4106 OLIVE ST 2021-04-01 - Laserfiche WebLink

Intake &Approval Sheet 0 (FOR PERMIT STAFF ONLY) 411 PERMIT#‘.1::: 02003 *-102i BUILDING PLANNING Intake OK b ./4 Date:(? /3 Z z O Intake OK by: it'd Assign To: F—'" !� Date: 3-33--ZoZb Intake Comments: / / Intake Comments: ��//// r • OCg ,� �NocQ�s �2,rl°`c'` �o A?d>,-. • OOo wto__ GtuJc— tg " (.- CG1c5 Ot Ai^ 4... Route to Commercial Building t Attach to Project No. Cb7-Oo 1 P`Route to Residential Building- ,Q/Lr,C/ Route to Historic Reviewer ❑ Make this a"W"Permit ADvd g .sC. Jo.OK to Route to Other Departments Bldg/TI/Addn/Rem Size (Ai Za SA 1 2010 ❑ Hold in Planning File Drawer Garage/Accessory Struct. Size N/ Zone t- Number of Stories `2- Overlay/Agreement / Basement ❑No I Yes ,(9/Unfin Nonresidential Use Type of Construction ''V2 Residential Use o Q Occupancy Group Proposed No.of Dwelling Units: — Occupancy Load Total No.of Dwelling Units: t Fire Sprinklers: ❑Update Existing CI New System ❑Not Req'd Planning/Landscape Inspection Required before Final? ❑Yes Ilo 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: r� Calculated: Cre ' : RCW 64.55 MF worksheet req'd for permit? ❑Yes Imo.No ❑Everett School Dist ❑Mu ' eo School Dist Add!RCW 64.55 docs required prior to final? �I❑Yes (No Additional Notes: e t , . 04, f VALUATION CALCULATION: Total$ `3Z 270 fv, $i� 2eJ v�, yui Ck$5 k —( .X - `A: _- \ Approved By: y.,. Date: Li-50- 2,01,0 PUBLIC WORKS Cou k'' ►-5 ) 3 O Intake OK by: ids1 Date: 3/1 312o2n, Additional Notes: 20/S /gc- # tar Intake Comments: PW Worksheet Needed if: ❑Sys Dev Eval ❑Traffic Mit Eval A..a1> +Ava SrF-Cn.aa ❑Site Work or Drainage Proposed No S-ro'L-: , 4O NG- ❑Backflow Prevention for high hazard: Approved By: t Date: 3/2//2� µ a�� sJ1'- -A v TJ �` i(dental,medical,animals,mortuary,hospital, Awn y��E S ;supportive housing) -P.£,«A.--f ........................... FIRE DEPARTMENToute 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: IT I_his 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 ❑ Is located in this folder ❑ Minimal or No Fire Scope-NO FIRE FEE ❑ Is in a Separate Green Folder Gain 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: 0 Public Works has no scope---PW Not Required Additional Notes: ELECTRICAL Additional Notes: Approved By: Date: Approved B . Date: C)4/0 9