2506 BAKER AVE 2022-01-19 - Laserfiche WebLink

Intake & Approval Sheet (FOR PERMIT STAFF ONLr PERMIT # ?)200(S BUILDING Intake OK by: Date: Intake Comments: ❑ Route to Commercial Building ❑ Route to Residential Building ❑ Make this a "W" Permit Bldg/TI/Addn/Rem Size AIIIA Garage/Accessory Struct. Size L0-8 TF Number of Stories Basement IRNo ❑Yes , Fin / Unfin Type of Construction Occupancy Group ` 3 Occupancy Load Z Fire Sprinklers: ❑Update Existing ❑New System ®Not Req'd Reason Sprinklers Required: Fire Alarm: ❑Update Existing ❑New System LJNot Req'd Reason Fire Alarm Required: RCW 64.55 MF worksheet req'd for permit? ❑Yes allo Add'I RCW 64.55 docs required prior to final? ❑Yes No VALUATION CALCULATION: Total $ 4/ U 00 F Additional Notes: Approved By • Date: O-7 aJ.15040 FIRE DEPARTMENT Separate / Deferred Submittals Required: El Fire Sprinklers ❑Fire Alarm []Other: Additional Notes: Fire Dept. Fees: ❑ Review of As -Built Plans - NO FIRE FEE ❑ Minimal or No Fire Scope - NO FIRE FEE ❑ Review / Inspection Scope - ADD FIRE FEE Approved By: Date: ELECTRICAL Additional Notes: Approved By: Date: PLANNING Intake OK by: Assign To: Date: Intake Comments: ❑ Attach to Project No. ❑ Route to Historic Reviewer ElOK 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 No "In Lieu" Fee: Type: Amount $ School Impact Fee: Total $ Calculated: Credit: El Everett School Dist ❑Mukilteo School Dist Additional Notes: Approved Date: �- PUBLIC WORKS Intake OK by: Date: .... Intake Comments: PW Worksheet Needed if. :................... ........... ............... El Sys Dev Eva ❑Traffic Mit Eval ❑Site Work or Drainage Proposed ❑Backfiow 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 Qoin with this folderfor 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 BT-7 Date: <<, 2, Z,