2930 MAPLE ST KAISER PERMANENTE 2020-12-31

Intake & Approval Sheet • (FOR PERMIT STAFF ONLY) 411 --L�l )i O PERMIT# � I BUILDING PLANNING Intake OK by: Date: Intake OK by: 06 Assign To:ftL.PN Date: II/I CP I Intake Comments: Intake Comments: ❑ Route to Commercial Building 0 Attach to Project No. ❑ Route to Residential Building 0 oute to Historic Reviewer 0 Make this a"W"Permit OK to Route to Other Departments BId I/ ddn/Rem Size ,ig S 7 lti,+ox,,w4) 0 Hold in Planning File Drawer Garage/Accessory Struct. Size 3 57-0/1-Y Zone • UW1 Number of Stories S Overlay/Agreement —�— Basement INo ❑Yes , Fin/Unfin Nonresidential Use Pl QQ1}OZ( 130 difw Type of Construction L 4 Residential Use ' Occupancy Group /3 Proposed No.of Dwelling Units: Occupancy Load /2 60.4 Ago) Total No. of Dwelling Units: Fire Sprinklers: lEfupdate Existing ❑New System ❑Not Req'd Planning/Landscape Inspection Required before Final? ❑Yeslo Reason Sprinklers Required: "In Lime "-Ease: mount$ Fire Alarm: Update Existing ❑New System ❑Not Req'd School Impact Fee: To Reason Fire Alarm Required: Calculated: Cre 1 . RCW 64.55 MF worksheet req'd for permit? ❑Yes ® No 0 School Dist ❑Mukilteo School Dist Add'I RCW 64.55 docs required prior to final? ❑Yes g No Additional Notes: VALUATION CALCULATION: Total$ / 060.00 Approved By: air Date: i 1/IV/1 PUBLIC WORKS Intake OK by: Date: Additional Notes: Intake Comments: IPW Worksheet Needed if: I❑Sys Dev Eval ❑Traffic Mit Eval ❑Site Work or Drainage Proposed Approved BI�2 Date: �//l,f/,zo/9 I❑Backflow Prevention for high hazard: ;(dental,medical,animals,mortuary,hospital, ]supportive housing) N FIRE DEPARTMENT ❑Route this folder for PW Review at end ---PW Review Worksheet Separate/Defer -d Submittals Required: ❑This project also has a separate concurrent PW Review(Green Folder) ®Fire Sprinklers k ire Alarm ❑Other: AND ❑Create Green Folder ❑Submitted Previously ❑Deferred Additional Notes: 0 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 FIR EE AND ❑ Is located in this folder 0 Minimal or No Fire Scope-NO FIRE F' 0 Is in a Separate Green Folder(join with this folder for permit issuance) ❑ Review/ pection Scope-ADD FIRE FEE 0 Will be issued separately(Separate Green Folder,PW issued ahead of Bldg) Approved B Date:If�/j/Zw 5 IX Public Works has no scope PW Not Required Additional Notes: ELECTRICAL Additional Notes: Approved By: Date: Approved By: r Date: ,/ i s' 2(Z