4522 RIVERFRONT BLVD 2020-07-02 - Laserfiche WebLink

lb VA ®- 0812)1D- D°2- n� ) Ob Intake &Approval Sheet (FOR PERMIT STAFF ONLY) . PERMIT# V BUILDING PLANNING Intake OK by: Date: Intake OK by: Date: ake Comments: Intake Comments: Assign To: ❑ Route to Commercial Building 0 Attach to Project No. ❑ Route to Residential Building ,❑ Route to Historic Reviewer ❑ Make this a"W"Permit Er:)K to Route to Other Departments Bldg/TI/Addn/Rem Size 1) 0 G') Ell 0 Hold in Planning File Drawer Garage/Accessory,Struct.Size 211 CO Zone , , VV C) ,-y Number of Stories 2. Overlay/Agreement I&(;� 11' a."- Basement lANo ❑Yes , Fin/Unfin Nonresidential Use �� Type of Construction Residential Use c-Pr% Occupancy Group 1 Utd 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 EINo 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 0 No CI Everett School Dist ❑Mukilteo School Dist Add'I RCW 64.55 docs required prior to final? ❑Yes r-❑No Additional Notes: - pLUATION CALCULATION: Total$ 'h631 (op.0® 9,D1 ' 4 W6166 Approved Date: &f i?j1 11 PUBLIC WORKS Intake OK by: Date: Additional Notes: Intake Comments: PW Worksheet Needed if: ❑Sys Dev Eval ❑Traffic Mit Eval ❑Site Work or Drainage Proposed Approved By: Date:3/201 ❑Backflow Prevention for high hazard: (dental,medical,animals,mortuary,hospital, supportive housing) FIRE DEPARTMENT CI 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 This Permit is Approved by Public Works Date: (OK to Route to Other Departments) IN See PW Review Worksheet and associated attached items Fire Sprinklers: ❑Update Existing ❑New System 0 Not Req'd ISA Separate PW Permit is Required(Permit#: PW lc/BS-05S ) Fire Alarm: ❑Update Existing ❑New System 0 Not Req'd AND Cats 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) -I—proved By: Date: 0 Public Works has no scope---PW Not Required Additional Notes: ELECTRICAL Additional Notes: Approved By: Date: Approved By: ! Date: 3/?5/ jc7