1620 W MARINE VIEW DR LOMBARDIS 2021-09-24

• • Intake & Approval Sheet (FOR PERMIT STAFF ONLY) PERMIT#?)2j•02--C. J BUILDING PLANNING 1 Intake OK by: Date: Intake OK by: alfl1SD-Assign To: 1W't S O. Date: 2I 1c/Z1L4 Intake Comments: Intake Comments: S y1U iPe/t irlA SuLS-Ttn-iia l cliAk- 1 V 11 - IP&rr iI-4- t-1,,clui reL; .. ❑ Route to Commercial Building 0 Attach to Project No. ❑ Route to Residential Building 0 Route to Historic Reviewer ❑ Make this a"W" Permit 0 OK to Route to Other Departments Bldg/Tddem Size A'G Z /ff/ 0 Hold in Planning File Drawer Garage/Accessory Struct. Size ".//)2 Zone ( Number of Stories / Overlay/Agreement Basement ErNo ❑Yes, Fin/Unfin Nonresidential Use 1-AAfffut Type of Construction v6 Residential Use Occupancy Group .Q'Z_ Proposed No. of Dwelling Units: Occupancy Load 1/45-3 Total No. of Dwelling Units: Fire Sprinklers:-ENipdate Existing ❑New System Alot Req'd Planning/Landscape Inspection Required before Final? ❑Yes ❑No Reason Sprinklers Required: "In Lieu" Fee: Type: Amount$ Fire Alarm: Update Existing ❑New System -11;;•,-eq---School Impact Fee: Total $ Reason Fire Alarm Required: Calculated: Credit: RCW 64.55 MF worksheet req'd for permit? ❑Yes Vi No ❑Everett School Dist ❑Mukilteo School Dist Add'I RCW 64.55 docs required prior to final? ❑Yes , INo Additional Notes: VALUATION CALCULATION: Total$ //Ji 64;c7;0L." 4 _ _mi�� u Mi..r.7'-'. Approved By: Date: PUBLIC WORKS Intake OK by: Date: Additional Notes: Intake Comments: iPWWorksheet Needed if: ❑Sys Dev Eval OTraffic Mit Eval ❑Site Work or Drainage Proposed Approved B o,/Z/zeg� ❑Backflow Prevention for high hazard: pp y: >,�� Date: 3 €(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 ❑Deferred Additional Notes: ❑ This Permit is Approved by Public Works A NATAA r` A - tA/ 1 l,Q,QJ 0 See PW Review Worksheet and associated attached items Fire Dept. Fees: utl /�` L}12,1 I2ZD ❑ A Separate PW Permit is Required (Permit#: PW ) ❑ Review of As-Built Plans 410 FIRE FEE AND ❑ Is located in this folder 0 Minimal or No Fire Srdpe-NO FIRE FEE 0 Is in a Separate Green Folder(join with this folder for permit issuance) ❑ Review/Inspectipr(Scope-ADD FIRE FEE ❑ Will be issued separately(Separate Green Folder,PW issued ahead of Bldg) f , Approved By: / Date: Public Works has no scope---PW Not Required Additional No D 2/r`j ' z..{ ELECTRICAL Additional Notes: Approved By: Date: Approved By: Date: