2131 LAKE HEIGHTS DR 2021-09-07 - Laserfiche WebLink

Intake & Approval Sheet (FOR PERMIT STAFF ONL19 PERMIT# lsuog -C(0 3 BUILDING PLANNING Intake OK by: Date: Intake OK by:,4 Assign To:Ale,y Date: 61(t..42 Intake Comments: Intake Comments: N ❑ Route to Commercial Building 0 Attach to Project No. ❑ Route to Residential Building Route to Historic Reviewer ❑ Make this a"W" Permit OK to Route to Other Departments B dg/TI/ ddn/Rem Size / .3 2- , Hold in Planning File Drawer Garage/Accessory Struct. Size iWA Zone Number of Stories L-.. Overlay/Agreement Basement 51-No ❑Yes, Fin/Unfin Nonresidential Use • j 6;S 1,1 Type of Construction VA Residential Use Occupancy Group Z/ A-Z/,5s, 1- Proposed No. of Dwelling Units: i- Occupancy Load /0 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 Lieu" Fe,e:_Type: Amount$ Fire Alarm: ,Update Existing ❑New System ❑Not Req'd School Impac - tal_._$ Reason Fire Alarm Required: Calculated: Credit— RCW 64.55 MF worksheet req'd for permit? ❑Yes El No ❑EverettScfiooI Dist ❑Mukilteo School Dist Add'I RCW 64.55 docs required prior to final? ❑Yes , No Additional Notes: VALUATION CALCULATION: Total $ 63Z, 2.00 Approved By: /i �2, Date: 121 1 6 `�) PUBLIC WORKS / /24 Intake OK by: Date: Additional Notes: Intake Comments: 1PW iPWWorksheet Needed if: I❑Sys Dev Eval ❑Traffic Mit Eval ❑Site Work or Drainage Proposed /V�/ to ❑Backflow Prevention for high hazard: Approved B Sk Date: 0 €(dental,medical,animals,mortuary,hospital, ;supportive housing) FIRE DEPARTMENT El 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 gOther: AND ❑Create Green Folder ❑Submitted Previously ❑Deferred Additional Notes: ` El This Permit is Approved by Public Works 'f1• /1(n (' fi 1T r .'lC.11e,n 0 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 O Minimal or No Fire Scope-NO FIRE FEE ❑ Is in a Separate Green Folder(join with this folder for permit issuance) aReview/Inspection Scope-ADD FIRE FEE 0 Will be issued separately(Separate Green Folder,PW issued ahead of Bldg) Approved By: :(2-)02WYI Date: 8,Z 2O Public Works has no scope--- PW Not Required Additional Notes: ELECTRICAL Additional Notes: Approved By: Date: Approved By: V. Date: „ " 1 v . Z-/7 _