4523 31ST AVE SE 2020-07-02 - Laserfiche WebLink

Lth 40 o� Intake &Approval Sheet (FOR PERMIT STAFF ONLY PERMIT# t% O‘'113 BUILDING PLANNING Intake OK by: Date: Intake OK by: Date: Intake 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 Z% 09 SF 0 Hold in Planning File Drawer Garage/Accessory Struct.Size 43c) s,A Zone Number of Stories Overlay/Agreement Basement $lo ❑Yes , Fin/Unfin Nonresidential Use Type of Construction Residential Use Occupancy Group ./L.4 Proposed No. of Dwelling Units: Occupancy Load Total No. of Dwelling Units: Fire Sprinklers: ❑Update Existing ONew System ONot Req'd Planning/Landscape Inspection Required before Final? ❑Yes No Reason Sprinklers Required: "In Lieu" Fee:Type: _ Amount$ Fire Alarm: ❑Update Existing ONew System ❑Not Req'd School Impact Fee: Total $ Reason Fire Alarm Required: Calculated: Credit: RCW 64.55 MF worksheet req'd for permit? ❑Yes Jral No ❑Everett School Dist ❑Mukilteo School Dist Add]RCW 64.55 docs required prior to final? ❑Yes Flo Additional Notes:S / .-�-Ge,S pGz07 c1/1 7z: VALUATION CALCULATION: Total$ Z 66' 061 Approved Date:J`/J)1/4 PUBLIC WORKS _/ fff Intake OK by: Date: Additional Notes: Zc3 /5 //'C > 141-r�L Intake Comments: PW Worksheet Needed if: 38rsys Dev Eval ❑Traffic Mit Eval 'alSite Work or Drainage Proposed Approved By: Date: /2.1‘,//p, ❑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) �E See PW Review Worksheet and associated attached items Fire Sprinklers: ❑update Existing ❑New System 0 Not Req'd Iw A Separate PW Permit is Required (Permit#: PW/g/2-0.78 ) Fire Alarm: ❑Update Existing ONew System 0 Not Req'd AND 'El Is located in this folder Chemical Sup: ❑Update Existing ❑New System 0 Not Req'd 0 Is in a Separate Green Folder coin with this folder for permit issuance) Additional Notes: ❑Will be issued separately(Separate Green Folder,PW issued ahead of Bldg) Approved By: Date: 0 Public Works has no scope--- PW Not Required Additional Notes: ELECTRICAL Additional Notes: Approved By: Date: Approved By: .5,48,1/4.1— Date: /00.018a