2615 BROADWAY QFC 2021-09-22 - Laserfiche WebLink

Intake &Approval Sheet (FOR PERMIT STAFF ONLY) PERMIT# 51410b-66 V---0 BUILDING PLANNINGg�r,, Intake OK by: Date: Intake OK by: 7 Date:6/211 "I Intake Comments: Intake Comments: Assign To: fitt Ne�e1 sf of stabtr4-s vir4,1L V711 • ❑ Route to Commercial Building ❑Attach to Project No. ❑ Route to Residential Building ❑ Route to Historic Reviewer ❑ Make this a"W"Permit ❑ OK to Route to Other Departments Bldg/TI/Addn/Rem Size 0 Hold in Planning File Drawer Garage/Accessory Struct.Size Zone Number of Stories Overlay/Agreement Basement El No ❑Yes Fin/Unfin Nonresidential Use QP Type of Construction Residential Use Occupancy Group Proposed No. of Dwelling Units: Occupancy Load • Total No.of Dwelling Units: ""'—• Fire Sprinklers: ❑Update Existing ❑New System ONot Req'd Planni /Landscape Inspection Required before Final? ❑Yes o Reason Sprinklers Required: "In Lieu"Fee: e: unt$ Fire Alarm: ❑Update Existing El New System ONot Req'd School Impact Fee: I Reason Fire Alarm Required: Calculated: edit: RCW 64.55 MF worksheet req'd for permit? ❑Yes ❑ No rett School Dist ❑Mukilteo School Dist Add'I RCW 64.55 docs required prior to final? ❑Yes ❑No Additional Notes: I��,�,N�, ^��,,Iry1/',, VALUATION CALCULATION: Total Um ��Yt W"" Ulm/► Wag II'�� 0 /Qt O I r Approved By: Date: I/ZI J/ PUBLIC WORKS Intake OK by: p Date: GI [I2.1 l Q Additional Notes: Intake Comments: PW Worksheet Needed if: S 14z#4 p.,a ❑Sys Dev Eval ❑Traffic Mit Eval Vv'94a0 /12]tq Rs1CT4kir•tCm iip4 Rpwt ❑Site Work or Drainage Proposed Approved By: ""v-':I" Date: ❑Backflow Prevention for high hazard: (dental,medical,animals,mortuary,hospital, supportive housing) FIRE DEPARTMENT DRoute 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 ❑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) ❑ Review/Inspection Scope-ADD FIRE FEE ❑Will be issued separately(Separate Green Folder,PW issued ahead of Bldg) Approved By: Date: NI Public Works has no scope---PW Not Required Additional Notes: ELECTRICAL Additional Notes: Approved By: Date: Approved By: Date: