10501 13TH AVE W 2021-11-17 - Laserfiche WebLink

Intake &Approval Sheet (FOR PERMIT STAFF ONLY) PERMIT# 13 Z l 0 1 - 61. Z BUILDING PLANNING Intake OK by: 2 Date: q/i115'/2 Intake OK by: Assign To: • Date: Intake Comments: Intake Comments: N, \nt \ 4$ e•A, ❑ 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 ❑ Hold in Planning File Drawer Garage/Accessory Struct.Size Zone Number of Stories Overlay/Agreement Basement ❑No ❑Yes, Fin/Unfin Nonresidential Use Type of Construction Residential Use r/ Occupancy Group Proposed No.of Dwelling Units: ,/ Occupancy Load Total No.of Dwelling Units: Fire Sprinklers: ❑update Existing [hew System JNot Req'd Planning/Landscape Ins ection Required before Final? ❑Yes ❑No Reason Sprinklers Required: "In Lieu"Fee:Type: Amount$ Fire Alarm: ❑Update Existing ❑New System (Not Req'd School Impact Fee: otal $ - Reason Fire Alarm Required: Calculated: Credit: I� RCW 64.55 MF worksheet req'd for permit? DYes I No ❑Everett School ist ❑Mukilteo School Dist Add!RCW 64.55 docs required prior to final? ❑Yes CfiNo Additional Notes: VALUATION CALCULATION: Total$ 8`✓4,1° Approved Date: to PUBLIC WORKS Intake OK by: . Date: Additional Notes: Intake Comments: IPWWorksheerNeeded if: "�- ❑Sys Dev Eval ❑Trfic Mit Eval ❑Site Work or Drainage Proposed Approved By: 2K_, Date: 01//SJ Z, ❑Backflow Prevention foraf 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 ❑Submitted Previously ODeferred Additional Notes: 0 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 0 Is located in this folder ❑ Minimal or No Fire Scope-NO FIRE FEE 0 Is in a Separate Green Folder(join with this folder for permit issuance) O Review/Inspection Scope-ADD FIRE FEE ❑Will be issued separately(Separate Green Folder,PW issued ahead of Bldg) Approved By: Date: ❑ Public Works has no scope---PW Not Required Additional Notes: ELECTRICAL Additional Notes: Approved By: Date: Approved By: Date: