1025 NORTH PARK DR 2021-11-15 - Laserfiche WebLink

Intake & Approval Sheet • (FOR PERMIT STAFF ONLY) PERMIT# ck OS--CO pp • BUILDING PLANNING Intake OK by: Date: s119/(41 Intake OK by: Date: Intake Comments: Intake Comments: Assign To: ❑ Route to Commercial Building ❑Attach to Project No. 14 Route to Residential Building ❑ Route to Historic Reviewer Make this a"W" Permit 0 OK to Route to Other Departments Bldg/Tl/Addn/Rem Size 0 Hold in Planning File Drawer Garage/Accessory Struct.Size Zone -- I Number of Stories Overlay/Agreement — Basement ❑No ❑Yes , Fin/Unfin Nonresidential Use Type of Construction Residential Use S-F1 Occupancy Group Proposed No. of Dwelling Units: .----- Occupancy Load Total No.of Dwelling Units: Fire Sprinklers: ❑Update Existing ❑New System ONot Req'd Planning/Landscape Inspection Required before Final? ❑Yes iNo Reason Sprinklers Required: - "In Lieu"Fee:Type: nt$ Fire Alarm: El Update Existing ❑New System ❑Not Req'd School Impact Fee: Total $ Reason Fire Alarm Required: Calculated: Credit: RCW 64.55 MF worksheet req'd for permit? ❑Yes ES No DEvere ool Dist ❑Mukilteo School Dist Add'I RCW 64.55 docs required prior to final? ❑Yes , No Additional Notes: VALUATION CALCULATION: Total$ (it?qo 100 S,d- e (Kt' 3 Sa S.r E ZS Approved By: ale Date: S/S/ ) 1 PUBLIC WORKS Intake OK by:1 Date: 5/$/20 19 Additional Notes: ZO/S //ZC. Intake Comments: PW ork eefNeed if. *1� �c; 7 E�,...•* cc)CZ— <-1443-r. ❑Sys Dev val ❑Traffic it Eval 'UEc-V-- e v `T W (o ❑Site Work or Drainage Proposed (,'wlp� Approved By: dtb Date: 7/1 I /l'? ••T ❑Backflow Prevention for high hazard: "a�Pbt�f c_004vi�.6.4 (dental,medical,animals,mortuary,hospital, Re Gri.it.44w< supportive housing) FIRE DEPARTMENT K 'oute 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 ❑Fire Alarm ❑Other: AND ❑Create Green Folder OSubmitted Previously ODeferred Additional Notes: ❑ This Permit is Approved by Public Works tOt is1,1AA, 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 0 Is in a Separate Green Folder(join with this folder for permit issuance) ❑ Review/Inspection Scope-ADD FIRE FEE 0 Will be issued separately(Separate Green Folder,PW issued ahead of Bldg) Approved By: Date: 0 Public Works has no scope---PW Not Required Additional Notes: ELECTRICAL Additional Notes: Approved By: Date: Approved By: ii Date: O ^ 197,o/ �/2