3003 W CASINO RD BLDG 40-22 2020-11-24

PERMIT# Intake &Approval Sheet (FOR PERMIT STAFF ON�� LJ �.:� '� BUILDING PLANNING Intake OK by: Date: Intake OK by: Assign To: Date: Intake Comments: Intake Comments: ❑ Route to Commercial Building ❑ Attach to Project No. ❑ Route to Residential Building ❑ Route to Historic Reviewer ❑ Make this a"W"Permit ❑ OK to Route to Other Departments BIdg/TI/Addn/Rem Size tqp ❑ Hold in Planning File Drawer Garage/Accessory Struct. Size -- Zone Number of Stories t.- Overlay/Agreement Basement OgNo ❑Yes, Fin/Unfin Nonresidential Use Type of Construction 11:1—— F' Residential Use Occupancy Group F— &- Proposed No. of Dwelling Units: Occupancy Load Total No.of Dwelling Units: Fire Sprinklers: VI Update Existing ❑New System Mot Req'd Planning/Landscape Inspection Required before Final? ❑Yes ❑No Reason Sprinklers Required: "In Lieu"Fee:Type: Amount$ Fire Alarm: El Update Existing El New System El Not Req'd School Impact Fee: Total $ Reason Fire Alarm Required: Calculated:Calculated: Credit: RCW 64.55 MF worksheet req'd for permit? ❑Yes ,E�! No DEverett School Dist ❑Mukilteo School Dist Add'I RCW 64.55 docs required prior to final? ❑Yes INo Additional Notes: VALUATION CALCULATION: Total$ 77).4 -Co Approved By: Date: PUBLIC WORKS Intake OK by: Date: Additional Notes: Intake Comments: PW Worksheet Needed if: €DSys Dev Eval ❑Traffic Mit Eval =ElSite Work or Drainage Proposed Approved By: Date: (C.1(5 j(at DBackfiow Prevention for high hazard: ;(dental,medical,animals,mortuary,hospital, (((��/// ':supportive housing) FIRE DEPARTMENT El Route this folder for PW Review at end ---PW Review Worksheet Separate/Deferred Submittals Required: ❑This project also has a separate concurrent PW Review(Green Folder) El Fire Sprinklers El Fire Alarm ❑Other: AND ❑Create Green Folder ❑Submitted Previously ❑Deferred •2, Additional Notes: El This Permit is Approved by Public Works ❑ See PW Review Worksheet and associated attached items Fire Dept. Fees: ❑ A Separate PW Permit is Required (Permit#: PW ❑ Review of As-Built Plans-NO FIRE FEE AND ❑ Is located in this folder ❑ Minimal or No Fire Scope-NO FIRE FEE ❑ Is in a Separate Green Folder(join with this folder for permit issuance) ❑ Review/Inspection Scope-ADD FIRE FEE ❑Will be issued separately(Separate Green Folder,PW issued ahead of Bldg) Approved By: Date: ❑ Public Works has no scope---PW Not Required Additional Notes: ELECTRICAL Additional Notes: Approved By: Date: Approved By: Date: