4621 31ST AVE SE 2023-05-17 - Laserfiche WebLink

3fl�s' ' o- w4 Intake &Approval Sheet (FOR PERMIT STAFF ONLY) . PERMIT# C/ 111)1'-' 0 I BUILDING PLANNING Intake OK by: Date: Intake OK by: Date: ake Comments: Intake Comments: Assign To: ❑ Route to Commercial Building LI Attach to Project No. I ❑ 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 2221 t 0 Hold in Planning File Drawer Garage/Accessory Struct.Size yb6 ID Zone Number of Stories Overlay/Agreement I DO Basement DINo ❑Yes, Fin/Unfin Nonresidential Use �r Type of Construction Residential Use 1 F12— Occupancy Group Proposed No. of Dwelling Units: � r Occupancy Load Total No. of Dwelling Units: Fire Sprinklers: ❑Update Existing ❑New System ❑Not Req'd Planning/Landscape Inspection Required before Final? ❑Yes 121No Reason Sprinklers Required: "In Lieu"Fee:Type: Amount$ Fire Alarm: ❑Update Existing ❑New System ❑Not Req'd School Impact Fee: Total $ -1 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? n❑�Yes No Additional Notes: VALUATION CALCULATION: Total$ -10(P,O& {,DD 2O‘5 \12C) W6C) Approved B Date: to 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:-71/4 J/ ❑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 laThis Permit is Approved by Public Works Date: (OK to Route to Other Departments) See PW Review Worksheet and associated attached items Fire Sprinklers: ❑Update Existing ❑New System 0 Not Req'd aA Separate PW Permit is Required(Permit#: PW 1107 /y ) 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 Qoin with this folder for permit issuance) Additional Notes: ❑ Will be issued separately(Separate Green Folder,PW issued ahead of Bldg) iffroved By: Date: 0 Public Works has no scope---PW Not Required Additional Notes: ELECTRICAL Additional Notes: Approved By: Date: Approved By: —AI p Date: -7-1 g `q(z1 l rf.:7/71).: