4525 RIVERFRONT BLVD 2020-07-02 - Laserfiche WebLink

2Q,4O1501: 1 -ObI Intake &Approval Sheet (FOR PERMIT STAFF ONLYa PERMIT# C\401-6Y/2 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 0 Route to Historic Reviewer ❑ Make this a"W"Permit 0 OK to Route to Other Departments Bldg/TI/Addn/Rem Size l b S(p ri] 0 Hold in Planning File Drawer Garage/Accessory Struct.Size i2Ce , Zone Vv G Number of Stories ?. Overlay/Agreement p D0 + 0I Basement 4No ❑Yes , Fin/Unfin Nonresidential Use ------- Type of Construction 1 Residential Use Sri.., Occupancy Group k 1 IA, Proposed No. of Dwelling Units: 1 Occupancy Load Total No. of Dwelling Units: I �,/ Fire Sprinklers: El Update Existing Chew System ❑Not Req'd Planning/Landscape Inspection Required before Final? ❑Yes L�dNo Reason Sprinklers Required: "In Lieu" Fee:Type: Amount$ Fire Alarm: ❑Update Existing❑New System ❑Not Req'd School Impact Fee: Total $ 'te.eo paid Reason Fire Alarm Required: Calculated: Credit: 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? ❑Yes r❑No Additional Notes: VALUATION CALCULATION: Total $ 2 CP b�0,00 (LO I S" 112C, w S & Approved I`^ j Date: ' i j g //9 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: 7 /( ❑Backflow Prevention for high hazard: /G /�/ (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---FirePreliminary Review Notice AND ❑Create Green Folder ❑Submitted Previously ❑Deferred ❑Sending Fire Notes to Project Team 14 This Permit is Approved by Public Works Date: (OK to Route to Other Departments) 0 See PW Review Worksheet and associated attached items Fire Sprinklers: El Update Existing ❑New System 0 Not Req'd tg A Separate PW Permit is Required (Permit#: PW 1401-0101 ) Fire Alarm: ❑Update Existing ❑New System 0 Not Req'd AND ref's located in this folder Chemical Sup: ❑Update Existing ❑New System 0 Not Req'd 0 Is in a Separate Green Folder Goin with this folder for permit issuance) Additional Notes: ❑ Will be issued separately(Separate Green Folder,PW issued ahead of Bldg) IT proved By: Date: 0 Public Works has no scope--- PW Not Required Additional Notes: ELECTRICAL Additional Notes: Approved By: Date: Approved By: cr.C,- Date: f x10p "'7