11610 EVERGREEN WAY 2020-12-31 - Laserfiche WebLink

Intake & Approval Sheet (FOR PERMIT STAFF ONLY) • PERMIT# s2 d®2 BUILDING PLANNING Intake OK by: Date: Intake OK by:f Assign To:Ea_ Date: 410/2E) Intake Comments: Intake Comments: ❑ Route to Commercial Building 0 Attach to Project No. ❑ Route to Residential Building 0 Route to Historic Reviewer ❑ Make this a"W"Permit r! I K to Route to Other Departments Bldg/TI/Addn/Rem Size ■ Hold in Planning File Drawer Garage/Accessory Struct.Size Zone — I Number of Stories Overlay/Agreement Basement ❑No ❑Yes, Fin/Unfin Nonresidential Use °S- 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 Re ' ed before Final? ❑Yeslo Reason Sprinklers Required: "in Lie :Type: Amount$ Fire Alarm: ❑Update Existing Mew System ❑Not Req'd School Impact Fee: $ Reason Fire Alarm Required: Calculated: RCW 64.55 MF worksheet req'd for permit? ❑Yes ❑ No ❑Everet chool Dist ❑Mukilteo School Dis Add'I RCW 64.55 does required prior to final? ❑Yes ❑No Additional Notes: VALUATION CALCULATION: Total$ Approved By: 0 6 Date: �/ 1 /26 PUBLIC WORKS ` �� Intake OK by: I tA Date: Z. 1 o IZ6'Z Additional Notes: Intake Comments PW Worksheet Needed if: Si(crAS 5 ' '-6W ra. _OSys Dev Eval ❑Traffic Mit Eval ��77 I❑Site Work or Drainage Proposed Approved By: Date: IC O f acasa OBackflow Prevention for high hazard: ( :(dental,medical,animals,mortuary,hospital, 111 :supportive housing) FIRE DEPARTMENT ❑Route 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) ❑Fire Sprinklers ❑Fire Alarm ❑Other: AND ❑Create Green Folder ❑Submitted Previously ❑Deferred Additional Notes: CI This Permit is Approved by Public Works ❑ 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: 11=I-Public Works has no scope PW Not Required Additional Notes: ELECTRICAL Additional Notes: Approved By: Date: Approved By: Date: