6001 MCDOUGALL AVE 2021-04-01 - Laserfiche WebLink

Intake & Approval Sheet • (FOR PERMIT STAFF ONLY) 'I' PERMIT# .1L""' 1 15q 2 BUILDING PLANNING Intake OK by: Date: Intake OK by: Assign To: Date: Intake Comments: Intake Comments: , " , ,� ` - C �. ❑ 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 ❑ Hold in Planning File Drawer Garage/Accessory Struct.Size vvp Zone -1 Number of Stories Overlay/Agreement Basement ❑No "A Yes, Fin/Unfin Nonresidential Use Type of Construction Residential Use l ; `, Occupancy Group Proposed No.of Dwelling Units: -- Occupancy Load Total No.of Dwelling Units: 1- Fire Sprinklers: ❑Update ,!sting El New System El Not Req'd Planning/Landscape Inspection Required before Final? ❑Yes No Reason Sprinklers Re* 'ed: "In Lieu"Fee:Type; Amount Fire Alarm: ❑ -.date Existing El New System ONot Req'd School Impact Fee: Total Reason Fire Al. Required: Calculated: Credit: RCW 64.55 worksheet req'd for permit? ❑Yes ❑ No El Everett School Dist ❑Mukilteo Scho I Dist Add'R ' 64.55 docs required prior to final? ❑Yes ❑No Additional Notes: L1 VA ATION CALCULATION: Total$ L1 3.Q0 s Approved By: ' , Date: Z-11-L 010 PUBLIC WORKS Intake OK by: ,g4 Date:____________________0 . Additional Notes: Intake Comments: 1pw Worksheet Needed If: i '''4 In /f�,,,,Q) €i�Sys Dev Eval ❑Traffic Mit Eval �'�i''V" 4.117.0 I OSite Work or Drainage Proposed pp y;r!1�� rA roved B Date: IOBackflow Prevention for high hazard: E(dental,medical,animals,mortuary,hospital, 'supportive housing) FIRE DEPARTMENT ❑Route this folder for PW Review at end ---PW Review Worksheet Separate 1 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: his Permit is Approved by Public Works ❑ 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) ❑ Review/Inspection Scope-ADD FIRE FEE ❑ Will be issued separately(separate Green Folder,PW issued ahead of Bldg) Approved By: Date: P bl' r as p - uir dditional Notes: / No.e- 75 ELECTRICAL r' F g.41.+r-r- CZA1 Ji-rt.>as Additional Notes: W 1�) t //vl.J / V J Approved By: Date: '�/�� /go Approved By: ate: 6972617„6-z..6,`.,,,