1125 GRAND AVE 2020-07-14 - Laserfiche WebLink

Intake &Approval Sheet (FOR PERMIT STAFF ONLY) PERMIT# Com( SO g"0l© BUILDING PLANNING Intake OK by: Date: Bfre:Jig Intake OK by: V* Date: $'tO I ( Intake Comments: Intake Comments: Assign To: L R> atc— G-rari t4- S nZ O)e✓l e ❑ Route to Commercial Building 0 Attach to Project No. ,r Route to Residential Building 1: "oute to Historic Reviewer ❑ Make this a"W"Permit s K to Route to Other Departments r�;,�I(i .Bldg/TI .. Rem Size (ZO S Y Hold in Planning File Drawer Garage/Accessory Struct. Size 0 Zone V.---2_ Numberof Stories 2.. Overlay/Agreement Lam, G-fanA j.s}c i't Basement ❑No EYes, Fin/Unfin Nonresidential Use -- Type Type of Construction 'r13 . Residential Use d S112.- Occupancy Group 2- Proposed No. of Dwelling Units: Occupancy Load Total No. of Dwelling Units: 1 Fire Sprinklers: ❑Update Existing El New System ZNot Req'd Planning/Landscape Inspection Required before Final? ❑Yes Eigr Reason Sprinklers Required: "In Lieu"Fee:Type: Amount$ Fire Alarm: ❑Update Existing Chew System 12S1Not Req'd School Impact Fee: Total $ Reason Fire Alarm Required: Calculated: Credit: RCW 64.55 MF worksheet req'd for permit? ❑Yes ca No ❑Everett School Dist ❑Mukilteo School Dist. Add!RCW 64.55 docs required prior to final? ❑Yes JNo Additional Notes: VALUATION CALCULATION: Total$ qvl boa Approved By. 6(.. 4=1c1Date: P/Z. iF PUBLIC WORKS Intake OK by:"ply- Date: 8/2.e., 1t 5b Additional Notes: S O I5 I AC_ fo 5h'LG. Intake Comments: PW Worksheet Needed if: y2.r;�1-,acF'v 5 HERS ❑Sys Dev Eval ❑Traffic Mit Eval N) c,-P s1-.. 5 rte w4,rs"_ ❑Site Work or Drainage Proposed Approved By: . Date: /CVOS ❑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 Townhornes,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 PA This Permit is Approved by Public Works Date: (OK to Route to Other Departments) 0 See PW Review Worksheet and associated attached items Fire Sprinklers: ❑Update Existing Chew System 0 Not Req'd 0 A Separate PW Permit is Required(Permit#: PW ) Fire Alarm: ❑Update Existing ❑New System 0 Not Req'd AND 0 Is located in this folder Chemical Sup: ❑Update Existing ❑New System 0 Not Req'd 0 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) Approved By: Date: 0 Public Works has no scope---PW Not Required Additional Notes: ELECTRICAL Additional Notes: Approved By: Date: Approved B : Date: io/210 / Zo?S