5133 SEAHURST AVE 2021-08-30 - Laserfiche WebLink

Intake & Approval Sheet 0 (FOR PERMIT STAFF ONLY) 0 PERMIT# C. UV 2-603- BUILDING PLANNING Intake OK by: Date: Intake OK by: Assign To: Date: Intake Comments: Intake Comments: ❑ Route to Commercial Building ❑ Attach to Project No. ❑ I en la ❑ Route to Historic Reviewer ake this a"W"Permit ❑ OK to Route to Other Departments Idg Addn/Rem Size S6 4 ❑ Hold in Planning File Drawer Garage/AccessoryStruct.Size pf Zone Number of Stories r Overlay/Agreement Basement IgiNo ❑Yes, Fin/Unfin Nonresidential Use g -,..c�`pA Type of Construction 148 Residential Use . 47 Occupancy Group g Proposed No.of Dwelling Units: Occupancy Load Total No. of Dwelling Units: 1- Fire Sprinklers: ❑Update Existing El New System ONot Req'd Planning/Landscape Inspection Required before Final? ❑Yes *lo Reason Sprinklers Required: "In Lieu"Fee:Type: Amount$ Fire Alarm: El 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 0 No ❑Everett School Dist ❑Mukilteo Sc ool Dist Add'I RCW 64.55 docs required prior to final? ❑Yes ®.No Additional Notes: VALUATION CALCULATION: Total$ II -g2g 561e ?J cl© e 25- Approved By: ,� Date: ej-1 Z 7,A PUBLIC WORKS Intake OK by: Date: Additional Notes: 20/a g. 4 W sg. Intake Comments: =PW Worksheet Needed if: • OSys Dev Eval OTraffic Mit Eval C 3VI t 11 d 1 o P off- OSite Work or Drainage Proposed Approved By: Ot(' Date: 313o/20 I OBackflow 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 ❑Fire Alarm ❑Other: AND ❑Create Green Folder ❑Submitted Previously El 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 ❑ 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: _/�`'.e Date: 45440 q [/ Zo2d