4831 DELAWARE AVE 2021-05-04 - Laserfiche WebLink

Intake & Approval Sheet (FOR PERMIT STAFF ONLY) 411 PERMIT# LOO .-.0 Lr1 BUILDING PLANNING Intake OK by: Date: Intake OK by: lei V Assign To: • . Date: 5' p1 20 Intake Comments: Intake Comments: ❑ Route to Commercial Building ❑ Attach to Project No. ❑ Route to Residential Building ❑ cute to Historic Reviewer ❑ Make this a"W"Permit pK to Route to Other Departments Bldg/TI/Addn/Rem Size ❑ Hold in Planning File Drawer Garage/Accessory Struct.Size 69-k, tb Zone Number of Stories 1 Overlay/Agreement Basement INo ❑Yes, Fin/Unfin Nonresidential Use Type of Construction v — Residential Use —1 Occupancy Group V Proposed No. of Dwelling Units: Occupancy Load o Total No. of Dwelling Units: Fire Sprinklers: ❑Update Existing ❑New System 'lot Req'd Planning/Landscape Inspection Required bef. - mal? ❑Yes ONo Reason Sprinklers Required: "In Lieu"Fee:Type: Amount$ Fire Alarm: ❑Update Existing El 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 It No El Everett School Dist ❑Mukilteo School Dist Add.]RCW 64.55 docs required prior to final? ❑Yes MNo Additional Notes: VALUATION CALCULATION: Total$ rere\j\ew q.M.uct Approved�� Date:q, zza PUBLIC WORKS Intake OK by: Date: Additional Notes: Intake Comments: 3PW Worksheet Needed if: ❑Sys Dev Eval ❑Traffic Mit Eval DSite Work or Drainage Proposed Approved By: 4_— Date: 7A7Aeo ❑Backflow Prevention for high hazard: (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) El Fire Sprinklers El Fire Alarm ❑Other: AND ❑Create Green Folder ❑Submitted Previously ❑Deferred Additional Notes: Approved byPublic Works U�This Permit is A r '�' 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: ❑ Public Works has no scope---PW Not Required Additional Notes: ELECTRICAL Additional Notes: Approved By: Date: Approved B� Date: 6th....‘7/7o, --,