5001 SOUND AVE 2022-05-13 - Laserfiche WebLink

Intake &Approval Sheet (FOR PERMIT STAFF ONLY) • PERMIT# t� IZ-o2 l BUILDING ? .Q PLANNING (� Intake OK by: Date: 1 a/ 5A 5 Intake OK by>;--J Assign To:C c Date: V...Vir,\R Intake Comments: Intake Comments: ❑ Route to Commercial Building 0 Attach to Project No. , 2 Route to Residential Building ❑ Route to Historic Reviewer ❑ Make this a"W"Permit 0 OK to Route to Other Departments Bldg/TI/Addn/Rem Size ❑ Hold in Planning File Drawer Garage/Accessory Struct.Size CO3 Zone �� Number of Stories I Overlay/Agreement Basement INo ❑Yes, Fin/Unfin Nonresidential Use Type of Construction ‘ .((3 Residential Use c Occupancy Group V u Proposed No.of Dwelling Units: Occupancy Load Total No.of Dwelling Units: C,,A.e._ 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 I No ❑Everett School Dist ❑Mukil School Dist Add'RCW 64.55 docs required prior to final? ❑Yes MI No Additional Notes: VALUATION CALCULATION: Total$ 3 Z t 44 602 c 48 t e'& 1- l it'o a 2j 3 So 0Approved By� Date: L�,M.2, CO PUBLIC WORKS - Intake OK by:'. Date: IZ �� Mal Additional Notes: Intake Comments: IPW Worksheet Needed if: 6'03sic qr DSys Dev Eval ❑Traffic Mit Eval 5C5 sc `,1,05Y64nt � ®f I ite Wor or Drainage Proposed Approved By: ci��' Date: //�o/y0 !i 6 gsp TUrJ isu/Zitm 30Backflow Prevention for high hazard: VVVV (� I 9 (dental,medical,animals,mortuary,hospital, PW p iii+ 1-SW Vys ivy Fsupportive housing) FIRE DEPARTMENT F2oute 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 El Fire Alarm ❑Other: AND ❑Create Green Folder ❑Submitted Previously ❑Deferred Additional Notes: ,; n 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 & o".—CP4 ) ❑ Review of As-Built Plans-NO FIRE FEE AND 0 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: ❑ Public Works has no scope---PW Not Required Additional Notes: ELECTRICAL Additional Notes: Approved By: Date: Approved By: 1 ( 41-yin Date: ey 110)7,2 , ,l