11400 EVERGREEN WAY 2021-03-31 - Laserfiche WebLink

• Intake &Approval Sheet (FOR PERMIT STAFF ONLY • PERMIT# I J\q() ,'0"1 BUILDING PLANNING Intake OK by: Date: Intake OK by: Date: Intake Comments: Intake Comments: Assign To: ❑ 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 Bldg/TI/Addn/Rem Size — 0 Hold in Planning file Drawer Garage/Accessory Struct.Size Zone Number of Stories Overlay/Agreement Basement iNINo ❑Yes, Fin/Unfin Nonresidential Use 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 Required before Final? ❑Yes ❑No Reason Sprinklers Required: "In Lieu" Fee:Type: Amount$ Fire Alarm: Update Existing ❑New System ❑Not Req'd School Impact Fee: Total $ Reason Fire Alarm Required: Calculated: Credit: RCW 64.55 MF worksheet req'd for permit? ❑Yes Oil No ❑Everett School Dist ❑Mukilteo School Dist Add'I RCW 64.55 docs required prior to final? ❑Yes PONo Additional Notes: VALUATION CALCULATION: Total$ 5oac) ce -Ne W.TA\4Q_N Approved By: Date: PUBLIC WORKS Intake OK by: Date: Additional Notes: --aw �� ter, . Intake Comments: PW Worksheet Needed if: ❑Sys Dev Eval ❑Traffic Mit Eval ❑Site Work or Drainage Proposed Approved By: ),7, Date: 'Q/(.�(� ❑Backflow Prevention for high hazard: ((r 'j (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 ElFire Alarm ❑Other: AND ❑Create Green Folder ❑Submitted Previously ❑Deferred Additional Notes: stE tcvR-cts r t,.erfWGzze-1 ❑This Permit is Approved by Public Works R'E�M^rs ❑ 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) 1121 Review/Inspection Scope-ADD FIRE FEE ❑ Will be issued separately(Separate Green Folder,PW issued ahead of Bldg) Approved By: yigE Date: 1n(4 4/i at P' 'ublic Works has no scope---PW Not Required Additional Not • //! /I Q ELECTRICAL Additional Notes: Approved By: Date: Approved By: Date: (21