4622 RIVERFRONT BLVD 2020-12-23 - Laserfiche WebLink

'57b0 � iu 18(o D® I G 1�0g� �I� Intake & Approval Sheet 0 (FOR PERMIT STAFF ONLY) PERMIT BUILDING PLANNING Intake OK by: Date: Intake OK by: Date: (ake Comments: Intake Comments: Assign To: ❑ Route to Commercial Building Attach to Project No. V I"1 40/i ❑ Route to Residential Building 0 Route to Historic Reviewer ❑ Make this a"W"Permit ❑ OK to Route to Other Departments Bldg/Tl/Addn/Rem Size Za 5G1 til ❑ Hold in Planning File Drawer Garage/Accessory Struct.Size 4421 Vil Zone O111.111.1111 Number of Stories Overlay/Agreement Pip 1 Basement I No ❑Yes , Fin/Unfin Nonresidential Use .......----- Type of Construction b Residential Use /9 /�—' Occupancy Group Y,I W Proposed No. of Dwelling Units: 1 Occupancy Load Total No. of Dwelling Units: , Fire Sprinklers: ❑Update Existing ❑New System ❑Not Req'd Planning/Landscape Inspection Required before Final? ❑Yes V No Reason Sprinklers Required: "In Lieu" Fee:Type: Amount$ Fire Alarm: ❑Update Existing ❑New System ❑Not Req'd School Impact Fee: Total $ U��' Reason Fire Alarm Required: Calculated: Credit: RCW 64.55 MF worksheet req'd for permit? ❑Yes ❑ No ❑Everett School Dist ❑Mukilteo School Dist Add'I RCW 64.55 docs required prior to final? 1❑1 Yes El No Additional Notes: ----- VALUATION CALCULATION: Total$ ��t i?011 Oa 2A15 112G i vu oou Approved By: ('� �_ Date: t ) l G] PUBLIC WORKS Intake OK by: Date: Additional Notes: Intake Comments: PW Worksheet Needed if: ❑Sys Dev Eval ❑Traffic Mit Eval �.} ❑Site Work or Drainage Proposed Approved By: /(( Date: / !; ❑Backflow Prevention for high hazard: ��`✓✓✓' `7`/ (dental,medical,animals,mortuary,hospital, supportive housing) FIRE DEPARTMENT DRoute 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) El Route to Fire Drawer---Fire Preliminary Review Notice AND ❑Create Green Folder ❑Submitted Previously ❑Deferred ❑Sending Fire Notes to Project Team gThis Permit is Approved by Public Works Date: (OK to Route to Other Departments) CIS See PW Review Worksheet and associated attached items Fire Sprinklers: ❑Update Existing ❑New System El Not Req'd rF A Separateep�/ PW Permit is Required (Permit#: PW Fin—O5 1p ) . Fire Alarm: ❑Update.Existing El New System El Not Req'd AND IZ9.Is located in this folder Chemical Sup: ❑Update Existing [hew System 0 Not Req'd ❑ Is in a Separate Green Folder coin 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: Date: C' i ZVI c,