2325 75TH ST SE 2021-12-27 - Laserfiche WebLink

Intake & Approval Sheet 10 (FOR PERMIT STAFF ONLY) Is PERMIT #6 �0 ( 0 _003 BUILDING Intake OK by: Date: Intake Comments: ❑ Route to Commercial Building ❑ Route to Residential Building ❑ Make this a "W" Permit Bldg/TI/Addn/Rem Size Garage/Accessory Struct. Size 0F, 4 Number of Stories 21 Basement ONo ❑Yes , Fin / Unfin Type of Construction �- Occupancy Group R� Occupancy Load Fire Sprinklers: ❑Update Existing MNew System ❑Not Req'd Reason Sprinklers Required: Fire Alarm: ❑Update Existing El New System Not Req'd Reason Fire Alarm Required: RCW 64.55 MF worksheet req'd for permit? ❑�� II Yes ICI No Add'I RCW 64.55 docs required prior to final? ❑Yes ®No VALUATION CALCULATION: Total $ yld2 2�' B a 41e:, ,223o X I,ZI = 2 � 6i v 3v 30 1 x 30 = 'TD3'e�. Additional Notes: Approved By: Date: I �� FIRE DEPARTMENT Separate / Deferred Submittals Required: Fire Sprinklers ❑Fire Alarm ❑Other: Additional Notes: JJ Fire Dept. Fees: ❑ Review of As -Built Plans - NO FIRE FEE Minimal or No Fire Scope - NO FIRE FEE ii�vi FEE Approved By: K. Date: - - ELECTRICAL Additional Notes: Approved By: Date: PLANNING Intake OK by: Assign To: i 1 ., . Date: IO Z7 Intake Comments: S it �Olat lG c'S<,��/' fy-tC'fc,r b Id . otivl lam' (M i �Vi 7- fy-O IA 'S " ir,- ❑ Attach to Project No. ❑ ute to Historic Reviewer OK to Route to Other Departments rElHold in Planning File Drawer Zone -� Overlay/Agreement Nonresidential Use Residential Use Proposed No. of Dwelling Units: "f Total No. of Dwelling U ' anning/Landscape Ins ection Required before Final? ❑Yes ❑No n leu' Fee: Type: Amoun School Impact Fee: Total $ lated: I�2-�1)Credit: erett School Dist ❑Mukilteo School Dist Rv Additional Notes: Approved By: Date: '-° d PUBLIC WORKS Intake OK by: Date: ............... Intake Comments: IPW Worksheet Needed if.• OSys Dev Eva] ❑Traffic Mit Eval 10Site Work or Drainage Proposed ElBackflow Prevention for high hazard: ,(dental, medical, animals, mortuary, hospital, ,supportive housing) ............................................................................................................................................................. ❑ 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 L.A Separate PW Permit is Required (Permit #: PW W1 AND ❑ Is located in this folder 0 Is in a Separate Green Folder (join with this folderfor 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: �� 2• Z-/