1020 HOYT AVE 2020-12-31 - Laserfiche WebLink

Intake &Approval Sheet • (FOR PERMIT STAFF ONLY) • PERMIT# S 2-6 O 0I 5. BUILDING ,(�gyQp PLANNING Intake OK by: Date: .?/9(Z 0 Intake OK by: IL 4> Assign To: n "-? i Dater/12.0 Intake Comments: Intake Comments: frA ❑ Route to Commercial Building ❑Attach to Project No. =4 Route to Residential Building ❑ -.ute to Historic Reviewer ❑ Make this a"W"Permit OK to Route to Other Departments Bldg/TT/Add ap.ize /SS Sle, ❑ Hold in Planning File Drawer Garage/Accessory Struct. Size Zone 12--2- Number of Stories Z. Overlay/Agreement Basement ❑No Ef.Yes , Fin/071 Nonresidential Use Type of Construction 'ZVI Residential Use Occupancy Group � Proposed No.of Dwelling Units: Occupancy Load Total No.of Dwelling Units: Fire Sprinklers: ❑Update Existing El New System ❑Not Req'd Planning/Landscape Inspection Required before Final? ❑Yeslo Reason Sprinklers Required: "In Lieu" e: mount$ Fire Alarm: El Update Existing ❑New System El Not Req'd School Impact Fee: Reason Fire Alarm Required: Calculated: RCW 64.55 MF worksheet req'd for permit? ❑Yes ra No ❑Everett Sch ist ❑Mukilteo School Add'I RCW 64.55 docs required prior to final? ❑Yes 15No Addition Notes: p i I i atelricAr ,Ni 0'(K I - C ef-i-- x VALUATION CALCULATION: Total$ 'J` D7& („I(V1a01Ail.6f,tr- . J U fiNte4' . Approved By: Date: "3 / /2 e PUBLIC WORKS Intake OK by: 1 IIy Date: 3I4 12020 Additional Notes: 2,Q I S' /4.C. i U>S6C Intake Comments: i PW Worksheet Needed if: ,�►to ?iW S Ge E. i❑Sys Dev Eval ❑Traffic Mit Eval '"LA--- `r" --CC. -'0 a' I❑Site Work or Drainage Proposed Approved By: d 1 i- Date:3/2 j/00 OBackflow Prevention for high hazard: i(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: 7, El 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 ❑ 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: i -'- .lic Works has no scope---P Not Required Additional Notes" - ,� _ ! 3Jt4 202a ELECTRICAL Additional Notes: Approved By: Date: Approved By: Date: Z