3215 KROMER AVE 2021-12-17 - Laserfiche WebLink

(FOR PERMIT STAFF ONL PERMIT# 'Uk d —614 • Intake &Approval Sheet ( O 1� �. BUILDING �p PLANNING Intake OK by: Date: 1 /.SCE/64 Intake OK by:G/(J6 Assign Torr.1)4 Date:q-30. I Intake Comments: 11 Intake Comments: v ❑ Route to Commercial Building ❑ Attach to Project No. 0 Route to Residential Building ❑ Route to Historic Reviewer ❑ Make this a"W"Permit OK to Route to Other Departments Bldg/TI/Add - t1 ize 'Z,L(-3 Hold in Planning File Drawer Garage/Accessory Struct. Size Zone VZ- I Number of Stories Z Overlay/Agreement Basement ❑No ®Yes , Fin/Unfin Nonresidential Use Type of Construction -ZVI Residential Use 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 bef re Final? ❑Yes IXNo Reason Sprinklers Required: "In Lle :Type:_ Amount$ Fire Alarm: ❑Update Existing ❑New System ❑Not Req'd School Impact Fee: Reason Fire Alarm Required: Calculated: Cre ' : RCW 64.55 MF worksheet req'd for permit? ❑Yes JNo ❑ trScho Evereol Dist ❑Mukilteo School Dist Add'I RCW 64.55 docs required prior to final? ❑Yes 121.No Additional Notes: VALUATION CALCULATION: Total$ lit 25 3 Approved By: Op Date: It/6 q PUBLIC WORKS Intake OK by: T i1..1 Date: 9 130 1 Zo 19 Additional Notes: Z.O( 6 i RC 4, ],j SAC. Intake Comments: r,r3�P.WWorks`eeetNeededif: I Ry"t*''.z"O 4- S r¢- �r uSys Dev Eval DTraffc Mit Eval OSite Work or Drainage Proposed OBackflow Prevention for high hazard: Approved By: Date: ��iv�� i(dental,medical,animals,mortuary,hospital, isupportive 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 El 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(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: IN-Public Works has no scope---PW Not Required Additional Notes:es / , j�I Q ELECTRICAL l Additional Notes: Approved By: Date: Approved By: Date: 0