10405 27TH DR SE 2021-02-23 - Laserfiche WebLink

Intake & Approval Sheet • (FOR PERMIT STAFF ONLY) • PERMIT# bloc( rO` (3 BUILDING PLANNING o_ ,`wig air Intake OK b Assign To:G��e Date: r �� Intake OK by: Date: 1/fJ y: g Intake Comments: Intake Comments: } ❑ Route to Commercial Building ❑ Attach to Project No. g Route to Residential Building ❑ Route to Historic Reviewer ❑ Make this a"W"Permit ❑ OK to Route to Other Departments Bldg/TI/Addn/Rem Size ❑ Hold in Planning File Drawer Garage/Accessory Struct. Size 'ZZk sF Zone \— Number of Stories Z Overlay/Agreement Basement ONo ❑Yes , Fin/Unfin Nonresidential Use Type of Construction F Residential Use S — C\ Occupancy Group U Proposed No.of Dwelling Units: Occupancy Load Total No. of Dwelling Units: Fire Sprinklers: DUpdate Existing ❑New System Not Req'd Planning/Landscape Inspection Required before Final? ❑Yes ❑No Reason Sprinklers Required: "In Lieu" Fee: Type: Amot Fire Alarm: El Update Existing ❑New System Not Req'd School Impact Fee: Total $ Reason Fire Alarm Required: tin Calculated: Credit: RCW 64.55 MF worksheet req'd for permit? ❑Yes trr�:NNo ❑Everett School Dis ❑Mukilteo School Dist ❑Add'I RCW 64.55 docs required prior to final? Yes t_7o Additional Note . VALUATION CALCULATION: Total $ _SSOD Approved By: C Date: IA•Q\,t 3Zd PUBLIC WORKS Intake OK by: 1---Nit Date: i J36 /2c Zv Additional Notes: 2. P5 J1 ( Intake Comments: iPW Worksheet Needed if: - tZ�?L.,AC.%.-4‘.. -P .ram 1 N 4-1 D OSys Dev Eval ❑Traffic Mit Eval -hlOr �ov£�.-D I DSite Work or Drainage Proposed t w Approved By: U0OPY' Date:94 0 SLO OBackflow Prevention for high hazard: Ni-0 �w sc.)?� :(dental,medical,animals,mortuary,hospital, tus 'supportive housing) FIRE DERTMENT ❑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: ❑ This Permit is Approved by Public Works , ❑ 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 0 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 0 Will be issued separately(Separate Green Folder,PW issued ahead of Bldg) Approved By: Date: ublic Works has no scope--- Not Required Additional Notes. a� he, 12-c,z,) ELECTRICAL Additional Notes: Approved By: Date: Approved By: Date: