5208 S 2ND AVE 2021-07-13 - Laserfiche WebLink

Intake &Approval Sheet • (FOR PERMIT STAFF ONLY 0 PERMIT# V 2,0o3 d4o BUILDING PLANNING intake OK by: Date: Intake OK by: Assign To: Date: Intake Comments: Intake Comments: ❑ 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 Bld6tddn/Rem Size P6-eli ,(S'Q2 S4E ' ❑ Hold in Planning File Drawer Garage/Accessory Struct.Siz Zone 6®Z_ Number of Stories Overlay/Agreement Basement ❑No Yes , Fin/Unfin Nonresidential Use. Type of Construction Residential Use Occupancy Group Proposed No.of Dwelling Units: Occupancy Load Total No. of Dwelling Units: Fire Sprinklers: ❑Update Existing ❑New System Not Req'd Planning/Landscape Inspection Required before Final? ❑Yes Xo Reason Sprinklers Required: "In Lieu"Fee:Type: Amount$ Fire Alarm: ❑Update Existing ❑New System ON Req'd School Impact Fee: Total $ Reason Fire Alarm Required: Calculated: Credit: RCW 64.55 MF worksheet req'd for permit? ❑Yes ❑ No ❑Everett School Dist ❑Mukilteo School Dist Add'I RCW 64.55 docs required prior to final? ❑Yes i El No Additional Notes: ,, �,� \� no d{-�,.r- VALUATION CALCULATION: . Total$ `� ),1 5> � atQ 62..;, 41 V-(;). aye AID! 62Gt%/Je i9 Approved By: I,. Date: S--) Z- ' -L.0 UBLIC WORKS Intake OK by: Date: Additional Notes: Intake Comments: PW Worksheet Needed if: �/�� ' Sys Dev Eval ©Traffic Mit Eval W V IAAro El Site Work or Drainage Proposed Approved B ' Date: 07/10/wet 'Ur_, 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) El Fire Sprinklers ❑Fire Alarm ❑Other: AND ❑Create Green Folder ❑Submitted Previously ❑Deferred cr Additional Notes: 0 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 El-Minimal or No Fire Scope-NO FIRE FEE 0 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: t v2, DIJY\U Date: ,f51402.0 ElPublic Works has no scope---PW Not Required 01,-c t 6'-£/ cs Additional Notes: ELECTRICAL Additional Notes: Approved By: Date: Approved By: Date: