4617 31ST AVE SE 2020-07-02 - Laserfiche WebLink

C.15 6- e IND- oo4 Intake &Approval Sheet (FOR PERMIT STAFF ONLY) . PERMIT# 0 VI d(0--CO 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 0-29-1 it 0 Hold in Planning File Drawer Garage/Accessory Struct.Size LO6 ill Zone \N C., r- Number of Stories Z Overlay/Agreement (2Al 0 — V eir—(1 1_ Basement ®No ❑Yes , Fin/Unfin Nonresidential Use • Type of13"t- Basement Residential Use S�12. � UA4_ Occupancy Group Proposed No.of Dwelling Units: 1 Occupancy Load Total No. of Dwelling Units: l Fire Sprinklers: ❑Update Existing ❑New System ❑Not Req'd Planning/Landscape Inspection Required before Final? ❑Yes LINO Reason Sprinklers Required: "In Lieu"Fee:Type: Amount$ Fire Alarm: ❑Update Existing ❑New System ❑Not Req'd School Impact Fee: Total $ 'rPJ_ CQ..(Lrt4a PcticL 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 ❑No Additional Notes: VALUATION CALCULATION: Total$ G',D(04,O0 2015 1i-C, 4 W6G1� �21� IW Approved Date: PUBLIC WORKS Intake OK by: Date: Additional Notes: Intake Comments: PW Worksheet Needed if: ❑Sys Dev Eval ❑Traffic Mit Eval CP ❑Site Work or Drainage Proposed 11 Approved By: `) - Date: 0 0 j 2,451,/ ❑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 121.This Permit is Approved by Public Works Date: (OK to Route to Other Departments) =1 See PW Review Worksheet and associated attached items Fire Sprinklers: ❑Update Existing DNew System 0 Not Req'd -C A Separate PW Permit is Required(Permit#: PW 1906-035 ) Fire Alarm: ❑Update Existing ❑New System 0 Not Req'd AND �I 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) III IInproved By: Date: 0 Public Works has no scope---PW Not Required Additional Notes: ELECTRICAL Additional Notes: 4/8/Apl Approved By: Date: Approved By: * Date: (;7z