4528 31ST AVE SE 2020-07-13 - Laserfiche WebLink

' 5C1 gi3 l 8(o- ®o I 1 Intake &Approval Sheet (FOR PERMIT STAFF ONLY PERMIT# ' L9b` bM 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/Tl/Addn/Rem Size /2-615q 0 0 Hold in Planning File Drawer L Garage/Accessory Struct.Size 1 Vt1 Zone G Number of Stories Z- Overlay/Agreement 12t0 J Basement 1511No ❑Yes, Fin/Unfin Nonresidential Use Type of Construction 5B Residential Use ' SVR, Occupancy Group yZ 1 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 I No Reason Sprinklers Required: "In Lieu"Fee:Type: Amount$ Fire Alarm: ❑Update Existing ❑New System ❑Not Req'd School Impact Fee: Total $ -feespa4"c( 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$ y v�i�1.Da (Lel 5Ial, iwgou -w Approved � v V/ Date: 1 ) 18 ) 1 q 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: -a Date: //20//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---FirePreliminary 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) &See PW Review Worksheet and associated attached items Fire Sprinklers: ❑Update Existing ❑New System 0 Not Req'dA Separate PW Permit is Required (Permit#: PW 190 --O$ ) Fire Alarm: ❑Update Existing ❑New System 0 Not Req'd AND j' 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) fir roved By: Date: 0 Public Works has no scope---PW Not Required Additional Notes: ELECTRICAL Additional Notes: Approved By: Date: Approved By: .A '-' Date: , -'2 Ip „---