824 W CASINO RD BLDG B 2021-11-01

Intake &Approval Sheet (FOR PERMIT STAFF ONLY) PERMIT#VO 062-6) BUILDING PLANNING Intake OK by A, Date:D//Od/c Intake OK by: Date: Intake Comments:r� e�/ZO✓ E � �� Tj� Intake Comments: Assign To: Wit -2r/azrr , s-rI ahalo6a t4E/1s: ❑ Route to Commercial Building ❑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/I-I/Add& Size 00 F ❑ Hold in F?lanning File Drawer Garage/Accessory Struct.Size A/ Zone (., s Number of Stories -3 Overlay/Agreement Basement ErNo ❑Yes, Fin/Unfin Nonresidential Use Type of Construction 146 Residential Use k^\''\ -'"o &\y Occupancy Group R"Z Proposed No. of Dwelling Units: __.----- Occupancy Load /0 Total No.of Dwelling Units: G o ercr \qBt) sA O Fire Sprinklers: ❑Update Existing ❑New System EINot Req'd Planning/Landscape Inspection Required before Final?❑ Fes ❑No Reason Sprinklers Required: "In Lieu" Fee:Type: --,Amount$ Fire Alarm: ❑Update Existing ❑New System lgNot Req'd School Impact Fee: Total $ Reason Fire Alarm Required: Calculated: Credit: RCW 64.55 MF worksheet req'd for permit? lYes D No ❑Everett School Dist ❑Mukilteo School Dist Add'I RCW 64.55 docs required prior to final? ❑Yes CsNo Additional Notes: VALUATION CALCULATION: Total$Z'i6/S7li j6:. C. Q -4 .S `6 - Approved By�' ) Date: CQ, \y_ Q)\q PUBLIC WORKS p Intake OK by.. g Date: �p 24 Additional Nntes• Intake Comments: PW Worksheet Needed if: _ . _ ❑Sys Dev Eval ❑Traffic Mit Eval Mite Work or Drainage Proposed Approved B4 Date:4093/z jq ❑Backflow Prevention for high hazard: 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 OSubmitted 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: K.1! 0,,,n Date: g--,20-`ej Public Works has no scope---PW Not Required Additional Notes: ELECTRICAL Additional Notes: Approved By: Date: Approved By: _ Date: `6/L 4 ,