3814 W MUKILTEO BLVD 2021-09-07 - Laserfiche WebLink

• 0 Intake &Approval Sheet (FOR PERMIT STAFF ONLY) PERMIT# BUILDING ._ PLANNING Intake OK by: /Date: 8/ (2//1 Intake OK by: Date: Intake Comments: Intake Comments: Assign To: ❑ Route to Commercial Building ❑Attach to Project No. a Route to Residential Building 0 Route to Historic Reviewer .Make this a"W" Permit ❑ OK to Route to Other Departments Bldg/TI/Addn/Rem Size 412. SP.- ❑ Hold in Planning File Drawer Garage/Accessory Struct. Size Zone — 5 Number of Stories '2, Overlay/Agreement Basement ❑No 125Yes , Fin ,lig, Nonresidential Use Type of Construction 713 Residential Use 66, S Occupancy Group !R Proposed No. of Dwelling Units: Occupancy Load Total No.of Dwelling Units: 6 Fire Sprinklers: ❑Update Existing ❑New System DirNot Req'd Planning/Landscape Inspection Required before Final? ❑Yes tNo Reason Sprinklers Required: "In Lieu" Fee:Type: Amount$ Fire Alarm: ❑Update Existing ❑New System "Not Req'd School Impact Fee: Total $ Reason Fire Alarm Required: Calculated: Credit: RCW 64.55 MF worksheet req'd for permit? ❑Yes RI No ❑Everett School Dist ❑Mukilteo chool Dist Add'I RCW 64.55 dots required prior to final? ❑Yes ®No Additional Notes: SD C fpn3.o. .eel/o.f e eJ_ VALUATION CALCULATION: Total$ 3Jt 3 82 J W 4 af, 5 r¢I --)Y1�renbr Lo w{L est UNFetfic/¢ o R-4 Seit#!c^t7' r p /NCv 7l04/ OrVLY (/A/S144< Fib Approved By: Date: 10- �J,1 w/a rOttAirT 02 hy. /'UC„7<'9'V) PUBLIC WORKS Intake OK by: Date: Additional Notes: 2 ors lac. f GJ S•c C Intake Comments: PW Worksheet Needed if: ❑Sys Dev Eval ❑Traffic Mit Eval ❑Site Work or Drainage Proposed Approved By: Date: ❑Backflow Prevention for high hazard: (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 El Fire Alarm ❑Other. AND ❑Create Green Folder OSubmitted Previously ❑Deferred Additional Notes: ❑ This Permit is Approved by Public Works 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 ❑ Minimal or No Fire Scope-NO FIRE FEE 0 Is in a Separate Green Folder(join with this folder for permit issuance) ❑ Review/Inspection Scope-ADD FIRE FEE 0 Will be issued separately(Separate Green Folder,PW issued ahead of Bldg) Approved By: Date: P-Public Works has no scope---PW Not Required Additional Notes: / ELECTRICAL <O /L?�/,4 Additional Notes: Approved By: Date: Approved By: Date: