515 104TH PL SE 2021-11-08 - Laserfiche WebLink

Intake &Approval Sheet • (FOR PERMIT STAFF ONLY) • PERMIT# 9'2. [0 2( I tJ_____... BUILDING PLANNING Intake OK by: Date: Intake OK by: Assign To: Date: Intake Comments: Intake Comments: ❑ Route to Commercial Building 0 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/TI/Addn/Rem Size /06, ❑ Hold in Planning File Drawer Garage/Accessory Struct.Size Zone (L.\ Number of Stories 1 Overlay/Agreement Basement No ❑Yes, Fin/Unfin Nonresidential Use �.�� Type of Construction Residential Use G Occupancy Group r()04.— Proposed No.of Dwelling Units: Occupancy Load /2 6 b � Total No.of Dwelling Units: Fire Sprinklers: ❑Update Existing El New System'Il�lNot Req'd Planning/Landscape Inspection Required before Final? Yes J o Reason Sprinklers Required: "In Lieu"Fee:Type: Amount$ Fire Alarm: El Update Existing El New System IhNot Req'd School Impact Fee: Total $ Reason Fire Alarm Required: ��5j Calculated: Credit: RCW 64.55 MF worksheet req'd for permit? ❑Yes In No ❑Everett School Dist ❑Mukilteo School ist Add'I RCW 64.55 docs required prior to final? ❑Yes 'LINO Additional Notes: toce44reili,41 O^hr"Np reAQA134 tl t iWA VALUATION CALCULATION: Total$ I`S OC tJ" .,. '�`4l�', "�6 Approved By: F-.," ..(40,6 1 Date: 2-1 Z,, v l PUBLIC WORKS' Intake OK by: Date: Additional Notes: Intake Comments: IPW Worksheet Needed if: '❑Sys Dev Eval ❑Traffic Mit Eval i❑Site Work or Drainage Proposed Approved By: z,�1 - Date: ,Z-401,2l �Backflow Prevention for high hazard: I(dental,medical,animals,mortuary,hospital, 'supportive housing) FIRE DEPARTMENT / DRoute 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) El Fire Sprinklers DFire Alarm ❑Ot -r: AND ❑Create Green Folder ❑Submitted Previously ODeferred Additional Notes: 0 This Permit is Approved by Public Works 3 0 See PW Review Worksheet and associated attached items Fire Dept.Fees: ❑ A Separate PW Permit is Required (Permit#: PW ) ❑ Review of As-Built Plans- . FIRE FEE AND ❑ Is located in this folder ❑ Minimal or No Fire Scop: -NO FIRE FEE ❑ Is in a Separate Green Folder(join with this folder for permit issuance) ❑ Review/Inspection S'.pe-ADD FIRE FEE ❑ ' he issued separately(Separate Green Folder,PW issued ahead of Bldg) Approved By: Date: ublic Works has no cope---PW Not Required dd'ronal Notes: ELECTRICAL Additional No -s — OCCI--- Approved By: Date: App ved By: Date: Z'7--