1728 W MARINE VIEW DR BASE FILE 2021-12-10

Intake &Approval Sheet 10 (FOR PERMIT STAFF ONLY) • PERMIT# 10\01`602-- BUILDING PLANNING Intake OK by: Date: Intake OK by: Date: Intake Comments: Intake Comments: Assign To: ❑ Route to Commercial Building 0 Attach to Project No. ❑ Route to Residential Building 0 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 C.--7- Number of Stories Overlay/Agreement (U(1 GI- - Orc 1\4 - Basement ❑No ❑Yes , Fin/Unfin Nonresidential Use Type of Construction Residential Use Occupancy Group Proposed No. of Dwelling Units: Occupancy Load Total No. of Dwelling Units: Fire Sprinklers: ❑Update Existing ❑New System ❑Not Req'd Planning/Landscape Inspection 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: Total $ Reason Fire Alarm Required: Calculated: Credit: RCW 64.55 MF worksheet req'd for permit? ❑Yes ❑ No ❑Everett School Dist ❑Mukilteo School Dist Add'I RCW 64.55 docs required prior to final? ❑Yes El No Additional Notes: \, ,rj� �,35(L 0i1� tlp 21( -5 VALUATION CALCULATION: Total$ {2\1t¢J /A i,)/ -r1n4� �i�v�( rr'�Yc - AeAtiitts {Qyui iiar' (/1G7 I�SS li 5ets) m4 „-Cs, Approved By: 11 ( I Date: 12,-Zg i( PUBLIC WORKS Intake OK by:""T' Dater tZ tit Additional Notes: Intake Comments: PW Worksheet Needed if: %.rcA/ ✓4j j ,l{r02t fret zfr4 ,�°��/1 ��'". I --t ❑Sys Dev Eval ❑Traffic Mit Eval ❑Site Work or Drainage Proposed Approved By � Date:/Z/j/Z4/8 C AV £� r""N ❑ ackflow Prevention for high hazard: f d S?Ser‹.M - v (dental,medical,animals,mortuary,hospital, supportive housing) FIRE DEPARTMENT DRoute this folder for PW Review at end ---PW Review Worksheet Intake: (Needed for Townhomes,Alley load SFR,New Commercial) ❑This project also has a separate concurrent PW Review(Green Folder) ❑Route to Fire Drawer---Fire Preliminary Review Notice AND ❑Create Green Folder ❑Submitted Previously ❑Deferred ❑Sending Fire Notes to Project Team ❑ This Permit is Approved by Public Works Date: (OK to Route to Other Departments) 0 See PW Review Worksheet and associated attached items Fire Sprinklers: ❑Update Existing ❑New System ❑ Not Req'd ❑ A Separate PW Permit is Required (Permit#: PW Fire Alarm: ❑Update Existing ❑New System ❑ Not Req'd AND ❑ Is located in this folder Chemical Sup: El Update Existing El New System ❑ Not Req'd ❑ Is in a Separate Green Folder(loin with this folder for permit issuance) Additional Notes: ❑Will be issued separately(Separate Green Folder,PW issued ahead of Bldg) Approved By: Date: Public Works has no scope---PW Not Required d itional Notes: ELECTRICAL /` i2�ZS Additional Notes: Approved By: Date: Approved By: fiery / Date: