4613 RIVERFRONT BLVD 2020-07-02 - Laserfiche WebLink

2_c, lO ettr5 o2 0aro lUie. 11-001 Intake &Approval Sheet (FOR PERMIT STAFF ONLY) PERMIT# C 161 in- ©00 BUILDING PLANNING Intake OK by: Date: Intake OK by: Date: ake Comments: Intake Comments: Assign To: ❑ Route to Commercial Building Attach to Project No. S Uf2J 14— 002- O 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 1 x'34 1j3 0 Hold in Planning File Drawer Garage/Accessory Struct.'Size L12-Ce ( 1 Zone \IJ C.-) Number of Stories 2 Overlay/Agreement _ . P_DQ Basement 14No ❑Yes, Fin/Unfin Nonresidential Use r Type of Construction ITS Residential Use Cj Z— Occupancy Group 12, 1 (A, Proposed No. of Dwelling Units: I I Occupancy Load Total No. of Dwelling Units: Fire Sprinklers: ❑Update Existing ❑New System ❑Not Req'd Planning/Landscape Inspection Required before Final? ❑Yes LJ No Reason Sprinklers Required: "In Lieu"Fee:Type: 1 Amount$ Fire Alarm: ❑Update Existing ❑New System ❑Not Req'd School Impact Fee: Total $ i`�j/il�t((-� Reason Fire Alarm Required: Calculated: J Credit: RCW 64.55 MF worksheet req'd for permit? ❑Yes 0 No DEverett School Dist ❑Mukilteo School Dist Add'I RCW 64.55 docs required prior to final? ❑rrYes ❑� No Additional Notes: !2 VALUATION CALCULATION: Total$ .w13o:.0 '(OI 'Ye" 4 w 6EC Approved By. �"V\/ Date: g 1 Cp hal 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//‘//9, ❑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 This Permit is Approved by Public Works Date: (OK to Route to Other Departments) 1SrSee PW Review Worksheet and associated attached items Fire Sprinklers: ❑Update Existing ❑New System 0 Not Req'd 'A Separate PW Permit is Required(Permit#: PW l90'-tel' ) 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 ❑ 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) "nproved By: Date: 0 Public Works has no scope---PW Not Required Additional Notes: ELECTRICAL Additional Notes: �,In Approved By: Date: Approved By: � � Date: �/of Fp ym•