3214 BROADWAY BROADWAY KINECT APARTMENTS 2021-08-11

Intake & Approval Sheet (FOR PERMIT STAFF ONLY) PERMIT# V.IMCI O") 02.9" BUILDING PLANNING `. Intake OK bya4 Date: y/o2/Zo/�J Intake OK by: t^� Date: 1-(yS.ntO\ _ Intake Comments: Intake Comments:Q\l'O-ONI Assign To: 0..Qe. ckra i\ee& ckge\ c a\ \e cam,&cat cta +p eaterAs u 1 sc4teaA 4,4 roo?Aep vAec\no*ticoa -esltAireA ❑ Route to Commercial Building 0 Attach to Project No. ❑ Route to Residential Building 0 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 Garage/Accessory Struct.Size Zone Number of Stories Overlay/Agreement Basement ❑No ❑Yes , Fin/Unfin Nonresidential Use 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 ❑Not 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 ® No ❑Everett School Dist ❑Mukilteo School Dist Add!RCW 64.55 docs required prior to final? ❑Yes pNo Additional Notes: VALUATION CALCULATION: Total$ 1,oSo ono Approved By�c Date: L-\_OR ZOq PUBLIC WORKS Intake OK by: Date: Additional Notes: Intake Comments: PW Worksheet Needed it ❑Sys Dev Eval ❑Traffic Mit Eval ❑Site Work or Drainage Proposed Approved By: I J Date: 41 114 DBackflow Prevention for high hazard: (dental,medical,animals,mortuary,hospital, supportive housing) FIRE DEPARTMENT ❑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) ❑Fire Sprinklers ❑Fire Alarm ❑Other: AND ❑Create Green Folder ❑Submitted Previously ❑Deferred Additional Notes: 0 This Permit is Approved by Public Works 0 See PW Review Worksheet and associated attached items Fire Dept. Fees: 0 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 0 Is in a Separate Green.Folder floinwith 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: 0 Public Works has no scope--PW Not Required Additional Notes: ELECTRICAL Additional Notes: Approved By: Date: Approved By: Date: