4521 RIVERFRONT BLVD 2020-07-02 - Laserfiche WebLink

(-)__&41) at o2-1 0,60811-001 Intake &Appr•val Sheet (FOR PERMIT STAFF ONLY) Emu PERMIT# 0 \ ®V DI's BUILDING PLANNING Intake OK by: Date: Intake OK by: Date: 1 ake 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 l Y)34 113 0 Hold in Planning File Drawer Garage/Accessory Struct.Size -12Ce Zone V v C Number of Stories 2-. Overlay/Agreement 17 4- DA Basement 14No ❑Yes, Fin/Unfin Nonresidential Use Type of Construction " Residential Use Gj (Z Occupancy Group 1, ) (A, Proposed No. of Dwelling Units: I Occupancy Load Total No. of Dwelling Units: i Fire Sprinklers: DUpdate Existing ❑New System ❑Not Req'd Planning/Landscape Inspection Required before Final? ❑Yes No Reason Sprinklers Required: "In Lieu"Fee:Type: Amount$ Fire Alarm: El Update Existing ❑New System ❑Not Req'd School Impact Fee: Total $ 'f,cC5 piz. CC,, Reason Fire Alarm Required: Calculated: Credit: f RCW 64.55 MF worksheet req'd for permit? ❑Yes 0 No ❑Everett School Dist ❑Mukilteo School Dist Add'I RCW 64.55 docs required prior to final?,r)❑Yes /❑�•No Additional Notes: VALUATION CALCULATION: Total$ 2.2Co,30a,00 201 1 YG 4 Luse& Approved B}�1/4--?\W Date: I i g I ,q PUBLIC WORKS Intake OK by: Date: Additional Notes: Intake Comments: PW Worksheet Needed it ❑Sys Dev Eval ❑Traffic Mit Eval DSite Work or Drainage Proposed Approved B : Date: 1y/ ❑Backflow Prevention for high hazard: pp y 'f ` �� (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) El Route to Fire Drawer---Fire Preliminary Review Notice AND ❑Create Green Folder ❑Submitted Previously ❑Deferred ❑Sending Fire Notes to Project Team 54 This Permit is Approved by Public Works Date: (OK to Route to Other Departments)See PW Review Worksheet and associated attached items Fire Sprinklers: DUpdate Existing ❑New System 0 Not Req'd EI{A Separate PW Permit is Required(Permit#: PW riO`—05\ ) Fire Alarm: DUpdate Existing ❑New System 0 Not Req'd AND la's located in this folder Chemical Sup: DUpdate 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) 4proved By: Date: 0 Public Works has no scope---PW Not Required �t Additional Notes: ELECTRICAL Additional Notes: Approved By: Date: Approved By: cskc,, Date: I—I$---U1 1 N---\ Cele )