2118 KIRBY PL 2022-02-18 - Laserfiche WebLink

Intake & Approval Sheet 1 (FOR PERMIT STAFF ONLY) . PERMIT #;~ 2) lU) ZO It- 00-7 . BUILDING Intake OK by: Date: Intake Comments: ❑ Route to Commercial Building ❑ Route to Residential Building Wrmit em Size 36 AVf ory ct. Size / % *SF ies Basement 4RNo ❑Yes , Fin / Unfin Type of Construction Occupancy Group Occupancy Load 8 Fire Sprinklers: ❑Update Existing ❑New System fRINot Req'd Reason Sprinklers Required: Fire Alarm: ❑Update Existing ❑New System Not Req'd Reason Fire Alarm Required: RCW 64.55 MF worksheet req'd for permit? ❑Yes ;M No Add'I RCW 64.55 docs required prior to final? Oyes No VALUATION CALCULATION: Total l`Z lao Additional Notes: 4, f Approved By. Date: FIRE DEPARTMENT Separate / Deferred Submittals Required: ❑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: Intake Comments: ❑ Attach to Project No. ❑ Route to Historic Reviewer ❑ OK to Route to Other Departments ❑ Hold in Planning File Drawer Zone Overlay/Agreement Nonresidential Use Residential Use Proposed No. of Dwelling Units: Total No. of Dwelling Units: Planning/Landscape Inspection Required before Final? ❑Yes No "In Lieu" Fee: Type: Amount $ School Impact Fee: Total $ Calculated: Credit: ❑Everett School Dist ❑Mukilteo School Dist Additional Notes: C_)� ,J ovauz !Approved By: Date: 1 Zy ZF; PUBLIC WORKS Intake OK by: Date: .................................................................,,.,,.... _,,,...... ....... I'll ................ Intake Comments: PW Worksheet Needed if.• 0Sys Dev Eva] ❑Traffic'Mit Eval -El Site Work or Drainage Proposed OBackflow Prevention for high hazard: ;(dental, medical, animals, mortuary, hospital, ,supportive housing) e....._.._....... ........ ..................... ........................................._......_._......................... ❑ 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 ❑ See PW Review Worksheet and associated attached items ❑ A Separate PW Permit is Required (Permit #: PW ) AND ❑ Is located in this folder . ❑ Is in a Separate Green Folder Qoin with this folder for permit issuance) ❑ Will be Issued separately (Separate Green Folder, PW issued ahead of Bldg) Public Works has no scope --- PW Not Required Additional Notes: Approved By: Date: k-v t- e2,p