1700 13TH ST 9TH FLOOR 2022-01-20

Intake & Approval Sheet 10 (FOR PERMIT STAFF ONLr 4 PERMIT #AI q® 3 06V ,$UILDING Intake OK byrl L.CG Date: 3 Intake Comments: ❑ Route to Commercial Building ❑ Route to Residential Building ❑ Make this a "W" Permit Bldg/TI/Addn/Rem Size Z " Garage/Accessory Struct. Size Number of Stories T-ft-,'✓tLC7-H t.. Basement IgNo ❑Yes , Fin / Unfin Type of Construction �- Occupancy Group aZ Occupancy Load �jrja Fire Sprinklers' Update Existing ❑New System ❑Not Req'd Reason Sprinklers Required: Fire Alarm: 9 Update Existing ❑New System ❑Not Req'd Reason Fire Alarm Required: RCW 64.55 MF worksheet req'd for permit? ❑Yes NNo Add'I RCW 64.55 docs required prior to final? ❑Yes No VALUATION CALCULATION: Total $ R-t t i dk - (JGO -o5�u r \tom Additional Notes: Approved By: Date: o;D—Atd i" 17 FIRE; DEPARTMENT Separate / Deferred Submittals Required: ❑Fire Sprinklers ❑Fire Alarm ❑Other: Additional Notes: Fire Dept. Fees: ❑ Review of As -Built Plans - NO FIRE FEE mac, R1 Minimal or No Fire Scope - NO FIRE FEE �� A, ❑ Review / Inspection Scope - ADD FIRE FEE �! Approved By: L Date: ,q;—At,6jei 7 ELECTRICAL Additional Notes: Approved By: AN~ ' Date: PLANNING Intake OK by: Date: Intake Comments: Assign To: El Attach to Project No. ❑ Route to Historic Reviewer ❑ OK to Route to Other Departments ❑ Hold in Planning File Drawer Zone Overlay/Agreement Nonresidential Use Residential Use Proposed No. of Dwelling Units: Total No. of Dwelling Units: Planning/Landscape Inspection Required before Final? ❑Yes ONO "In Lieu" Fee: Type: Amount $ School Impact Fee: Total $ ►J/& Calculated: Credit: El Everett School Dist ❑Mukilteo School Dist Additional Notes: Approved By: Date: PUBLIC. WORKS Intake OK by: Date: •----------------------------------------- Intake Comments: ;PIN Worksheet Needed if.• ❑Sys Dev Eval ❑Traffic Mit Eval :ESite Work or Drainage Proposed : ❑Backflow Prevention for high hazard: (dental, medical, animals, mortuary, hospital, :supportive housing) ----------------------------------------- ❑ Route this folder for PW Review at end --- PW Review Worksheet ❑This project also has a separate concurrent PW Review (Green Folder) AND ❑Create Green Folder ❑Submitted Previously ❑Deferred ❑ This Permit is Approved by Public Works ❑ See PW Review Worksheet and associated attached items ❑ A Separate PW Permit is Required (Permit #: PW ) AND ❑ Is located in this folder ❑ Is in a Separate Green Folder (join with this folder for permit issuance) ❑ WIII be issued separately (Separate Green Folder, PW issued ahead of Bldg) ublic Works has no scope --- PW Not Required Additional Notes: Approved By: DatehAWA