6331 2ND DR SE 2021-12-15 - Laserfiche WebLink

Intake & Approval Sheet • (FOR PERMIT STAFF ONLY PERMIT # �2ca ��U BUILDING Intake OK by: Date: Intake Comments: ❑ Route to Commercial Building ❑ Route to Residential Building ❑ Make this " ermit Bldg/TI/Add' m Si Garage/Accessory Struct. Size -- Number of Stories Basement []No ❑Yes , Fin / Unfin Type of Construction V 16 Occupancy Group r Occupancy Load Fire Sprinklers: ❑Update Existing ❑New System [ YNot Req'd Reason Sprinklers Required: Fire Alarm: ❑Update Existing ❑New System 15Not 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 $A Z I/0, Q S6X7S Additional Notes: Approved By: Date: ® , FIRE DEPARTMENT Separate / Deferred Submittals Required: ❑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 ❑ 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 Fi . ❑Yes ❑No "In Lieu" Fee: Type: Amdudint $ School Impact Fee: Total $) Calculated: Credit: ❑Everett School Dist MuMiteo School Dist Additional Notes: Approved By: Date: Z PUBLIC WORKS Intake OK by: Date: :,,,_,,,,.,....,..,..,.....,.,,.,..,....,,.,,,,.,.,. ... .................. _............. .,............................ ..,.,.......... Intake Comments: PW Worksheet Needed if, ❑Sys Dev Eval E]Traffic Mit Eval ❑Site 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) ❑ Will be Issued separately (Separate Green Folder, PW issued ahead of Bldg) *-Public Works has no scop --- PW Not a wired Additional Not d,li®(.may �t Approved By: Date: