1704 BAILEY AVE 2020-12-17 - Laserfiche WebLink

Intake &Approval Sheet I (FOR PERMIT STAFF ONL4 PERMIT# t1 a6Qa�dl 9 BUILDING PLANNING Intake OK by: ail" 2 Date: 711/Z0 Intake OK by:(A Assign To: Date:..2/ ) /2 Intake Comments: Intake Comments: V� y 6• ❑ Route to Commercial Building ❑Attach to Project No. Et-Route to Residential Building ❑ Route to Historic Reviewer ❑ Make this a"W"Permit ", OK to Route to Other Departments Bldg/TI/Addn/Rem Size ❑ Hold in Planning File Drawer Garag essory Struct.Size 2 S'I $ " Zone 1 Number of Stories I Overlay/Agreement Basement ®No ❑Yes, Fin/Unfin Nonresidential Use CC - Type of Construction Residential Use 3Fe Occupancy Group (,( Proposed No.of Dwelling Units: Occupancy Load Total No.of Dwelling Units: Fire Sprinklers: CI Update Existing ❑New System EtNot Req'd Planning/Landscape Inspection Required before Final? ❑Yes 0.i • Reason Sprinklers Required: "In L'ieu`e:Type: Amount$______„ / Fire Alarm: ❑Update Existing ❑New System ®Not Req'd School Impact e : Total $ .,----------_ Reason Fire Alarm Required: Calculated: Credit: RCW 64.55 MF worksheet req'd for permit? ❑Yes ® No ❑Everett Schoo ❑Mukilteo Sc ist Add'I RCW 64.55 docs required prior to final? ❑Yes EtNo Addif Notes: `\ VALUATION CALCULATION: Total$ 6SS3 iq6 a is CoApproved By: Date: CO/2..ee/2 PUBLIC WORKS Intake OK by 0"14 Date: 2 It 4 //2a 2D. .............................:............ Additional Notes: 2 p is- iQC Intake Comments: I PW Worksheet Needed if: Q/JooD —1,r.Ll� - ( =DSys Dev Eval ❑Traffic Mit Eval Co.4Le..4..4C.- ---9A-t.a I DSite Work or Drainage Proposed Approved By: Date: 2124 z $EA-ov-I 3 DBackflow Prevention for high hazard: i(dental,medical,animals,mortuary,hospital, ;supportive housing) FIRE DEPARTMENT EtRoute 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) ❑Fire Sprinklers ❑Fire Alarm ❑Other: AND ❑Create Green Folder ❑Submitted Previously ❑Deferred Additional Notes: =! This Permit is Approved by Public Works `.. 0 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 0 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:pE c-w-- ,A,4a "IC-W CONPCACD -yo,-,-,; ELECTRICAL (=NIA"- C' -'. co+.i'~ ?,Attu/-Dg.. £wh-t. ,.io aew tuke-s, Su --C 04z-E-A. / ea Additional Notes: ' 24/2.6 o2o v By: Date: Approved By: Date: (4)Approved pp