10210 EVERGREEN WAY 2021-12-22 - Laserfiche WebLink

Intake &Approval Sheet • (FOR PERMIT STAFF ONLY) • PERMIT# 331007 031 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 Bldg/TI/Addn/Rem Size ❑ Hold in Planning File Drawer Garage/Accessory Struct.Size I111 Zone rn t� Number of Stories 7 Overlay/Agreement Basement 13Jo ❑Yes, Fin/Unfin Nonresidential Use 4i. ) roice-t-ACCASCOgrc, Type of Construction V — Residential Use N Occupancy Group U Proposed No.of Dwelling Units: Occupancy Load 0 Total No.of Dwelling Units: Fire Sprinklers: ❑Update Existing ONew System Mot Req'd Planning/Landscape Inspection Required before Final? ❑Yes ❑No Reason Sprinklers Required: "In Lieu"Fee:Type: Amount$ Fire Alarm: El Update Existing El 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 1 No ❑Everett School Dist ❑Mukilteo School Dist Add'I RCW 64.55 docs required prior to final? ❑Yes INo Additional Notes: VALUATION CALCULATION: Total$ dJ' /4 7 Approved By: Date:51 J202-1 PUBLIC WORKS 7! Intake OK by: Date: Additional Notes: Intake Comments: I PW Worksheet Needed if: l OSys Dev Eval ❑Traffic Mit Eval J I DSite Work or Drainage Proposed Approved By: [5 Date:e2 / A j 1I]Backflow Prevention for high hazard: 6 :(dental,medical,animals,mortuary,hospital, ;supportive housing) FIRE DEPARTMENT ❑Route this folder for PW Review at end ---PW Review Worksheet Separate I 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: , =Trris 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 ❑ Will be issued separately(Separate Green Folder,PW issued ahead of Bldg) Approved By:Y, tApa Date: �j�� .�� ❑ Public Works has no scope---PW Not Required Additional Notes: ELECTRICAL Additional Notes:Approved By: Date: Approved Date: 0tel 1-7 Il r 24 2