3527 SHORE AVE 2021-09-01 - Laserfiche WebLink

• Intake & Approval Sheet (FOR PERMIT STAFF ONLY) PERMIT# '2:i.LJ—J -OTC BUILDING PLANNING Intake OK by: Date: Intake OK by: Assign To: Date: Intake Comments: Intake Comments: ❑ Route to Commercial Building 0 Attach to Project No. ❑ Route to Residential Building ❑ Route to Historic Reviewer ❑ M e this a"W"Permit 0 OK to Route to Other Departments Bld / too :Jr ❑ Hold in Planning File Drawer Garage/Accessory Struct. Size y VAS (Vfl rn/5?),t) Zone Number of Stories Z Overlay/Agreement Basement PlUo PitYes , OUnfin Nonresidential Use Type of Construction (r0 Residential Use CliditeLf4,1 5�>� Occupancy Group ` 3 Proposed No. of Dwelling Units: Occupancy Load 2510 /Z Total No. of Dwelling Units: 1. Fire Sprinklers: El Update Existing ONew System Not Req'd Planning/Landscape Inspection Required before Final? ❑Yes p'No Reason Sprinklers Required: "In Lieu" Fee: Type: Amount$ Fire Alarm: El Update Existing El New System Eallot Req'd School Impact Fee: Total $ Reason Fire Alarm Required: Calculated: Credit: RCW 64.55 MF worksheet req'd for permit? ❑Yes ® No 0 Everett School Dist ❑Mukilteo School Dis Add'I RCW 64.55 docs required prior to final? ❑Yes No Additional Notes: VALUATION CALCULATION: Total $ /da Jar Of /1 Approved By: / Date: 7_7-- ? PUBLIC WORKS Intake OK by: Date: Additional Notes: Intake Comments: PW Worksheet Needed if: ❑Sys Dev Eval OTraffic Mit Eval ❑Site Work or Drainage Proposed Approved By;�( /fj" � Date:p7/ `�+-b =❑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 ❑Submitted Previously ❑Deferred Additional Notes: 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) O Review/Inspection Scope-ADD FIRE FEE 0 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: il'' ` ate: c� -7/ 1c �Z at, 2/Z