: ❑ 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/TI/Addn/Rem Size 0 Hold in Planning File Drawer Garage/Accessory Struct. Size Zone Number of Stories Overlay/Agreement Basement ❑No ❑Yes , Fin/Unfin Nonresidential Use Type of Construction Residential Use Occupancy Group Proposed No. of Dwelling Units: Occupancy Load Total No. of Dwelling Units: 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: ❑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? Ekes 0 No ❑Everett School Dist ❑Mukilteo School Dist Add'I RCW 64.55 docs required prior to final? Ekes ❑No Additional Notes: VALUATION CALCULATION: Total$ ‘65 b00 Approved By: Date: PUBLIC WORKS Intake OK by: Date: Additional Notes: Intake Comments: i PW Worksheet Needed It _OSys Dev Eval ❑Traffic Mit Eval €DSite Work or Drainage Proposed =Backflow Prevention for high hazard: Approved By: Date: 5l rj b (dental,medical,animals,mortuary,hospital, supportive housing) FIRE DEPARTMENT ['Route this folder for PW Review at en .......................R....vi.............W....rkshe........................ d --- 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 VIThis 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 ❑New System 0 Not Req'd AND ❑ Is located in this folder Chemical Sup: ❑Update Existin ❑New System ❑ Not Req'd 0 Is in a Separate Green Folder (join with this folder for permit issuance) Additional Notes: �� S ❑ Will be issued separately (Separate Green Folder,PW issued ahead of Bldg) Approved By: A----.. iroC�i0 Date: g-519' 0 Public Works has no scope--- PW Not Required Additional Notes: N s& 2" to connt7b1'I4vs> ELECTRICAL 514 ad 3/1,1' Deffoe pnt A k ccol Additional Notes: DuTr+`if, Of 6ir Approved By: Date: Approved By: }7-74-- Date: j /. cit l