922 51ST ST SW 2021-12-23 - Laserfiche WebLink

0 . • Intake & Approval Sheet (FOR PERMIT STAFF ONLY) PERMIT#' 3O--1. d BUILDING PLANNING Intake OK by: Date: Intake OK by: Assign To: Date: 1/7/4/2 Intake Comments: Intake Comments: GA r`�CGt srep vf-4,64 Vitt of i rl (7KR•�Ir . r✓t cc - -r playa , U tAf e d �leyhs a n S-�1� i, - S enel P iron,, ❑ Route to Commercial Building 0 Attach to Project No. v- f ❑ Route to Residential Building ❑ Route to Historic Reviewer ❑ Make this a"W"Permit ❑ OK to Route to Other Departments Bldg/TI/Addn/Rem Size ``` 4 4.(-'' g QeMz(/� ❑ Hold in Plannin File Drawer iiLlfe-' Garage/Accessory Struct. Size - Zone V--I Number of Stories Z Overlay/Agreement -� Basement ❑No ❑Yes, Fin/Unfin Nonresidential Use . Type of Construction V- Y ' Residential Use 5F1 Occupancy Group -5 Proposed No.of Dwelling Units: ..---- Occupancy Load Total No.of Dwelling Units: !" Fire Sprinklers: ❑Update Existing El New System NINot Req'd Planning/Landscape Inspection Required ore Final? ❑Yes No Reason Sprinklers Required: ra '9n I •Tpe: Amount$ YYY Fire Alarm: ❑Update Existing ❑ I51 New System Not Req'd School Impact Fee: o Reason Fire Alarm Required: Calculated: Cre • : RCW 64.55 MF worksheet req'd for permit? ❑Yes01 No ❑Everett ool Dist ❑Mukilteo School D ist Adel RCW 64.55 docs required prior to final? ❑Yes JatNo Add' onal Notes: VALUATION CALCULATION: Total$ \R-,4 2_4- \2-x 12. 1 y4 0 x 4/12A/ID '4 i1 1 Lt2 ✓ Approved B Date: .Q 2020 PUBLIC WORKS Intake OK by: Date: Additional Notes: Intake Comments: PW Worksheet Needed if: I❑Sys Dev Eval ❑Traffic Mit Eval ❑Site Work or Drainage Proposed I Approved By: Date: ( � � (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 g 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 0 Is located in this folder ❑ Minimal or No Fire Scope-NO FIRE FEE ❑ Is in a Separate Green Folder aoin 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: 0 Public Works has no scope--- PW Not Required Additional Notes: ELECTRICAL Additional Notes: Approved By: Date: Approved By: AAA Date: -6042g17.4)