4617 RIVERFRONT BLVD 2020-12-23 - Laserfiche WebLink

Intak- & Appr.val She-t (FOR PER /IT STAFF :•'i.L o • . PERMIT# BUILDING PLANNING Intake OK by: Date: Intake OK by: Date: (bake Comments: Intake Comments: Assign To: - ❑ Route to Commercial Building ❑Attach to Project No. ❑ Route to Residential Building ❑ Route to Historic Reviewer ❑ Make this a"W"Permit El OK to Route to Other Departments . _ . - Bldg/TI/Addn/Rem Si l G �Size ❑ Hold in Planning File Drawer Garage/Accessory Struct. Size y2J1 Zone V )G Number of Stories 2 Overlay/Agreement l 1)0 Basement ONo ❑Yes , Fin/Unfin Nonresidential Use Type of Construction Sr.6 Residential Use V12. Occupancy Group Y, ) 1/., Proposed No.of Dwelling Units: I Occupancy Load Total No. of Dwelling Units: Fire Sprinklers:.❑Update Existing ❑New System ❑Not Req'd Planning/Landscape Inspection Required before Final? ❑Yes L lNo Reason Sprinklers Required: "In Lieu"Fee:Type: ��(,��✓' Amount$ Fire Alarm: El Update Existing ❑New System ❑Not Req'd School Impact Fee: Total $_^DaL' Reason Fire Alarm Required: Calculated: l Credit: RCW 64.55 MF worksheet req'd for permit? Elves ❑ No ❑Everett School Dist ❑Mukilteo School Dist .Add'l RCW 64.55 docs required prior to final? ❑Yes ❑No Additional Notes: ._..-- VALUATION CALCULATION: Total $ 2.2Co1�30 2.00 'Wi� i12c 4 A 4V l Approved By � _� Date: �/� dig r'� PUBLIC WORKS 11' Intake OK by: Date: Additional Notes: Intake Comments: PW Worksheet Needed if. ❑Sys Dev Eval ❑Traffic Mit Eval ❑Site Work or Drainage Proposed ❑Backflow Prevention for high hazard: Approved By: Date: ��g (dental,medical,animals,mortuary,hospital, / supportive housing) 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 This Permit is Approved by Public Works Date: (OK to Route to Other Departments) See PW Review Worksheet and associated attached items Fire Sprinklers: ID Update Existing El New System ❑ Not Req'd 1A Separate PW Permit is Required (Permit#: PWAO&' /.t< ) Fire Alarm: ❑Update Existing ❑New System ❑ Not Req'd AND Eris located in this folder Chemical Sup: ❑Update Existing ❑New System ❑ Not Req'd ❑ Is in a Separate Green Folder(join with this folder for permit issuance) Additional Notes: ❑ Will be issued separately(Separate Green Folder,PW issued ahead of Bldg) *proved By: Date: ❑ Public Works has no scope---PW Not Required Additional Notes: ELECTRICAL Additional Notes: / Approved By: Date: Approved By: �T Date: g q/z0/7