1520 W CASINO RD BLDG F 2021-12-20

Retake & Approval Sheet is (FOR PERMIT STAFF ONLY)ID PERMIT #r'�) 21002 - N `. 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 Garage%Accessory Struct. Size Number of Stories Basement ❑No ❑Yes , Fin / Unfin Type of Construction Occupancy Group Occupancy Load Fire Sprinklers: ❑Update Existing ❑New System ❑Not Req'd Reason Sprinklers Required: Fire Alarm: ❑Update Existing ❑New System ❑Not Req'd Reason Fire Alarm Required: RCW 64.55 MF worksheet req'd for permit? ❑Yes ❑ No Add'I RCW 64.55 docs required prior to final? ❑Yes ❑ No VALUATION CALCULATION: Total$��GZ� '"t�/ F.4 O �G KL�� . Additional Notes: Approved Byr, j�s. Date: FIRE DEPARTMENT Separate / Deferred Submittals Required: El Fire Sprinklers ❑Fire Alarm ❑Other: 'nk 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: Inta�ake} Comments: C lach ❑ to Project No. 4/ ❑ Route to Historic Reviewer ® OK to Route to Other Departments ❑ Hold in Planning File Drawer Zone, .Y Overlay/Agreement Nonresidential Use Residential Use Proposed No. of Dwelling Units: Total No. of Dwelling Units: Planning/Landscape Inspection Required before Final? ❑Yes 91No "In Lieu" Fee: Type: Amount $ School Impact Fee: Total $ I Calculated: Credit: ❑Everett School Dist ❑Mukilteo School Dist Additional Notes: Approved By: a Date: 2_ Z11 .� PUBLIC WORKS Intake OK by: Date: ....... _..... .V_..... .......... _...... ......... _..................................... Intake Comments:'PW Worksheet Needed if., 3 ❑Sys Dev Eval OTraffic Mit Eva] =ElSite Work or Drainage Proposed ❑BackfiOW Prevention for high hazard: :(dental, medical, animals, mortuary, hospital, _supportive housing) e._............._._..........._.......,...._...__......__._.._.................... ................. .w........ ❑ 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) ❑ Will be issued separately (Separate Green Folder, PW issued ahead of Bldg) ❑ Public Works has no scope --- PW Not Required Additional Notes: Approved By: Date: