3610 GRAND AVE 2021-05-04 - Laserfiche WebLink

• Intake &Approval Sheet (FOR PERMIT STAFF ONL • PERMIT# 03.I NN � BUILDING PLANNING Intake OK by: Date: Intake OK by: gb Assign To: Date: Intake Comments: Intake Comments: ❑ Route to Commercial Building ❑ Attach to Project No. ❑ Route to Residential Building oute to Historic Reviewer ❑ Make this a"W"Permit K to Route to Other Departments Bldg/TI/Addn/Rem Size 415° Hold in Planning File Drawer Garage/Accessory Struct..Size 9 Zone .. s•_ It Number of Stories I Overlay/Agreement f I� Basement lElNo ❑Yes, Fin/Unfin Nonresidential Use Type of Construction I Residential Use Cop1z',t- Occupancy Group Proposed No.of Dwelling Units: 2 Occupancy Load 4/ Total No. of Dwelling Units: 3 Fire Sprinklers: El Update Existing ❑New System,Not Req'd Planning/Landscape Inspection Required before Final? ❑Yes 0 o Reason Sprinklers Required: "In Lieu"Fee: Type: Amount$ Fire Alarm: El Update Existing El New Systerr✓E,Not Req'd School Impact Fee: Total $ Reason Fire Alarm Required: Calculated: Credit: RCW 64.55 MF worksheet req'd for permit? ❑Yes lia No ❑Everett School Dist ❑Mukilteo School Dist Add'I RCW 64.55 docs required prior to final? ❑Yes INo Additional Notes: ,/tV L,U I I wlp� - .aC (' (/e icor VALUATION CALCULATION: Total$ j si D4© er j� uvt uv n fvarvi i g 2 0--2 Approved By: geo Date: o/i&/ZQ PUBLIC WORKS i Intake OK by: Date: Additional Notes: ZO 1, nu, it litISLG Intake Comments: IPW Worksheet Needed if: iDSys Dev Eval ❑Traffic Mit Eval is❑Site Work or Drainage Proposed Approved By,:.Z�4 Date: p ///ier,ot _I]Backflow Prevention for high hazard: (dental,medical,animals,mortuary,hospital, supportive housing) FIRE DEPARTMENT El 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: ❑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 El Is in a Separate Green Folder coin with this folder for permit issuance) El Review/Inspection Scope-ADD FIRE FEE ❑ Will be issued separately(Separate Green Folder,PW issued ahead of Bldg) Approved By:\, )tA/.(v Date: (:,-I6. 2C ❑ Public Works has no scope---PW Not Required Additional Notes: N 4,,vv,c_ss �le.to .-,p ELECTRICAL e_ Additional Notes: _.-- Approved By: Date: Approved By: Date: p d 1 ty I Zu zo (Z/;')