4735 GLENHAVEN DR 2021-11-17 - Laserfiche WebLink

Intake & Approval Sheet • (FOR PERMIT STAFF ONLY) • PERMIT# TA1 1 I "O 11. BUILDING PLANNING Intake OK by: ; Date: II 1 el Intake OK by: Assign To: i4'l c Date: I I/13/J°T Intake Comme s: Intake Comme ts: V( -c,R u5ei eALL, HIM, gFcAAv,,g SCc E ❑ Route to Commercial Building ❑ Attach to Project No. tEI Route to Residential Building (Ask J.cx-c- ?) ❑ Route to Historic Reviewer ❑ Make this a"W"Permit COK to Route to Other Departments Bldg/TI/Addn/Rem Size ❑ Hold in Planning File Drawer Garage/Accessory Struct.Size Zone 11- I Number of Stories Overlay/Agreement Basement ❑No ❑Yes , Fin/Unfin Nonresidential Use Type of Construction Residential Use SfR. Occupancy Group Proposed No.of Dwelling Units: Occupancy Load Total No.of Dwelling Units: I Fire Sprinklers: ❑Update Existing ❑New System ❑Not Req'd Planning/Landscape Inspection Required before Final? ❑Yes Vlo Reason Sprinklers Required: "In Lie :Type: Amount$ Fire Alarm: ❑Update Existing El New System ❑Not Req'd School Impact Fee: $ Reason Fire Alarm Required: Calculated: RCW 64.55 MF worksheet req'd for permit? ❑Yes ❑ No ❑ ett School Dist ❑Mukilteo School 1 Add'I RCW 64.55 docs required prior to final? ❑Yes ❑No Additional Notes: VALUATION CALCULATION: Total$ 4p00 . co Approved By: / 6 Date: 11 /I 5//5 l/� PUBLIC WORKS ` Ku'tC' •VrtR.uzAcaRA - .01,a,t, Intake OK byT. A'a. Date: t I. (CI i tat 9 Additio al N t L N /�Q�t Intake Comments: IPW Worksheet Needed if: �aW "dbn ' 1`�� 41 Is'��+U VHS I�-, £�' �L `' `"�-'� I❑Sys Dev Eval ❑Traffic Mit Eval / 1�' r `� , o �-'' ❑Site Work or Drainage Proposed proirckff - U� g I❑Backflow Prevention for high hazard: Approved By: Ito' Date: `.1w! CO ^ +n%'� "P"'t S Cc� 3(dental,medical,animals,mortuary,hospital, ' isupportive 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) ❑Fire Sprinklers ❑Fire Alarm ❑Other: AND ❑Create Green Folder ❑Submitted 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(loin 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: Date: M -'-.•lic Works has no scope--:„;W Not Requi d Additional Notes: - ,. it (r3 ( 1 g ELECTRICAL Additional Notes: Approved By: Date: Approved By: Date: