2208 BAKER AVE 2020-12-18 - Laserfiche WebLink

Intake &Approval Sheet • (FOR PERMIT STAFF ONLY) • PERMIT# \ `^'k9tO(a BUILDING • y� PLANNING Intake OK by: Date: Intake OK by: WI) Date: Co' /4-/i Intake Comments: Intake Comments: Assign To: KlI liy 1 NfAiv ti rail -t t,va 11 in C p-rve,4(61-C, ❑ 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 BldglTl/Addn/Rem Size 0 Hold in Planning File Drawer Garage/Accessory Struct.Size Zone Y— 2- Number of Stories Overlay/Agreement i�/ev I'6L�-+I/firlf C Basement ❑No ❑Yes, Fin/Unfin Nonresidential Use (/r ar i Type of Construction Residential Use Occupancy Group Proposed No. of Dwelling Units: Occupancy Load Total No.of Dwelling Units: Fire Sprinklers: ❑Update Existing ❑New System ONot Req'd Planning/Landscape Inspection Required before Final? ❑Yes No Reason Sprinklers Required: "In Lieu" Fee:Type: Amount$_ Fire Alarm: ❑Update Existing ❑New System ❑Not Req'd School Impact Fee: Total $ Reason Fire Alarm Required: Calculated: Credit: RCW 64.55 MF worksheet req'd for permit? ❑Yes 0 No DEverett School Dist ❑Mukilteo School Dist Add'I RCW 64.55 dots required prior to final? ❑Yes No Additional��pQ'_ Notes: VALUATION CALCULATION: Total$ 3o— -' Approved d,(4— Date: leo/ /19 ��, \\\\\\ PUBLIC WORKS Intake OK by: i tJ Date: Le 4- t`t Additional Notes: Intake Comments: PW Worksheet Needed it f E..+CAS. ; 3vt,L ❑Sys Dev Eval ❑Traffic Mit Eval "'A"` ❑Site Work or Drainage Proposed '.a °"' ❑Backflow Prevention for high hazard: Approved By: Date: (dental,medical,animals,mortuary,hospital, supportive housing) FIRE DEPARTMENT liacbute this folder for PW Review at end ---PW Review Worksheet Separate I Deferred Submittals Required: ❑This project also has a separate concurrent PW Review(Green Folder) El Fire Sprinklers OFire Alarm El 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 ❑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: