4527 RIVERFRONT BLVD 2020-07-02 - Laserfiche WebLink

2C0LI5' 7 - Plif311-002- Intake &Approval Sheet (FOR PERMIT STAFF ONLY) . PERMIT# C t CI 62, 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 CI OK to Route to Other Departments Bldg/TI/Addn/Rem Size 21 pI I 0 Hold in Planning File Drawer Garage/Accessory Struct.Size • `q2i rip Zone \VV C (► Number of Stories Li Overlay/Agreement IMu5'C Plan Basement INNo ❑Yes , Fin/Unfin Nonresidential Use - Type of Construction Residential Useft..' Occupancy Group J w Proposed No.of Dwelling Units: Occupancy Load Total No. of Dwelling Units: I 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 $ G1,t { A I f m'cl 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? Oyes r� ❑No Additional Notes: —'�" LUATION CALCULATION: ff Total` b'/$ 2S51 YJ3Z,�� 2a l 5 112-6 4 YV 0 Approved r Date: 1 1iqii 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: VkA 0 Datef\61 lai ❑Backflow Prevention for high hazard: (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) ❑Route to Fire Drawer---Fire Preliminary Review Notice AND❑Create Green Folder ❑Submitted Previously ❑Deferred ❑Sending Fire Notes to Project Team gThis Permit is Approved by Public Works Date: (OK to Route to Other Departments) wk See PW Review Worksheet and associated attached items Fire Sprinklers: ❑Update Existing ❑New System 0 Not Req'd 21A Separate PW Permit is Required(Permit#: PW MS r ) Fire Alarm: ❑Update Existing ❑New 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) =proved By: Date: 0 Public Works has no scope---PW Not Required Additional Notes: ELECTRICAL Additional Notes: Approved By: Date: Approved By: ,jek—ci Date: 5401 -I\