5126 SEAVIEW WAY 2021-08-30 - Laserfiche WebLink

Intake & Approval Sheet (FOR PERMIT STAFF ONLY) • PERMIT# tl I 2- °D I BUILDING PLANNING NC s Intake OK by: )./11 Date:/Z09/70/7 Intake OK by:_________ Assign To: Date: 0--ltq/J'�. Intake Comments: Intake Comments: ` ❑ Route to Commercial Building ❑ Attach to Project No. ❑ Route to Residential Building oute to Historic Reviewer ❑ Make 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 12c—S Number of Stories Overlay/Agreement Basement ❑No ❑Yes , Fin/Unfin Nonresidential Use Type of Construction Residential Use 5 F9L- Occupancy Group Proposed No.of Dwelling Units: Occupancy Load Total No.of Dwelling Units: Fire Sprinklers: ❑Update Existing El New System ❑Not Req'd PJnning/Landscape Inspection Required before Final? ❑Yes Reason Sprinklers Required: "In Lieu e: A $ Fire Alarm: ❑Update Existing El New System El Not Req'd School Impact Fee: Reason Fire Alarm Required: Calculated: Cre . RCW 64.55 MF worksheet req'd for permit? ❑Yes ❑ No ❑Everett Sc ist ❑Mukilteo School Dist Add'I RCW 64.55 docs required prior to final? ❑Yes ❑No Add' al Notes: VALUATION CALCULATION: Total$ Approved By: MS iS Date: j 2/1 1 l 1 PUBLIC WORKS Intake OK by: la Date: 12_l t c 120 t q Additional Notes: Intake Comments: PW Worksheet Needed if: 1:7oc>+41;:.AT to o¢.rL ❑Sys Dev Eval ❑Traffic Mit Eval c_*t El Site Work or Drainage Proposed Approved By: .'� Date: afrwifq hlo �P w S covE �Backflow Prevention for high hazard: I (dental,medical,animals,mortuary,hospital, supportive housing) FIRE DEPARTMENT DRoute this folder for PW Review at end ---PW Review Worksheet Separate I Deferred Submittals Required: ❑This project also has a separate concurrent PW Review(Green Folder) El Fire Sprinklers El Fire Alarm ❑Other: AND ❑Create Green Folder ❑Submitted 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 ❑ 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: Fublic Works has no scope---PW Not equired Additional Notes. p /Z't q l20� ELECTRICAL Additional Notes: Approved By: Date: Approved By: Date: 2b