2730 PINE ST 2021-12-10 - Laserfiche WebLink

Intake &Approval Sheet •(FOR PERMIT STAFF ONLY) • PERMIT# it b`l - 01411 BUILDING PLANNING Intake OK by: Date: Intake OK by: Assign To: Date: _ Intake Comments: Intake Comments: ❑ Route to Commercial Building ❑Attach to Project No. ❑ Route to Residential Building ❑ Route to Historic Reviewer ❑ Make this a"W"Permit ❑ OK to Route to Other Departments BldglTl/Addn/Rem Size 0 Hold in Planning File Drawer Garage/Accessory Struct. Size' "- Zone INv1 Number of Stories Overlay/Agreement Basement No ❑Yes , Fin/Unfin Nonresidential Use ,-- Type of Construction y Asffue Residential Use �',�— Q\Q sc Occupancy Group , Proposed No.of Dwelling Units: ---- Occupancy Load f/)® Total No.of Dwelling Units: k\h.cee C 'S Fire Sprinklers: ❑Update Existing El New System Mot Req'd Planning/Landscape Inspection Required before Final? ❑Yes '►)No Reason Sprinklers Required: "In Lieu"Fee:Type: _ Amount$ Fire Alarm: ❑Update Existing ❑New System trNot Req'd School Impact Fee: Total $ Reason Fire Alarm Required: . Calculated: Credit: RCW 64.55 MF worksheet req'd for permit? ❑Yes T 'No ❑Everett School Dist Mukilteo School Dist Add!RCW 64.55 docs required prior to final? ❑Yes 1_tNo Additional Notes: VALUATION CALCULATION: Total$ G,,S O A Approved Byr---- 4 —•-) Date: -\b`IQ)Z_„t ` er C cl PUBLIC WORKS " `� Intake OK by: Date: Additional Notes: Intake Comments: PW Worksheet Needed if: , 1rj/ .- 12-1 =I]Sys Dev Eval OTraffic Mit Eval / IDSite Work or Drainage Proposed Approved By: _LL�,T ' Date: 5/R1 W 1]Backflow Prevention for high hazard: 666 =(dental,medical,animals,mortuary,hospital, !supportive housing) FIRE DEPARTMENT ❑Route 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 c ❑See PW Review Worksheet and associated attached items Fire Dept.Fees: 0 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(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: Vi Public Works has no scope---PW Not Required Additional Notes: ELECTRICAL Additional Notes: Approved By: Date: Approved By: ct-k Date: li 120(9_,‘