10306 27TH DR SE 2021-12-15 - Laserfiche WebLink

Intake 8s Approval Sheet � (FOR PERMIT STAFF ONLY) • PERMIT # BUILDING Intake OK by: 1 _ Date: Intake Comments: ❑ Route to Commercial Building Route to Residential Building ❑ Make this a "W" Permit 15rdg I/Addn/Rem Size C-X�> - a"rage ccessory Struct. Size O umber of Stories 'Z Basement XN o ❑Yes , Fin / Unfin Type of Construction ILE Occupancy Group Occupancy Load Fire Sprinklers: ❑Update Existing ❑New System ❑Not Req'd Reason Sprinklers Required: Fire Alarm: ❑Update Existing ❑New System El Not Req'd Reason Fire Alarm Required: RCW 64.55 MF worksheet req'd for permit? ❑Yes R No Addl RCW 64.55 docs required prior to final? ❑lYes ZNo VALUATION CALCULATION: Total $ 24 ,�� Z , � s' -ZztEc SF Additional Notes: Z ^. / 5 / Cc- 2� W5,4!5 - Approved By: drDate: , FIRE DEPARTMENT Intake: (Needed for Townhomes, Alley load SFR, New Commercial) ❑Route to Fire Drawer --- Fire Preliminary Review Notice ❑Sending Fire Notes to Project Team Date: (OK to Route to Other Departments) Fire Sprinklers: ❑Update Existing El New System ❑ Not Req'd Fire Alarm: ❑Update Existing ❑New System ❑ Not Req'd Chemical Sup: []Update Existing El New System ❑ Not Req'd Additional Notes: f Approved By: Date: ELECTRICAL Additional Notes: Approved By: Date: PLANNING Intake OK by: Date: ^lt)--(,:;/, Intake Comments: Assign To: t?• pp 0y, 1 n1 e— ✓1 i-o V e n S (eq. Attach to Project No. J % :, ❑ 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: 1. Total No. of Dwelling Units: . Planning/Landscape Inspection Required before Final? 9yes ❑No "In Lieu" Fee: Type: Amount $ School Impact Fee: Total $ Ogler ) Calculated: l0615 0 Credit: L,LlSverett School Dist ❑Mukilteo School Dist Kam. a Additional Notes: I2,11-1120V� TV Approved By: V , Date: j PUBLIC WORKS Intake OK by: K1 Date: I2 1!O 120l Q, •---�-------------------------- Intake Comments: ; PW Worksheet Needed if.• N Ew 5 F c=— rZ cso S< ; VSys Dev Eval CFraffic Mit Eva] I. Sf: Mite Work or Drainage Proposed ❑Backflow Prevention for high hazard: :(dental, medical, animals, mortuary, hospital, tsA�MA G ;supportive housing) .�a� q�s�eq.DY oe�t '----------------- ----------------------- IERoute 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) ❑ Will be issued separately (Separate Green Folder, PW issued ahead of Bldg) ❑ Public Works has no scope --- PW Not Required Additional Notes: Approved By:Py Date: