2331 HOYT AVE 2021-09-07 - Laserfiche WebLink

Intake & Approval Sheet (FOR PERMIT STAFF ONLY) PERMIT# 1 1(,Y) ` I')(40 BUILDING PLANNING '' / Intake OK by: Date: Intake OK by: 1/0 Assign To:,JWw B, Date: )0(0/20 Intake Comments: Intake Comments: l —,q.P,e-e( SGfern;P° (Si 1S. ❑ Route to Commercial Building ❑ Attach to Project No. ❑ Route to Residential Building ❑ cute to Historic Reviewer ElMake this a"W"Permit ,OK to Route to Other Departments Bldg/TI/Addn/Rem Size ❑ Hold in Planning File Drawer Garage/Accessory Struct.Size Zone Number of Stories Overlay/Agreement - Basement ❑No Dyes, Fin/Unfin Nonresidential Use SI/i QO l Type of Construction Residential Use Occupancy Group Proposed No.of Dwelling Units: �-- Occupancy Load Total No.of Dwelling Units: Fire Sprinklers: ❑Update Existing ❑New System ❑Not Req'd Planning/Landscape Inspection Required before Final? ❑Yes•No Reason Sprinklers Required: "In 'eu"Fee:Type: Amount$ Fire Alarm: CI Update Existing El New System ❑Not Req'd Sch I Impact ee. Total 7 Reason Fire Alarm Required: Calcu ted: edit: RCW 64.55 MF worksheet req'd for permit? ❑Yes ❑ No ❑Eve e chool Dist ❑Mu ilteo School Dist Addl RCW 64.55 docs required prior to final? ❑Yes ❑No Additional Notes: VALUATION CALCULATION: Total Ro Approved By: Date: , PUBLIC-WORKS Intake OK by: Date: Additional Notes: Intake Comments: PW Worksheet Needed if: ❑Sys Dev Eval ❑Traffic Mit Eval ❑Site Work or Drainage Proposed ❑Backflow Prevention for high hazard: Approved By: Date: IZ�Zi� ;(dental,medical,animals,mortuary,hospital, ;supportive housing) FIRE DEPARTMENT ❑Route this folder for PW Review at end ---PW Review Worksheet Separate/Deferred Submittals Required: ❑This project also has a separate concurrent PW Review(Green Folder) ❑Fire Sprinklers ❑Fire Alarm ❑Other: AND ❑Create Green Folder ❑Submitted Previously ❑Deferred Additional Notes: CI This Permit is Approved by Public Works ❑See PW Review Worksheet and associated attached items Fire Dept.Fees: ❑ A Separate PW Permit is Required(Permit#: PW ❑ Review of As-Built Plans-NO FIRE FEE AND ❑ Is located in this folder ❑ Minimal or No Fire Scope-NO FIRE FEE ❑ Is in a Separate Green Folder(join with this folder for permit issuance) ❑ Review/Inspection Scope-ADD FIRE FEE ❑Will be issued separately(Separate Green Folder,PW issued ahead of Bldg) Approved By: Date: ❑ Public Works has no scope---PW Not Required Additional Notes: ELECTRICAL 'Additional Notes: Approved By: Date: Approved By: Date: