4703 31ST AVE SE 2021-12-15 - Laserfiche WebLink

Intake & Approval Sheet (FOR PERMIT STAFF ON09 PERMIT# WO—O" BUILDING Intake OK by: Date: +ake Comments: ❑ Route to Commercial Building ❑ Route to Residential Building ❑ Make this a "W" Permit Bldg/TI/Addn/Rem Size Garage/Accessory Struct. Size 3fl Number of Stories 2- Basement INNo ❑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 El New System ❑Not Req'd Reason Fire Alarm Required: RCW 64.55 MF worksheet req'd for permit? ❑Yes ❑ No Add'] RCW 64.55 docs required prior to final? ❑Yes 0}No VALUATION CALCULATION: Total $ 6 2U s wu, A W6vb Additional Notes: Approved By: Date. 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. ❑ Route to Historic Reviewer ❑ OK to Route to Other Departments ❑ Hold in Planning File Drawer Zone VQr� Overlay/Agreement ^DO Nonresidential Use Residential Use s �2— Proposed No. of Dwelling Units: Total No. of Dwelling Units: Planning/Landscape Inspection Required before Final? ❑Yes VNo "In Lieu" Fee: Type: Amount $ School Impact Fee: Total $ Calculated: Credit: ❑Everett School Dist ❑Mukilteo School Dist Additional Notes: -----^ " Approved Date: [ C) PUBLIC WORKS Intake OK by: Date: Intake Comments: ;PWWorksheet Needed if., ❑Sys Dev Eval ❑Traffic Mit Eva[ ; ❑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 C9Is 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: