2126 RUCKER AVE 2020-07-15 - Laserfiche WebLink

Intake & Approval Sheet (FOR PERMIT STAFF ONLY) --i PERMIT# bloi t 2-(-)\ BUILDING y H.- PLANNING Intake OK by: Date: Intake OK by: Y-- ft Date: 2 \-Z'�lc( Intake Comments: Intake Comments: Assign To: �V 1415 Le%...%-(64; 'Ae))1(eo)ott 4-- c a;K--5 ❑ Route to Commercial Building 0 Attach to Project No. we 0 Route to Residential Building W. 'oute to Historic Reviewer ❑ Make this a"W" Permit r OK to Route to Other Departments Bldg/Tl/Addn/Rem Size ►A Hold in Planning File Drawer Garage/Accessory Struct. Size 7e S Zone 2-'-1 Number of Stories '2.- Overlay/Agreement 4 - ►Rt, -(,Y-1 14-,4,j, Basement No :hies , Fin/Unfin Nonresidential Use U/i Type of Construction it-I Residential Use ✓ Occupancy Group U Proposed No. of Dwelling Units: r l 14- Occupancy Load Total No. of Dwelling Units: 1 'r4 fir'&CT-- Fire Sprinklers: OUpdate Existing ❑New System ❑Not Req'd Planning/Landscape Inspection Required before Final? ❑Yes Jlo Reason Sprinklers Required: "In Lieu" Fee:Type: Amount$ Fire Alarm: El Update Existing ❑New System ❑Not Req'd School Impact Fee: Total $ 14 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 ONo Additional Notes: VALUATION CALCULATION: Total $ (f1 Z 00 Approved By: 14 -- Date: 37( f f q PUBLIC WORKS. Intake OK by: ) 1Date: 'V Additional Notes: 2 U/s' /✓�� Intake Comments: PW Worksheet Needed if: ❑Sys Dev Eval ❑Traffic Mit Eval ❑Site Work or Drainage Proposed Approved By: 8714 Date:3//1 /4"/" ❑Backflow Prevention for high hazard: (dental,medical,animals,mortuary,hospital, 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 0 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 ❑New System 0 Not Req'd 0 A Separate PW Permit is Required (Permit#: PW ) Fire Alarm: ❑Update Existing El 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(oin with this folder for permit issuance) Additional Notes. n n A t1 1 Vt 11'2 0 Will be issued separately(Separate Green Folder,PW issued ahead of Bldg) ❑ ADD FIRE FEE 0 N >'FIRE FEE Public Works has no scope---PW Not Required Approved By: Date: Additional Notes: ELECTRICAL Additional Notes: Approved By: Date: Approved By: Date: ----- -