2318 BAKER AVE 2022-01-19 - Laserfiche WebLink

Intake & Approval Sheet 0 (FOR PERMIT STAFF ONLY) i PERMIT # '? 2_ 1 CH --623 L BUILDING Intake OK by: Date: Intake Comments: ❑ Route to Commercial Building ❑ Route to Residential Building ❑ Make this a "W" Permit Bld [rI/Addn/Rem Size Garage ccessory Struct. Size d Number of Stories Basement 1YNo ❑Yes , Fin / Unfin Type of Construction Occupancy Group Occupancy Load Fire Sprinklers: ❑Update Existing ❑New System 121,Jot Req'd Reason Sprinklers Required: Fire Alarm: ❑Update Existing ❑New System Mot Req'd Reason Fire Alarm Required: . RCW 64.55 MF worksheet req'd for permit? []Yes No Add'I RCW 64.55 docs required prior to final? ❑Yes No VALUATION CALCULATION: Total $, mid 9Z' x 2u' aUi4aD 1 VO T I�.aO P Z?I DPO�V//'I Additional Notes: 1�j.�0��'P�Vll,�1.� ►16��1, ��tilo�,-oo(o . Approved By: Date: [Z A�, FIRE DEPARTMENT Separate / Deferred Submittals Required: El Fire Sprinklers ❑Fire Alarm ❑Other: Additional Notes: Fire Dept. Fees: ❑ Review of As -Built Plans - NO FIRE FEE ❑ Minimal or No Fire Scope - NO FIRE FEE ❑ Review / Inspection Scope - ADD FIRE FEE Approved By: Date: ELECTRICAL Additional Notes: Approved By: Date: PLANNING Intake OK by: Assign To: Date: 12-V24 Intake Comments: ❑ Attach to Project No. ❑ Route to Historic Reviewer OK to Route to Other Departments ❑ Hold in Planning File Drawer Zone -Z Overlay/Agreement Piqecs[A f4slarlG clef laq Nonresidential Use . Residential Use S� Proposed No. of Dwelling Units: Total No. of Dwelling Units: Planning/Landscape Inspection Required before al? ❑Yes EKo "In Lieu" Fee: Type: Amount $ School Impact Fee: Tota Calculated: Credit: ❑E chool Dist ❑Mukilteo School Dist Additional Notes: Approved By: Date: PUBLIC WORKS Intake OK by: Date: :.................................... .............. ................................................ ..... ........... ...... ................. .......... .. Intake Comments: iPW Worksheet Needed if. I]Sys Dev Eval ❑Traffic Mit Eval []Site Work or Drainage Proposed `I]Backflow Prevention for high hazard: ;(dental, medical, animals, mortuary, hospital, °supportive housing) €.... __................... ."....-........ _.......... .-...... ....... ................ ....................... W ._.............. ❑ Route this folder for PW Review at end --- PW Review Worksheet ❑This project also has a separate concurrent PW Review (Green Folder) AND ❑Create Green Folder ❑Submitted Previously ❑Deferred This Permit is Approved by Public Works ff-See PW Review Worksheet and associated attached items Separate PW Permit is Required (Permit #: PW V 01-0 2^ ) AND D'Is located in this folder ❑ Is in a Separate Green Folder Coin with this folder for permit issuance) ❑ WIII be Issued separately (Separate Green Folder, PW issued ahead of Bldg) ❑ Public Works has no scope --- PW Not Required Additional Notes: Approved By: Date: 0 -7 vg zau