4630 31ST AVE SE 2021-12-15 - Laserfiche WebLink

i 00 Intake & Approval Sheet (FOR PERMIT STAFF ON09 W PERMIT # BUILDING Intake OK by: Date: 0 ake Comments: ❑ Route to Commercial Building ❑ Route to Residential Building ❑ Make this a "W" Permit Bldg/TI/Addn/Rem Size -M rj Garage/Accessory Struct. Size_. Number of Stories Z- Basement RNo ❑Yes , Fin / Unfin Type of Construction Tb Occupancy Group Occupancy Load Fire Sprinklers: El 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? ❑►Y^^es []NoVALUATION CALCULATION: Total $ IN �p,U), ," r 2D►5 112G i ya f/u Additional Notes: Approved By: Date: 5 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 []New System ❑ Not Req'd Fire Alarm: ❑Update Existing ❑New System ❑ Not Req'd Chemical Sup: ❑Update Existing ❑New System ❑ Not Req'd Additional Notes: ",)proved By: Date: ELECTRICAL Additional Notes: Approved By: Date: PLANNING Intake OK by: Date: Intake Comments: Assign To: Attach to Project No. (SA) ❑ Route to Historic Reviewer ❑ OK to Route to Other Departments ❑ Hold in Planning File Drawer Zone '• , A Overlay/Agreement YQ Q Nonresidential Use _ _----- Residential Use Proposed No. of Dwelling Units: Total No. of Dwelling Units: 1 Planning/Landscape Inspection Required before Final? 0Yes RIN22 "In Lieu" Fee: Type: Amount $ School Impact Fee: Total $ Calculated: Credit: ❑Everett School Dist ❑Mukilteo School Dist Additional Notes: Approved B Date: 1 PUBLIC WORKS Intake OK by: Date: ------------------------ ----------------- Intake Comments: ;PWWorksheet Needed if. ❑Sys Dev Eval ❑Traffic Mit Eval ❑Site Work or Drainage Proposed 1313ackflow 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 ETSee PW Review Worksheet and associated attached items UA Separate PW Permit is Required (Permit #: PW O_ 20_56 ) AND 9 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: