2801 VIRGINIA AVE 2021-09-01 - Laserfiche WebLink

Intake & Approval Sheet • (FOR PERMIT STAFF ONLY) II PERMIT# 2. G2 —O20 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 ❑ Make this a"W"Permit 0 OK to Route to Other Departments Bldg/TI/Addn/Rem Size 0 Hold in Planning File Drawer Garage/Accessory Struct.Size Zone • Ul Number of Stories Overlay/Agreement 1 Basement ❑No ❑Yes , Fin/Unfin Nonresidential Use L1A•L•!'a -- Type of Construction Residential Use Occupancy Group Proposed No.of Dwelling Units: 7 Occupancy Load Total No. of Dwelling Units: Fire Sprinklers: ❑Update Existing ❑New System ONot Req'd Planning/Landscape Inspection Required before Final? ❑Yes ►4 No 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 0 No ❑Everett School Dist ❑Mukilteo School st Add'I ROW 64.55 docs required prior to final? ❑Yes ❑No Additional Notes: ,o\--o.\ .,A - o� Ac i Wig CrOSS VALUATION CALCULATION: Total$ 7 97S -\5 ,\ v,,'rv`.t,, 1,A0.<, Ire.:q1.,- 4 k\clo , ,, Approved By: Imo, Q" Date: 9j— 2_ zozo PUBLIC WORKS Intake OK by: Date: Additional Notes: Intake Co ments: PWWorksheet Needed if: IDSys Dev Eval ❑Traffic Mit Eval ❑Site Work or Drainage Proposed Approved By: Date: 40z/zpZd lUBackflow Prevention for high hazard: :(dental,medical,animals,mortuary,hospital, ;supportive housing) \ FIRE DEPARTMENT DRoute this folder for PW Re•'ew at end ---PW Review Worksheet Separate/D rred Submittals Required: ❑This project also has a separat. concurrent PW Review(Green Folder) El Fire Sprinklers Fire Alarm ❑Other: AND ['Create Green Folder ❑Su: itted Previously ❑Deferred Additional Notes: 0 This Permit is Approved by Public W• ks 0 See PW Review Worksheet and associ. -d attached items Fire Dept.Fees: 0 A Separate PW Permit is Required(Permit °: PW ) ❑ Review of As-Built Plans-NO FI FEE AND ❑ Is located in this folder ❑ Minimal or No Fire Scope-NO FIRE E 0 Is in a Separate Green Folder(join with this fol.-r for permit issuance) ❑ Review/Inspection Scope-ADD FIRE E 0 Will be issued separately(Separate Green Folder, • issued ahead of Bldg) Approved By: -----, Date: 0 Public Works has no scope---PW Not Required Additional Notes: ELEC CAL Additional Notes: Approved By: ate: Approved By: Date: 2