9009 W MALL DR CLUBHOUSE 2021-09-07

Intake &Approval Sheet • (FOR PERMIT STAFF ONLY) 0 PERMIT#? 2cc? -COCA BUILDING PLANNING Intake OK bjc ,A. Date: O3/4,0020 Intake OK by: Assign To: Date: Intake Comments: Intake Comments: ❑ Route to Commercial Building ❑ Attach to Project No. ❑ Route to Residential Building ❑ Route to Historic Reviewer ❑ Make this a"W"Permit ❑ OK to Route to Other Departments BI I/ ddn/Rem Size 3/ 2 ,0 XI' El Hold in Planning File Drawer Garage/Accessory Struct. Size /I/ Zone C,— . Number of Stories / Overlay/Agreement Co —P.ez, Ord, 122.0 %(2 Basement XINo ❑Yes, Fin/Unfin Nonresidential Use Type of Construction V.3 Residential Use Y Girt-i-Arni t) Occupancy Group j3 / Z Proposed No. of Dwelling Units: Occupancy Load 8 C Total No.of Dwelling Units: ma�yy'' Fire Sprinklerspdate Existing CI New System FA1 Not Req'd Planning/Landscape Inspection Required before Final? ❑Yes �a�vo Reason Sprinkle Required: "1" "In Lieu"Fee:Type: unt$ Fire Alarm: ❑Update Existing ❑New System Blot Req'd School Impact Fee: Total $ Reason Fire Alarm Required: Calculated: Credit: RCW 64.55 MF worksheet req'd for permit? ❑Yeslo ❑Everett School Dist Mukilteo School Dist Add'I RCW 64.55 docs required prior to final? ❑Yes No Additional Notes: NO t'jC4Mor dwps� rem e„)€(2)1d K.d er0. VALUATION CALCULATION: Total$ Z.7S LS®oo•00 ' 5 ljar ' af,to44 1 (eK QQtee t.31\^61-0`U�) Approved By: '2&4 Date: 3-(oZ Z_O PUBLIC WORKS Intake OK by: Date: 2w Additional Notes: Intake Comments: I PW Worksheet Needed if: .r 4 intro/kw- (( -, 113Sys Dev Eval ❑Traffic Mit Eval El site Work or Drainage Proposed Approved By: •,/ Date:L1°�11�/24�Do I I(��/`� _❑Backflow Prevention for high hazard: f :(dental,medical,animals,mortuary,hospital, _supportive housing) FIRE DEPARTMENT ❑Route this folder for PW Review at end ---PW Review Worksheet Se arate/Deferred Submittals Required: ❑This project also has a separate concurrent PW Review(Green Folder) • Sprinklers gFire Alarm DOther: AND ❑Create Green Folder ❑Submitted Previously ❑Deferred Additional Note �' ef ❑ This Permit is Approved by Public Works ovt$to V 0 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 CIIs in a Separate Green Folder(join with this folder for permit issuance) El-Review/Inspection Scope-ADD FIRE FEE 0 Will be issued separately(Separate Green Folder,PW issued ahead of Bldg) Approved By: 1 (1 Date: ' Q2 Public Works has no scope---PW Not Required Additional Notes: ELECTRICAL Additional Notes: 44744 Approved By: Date: Approved By: `_,,tic `J Date: