703 ALVERSON BLVD 2022-01-11 - Laserfiche WebLink

• C31 Intake &Approval Sheet (FOR PERMIT STAFF ONLY) PERMIT# D BUILDING PLANNING Intake OK by: 4 Date: $/e`<ff Intake OK by: .e Date: , OT< e\ Int ke Co mnts: Assign To: _ ccA_DN. Intake Comments: * ee�� e o+\%OA_ ekee\ c\\tee a- CAVANer ❑ Route to Commercial Building ❑Attach to Project No. Ed Route to Residential Building ❑ Route to Historic Reviewer ❑ Make this a"W"Permit ® OK to Route to Other Departments Bldg/TI/Addn/Rem Size glff ❑ Hold in Planning File Drawer Garage/Accessory Struct. Size Zone '�— Number of Stories I Overlay/Agreement Basement W-No ❑Yes, Fin/Unfin Nonresidential Use Type of Construction atr3 Residential Use l_ Occupancy Group Proposed No.of Dwelling Units: Occupancy Load Total No.of Dwelling Units: Cr3.!\e_ Fire Sprinklers: ❑Update Existing ❑New System ❑Not Req'd Planning/Landscape Inspection Required before Final? DYes INo Reason Sprinklers Required: "In Lieu"Fee:Type: Amount$ Fire Alarm: ❑Update Existing ❑New System ONot Req'd School Impact Fee: Total $ Reason Fire Alarm Required: Calculated: edit: RCW 64.55 MF worksheet req'd for permit? DYes f No ❑Everett School Dist Mukilteo School Dist Add'I RCW 64.55 docs required prior to final? DYes law Additional Notes: VALUATION CALCULATION: Total $ '2t tlei 3'iga ,Z, Approved By: Date: \C IA, `C PUBLIC WORKS Intake OK by: " -rft..1 Date: a'S/2A i 4 Additional Notes: 2 0/S J/ZC, .e 14)SSG, Intake Comments: PW Worksheet Needed if: 5-CoRnA qa 0 S C2- P a'�.-r< o++ giSys Dev Eval ❑Traffic Mit Eval 3 4 et f ILASite Work or Drainage Proposed / �rroo L 4? .4ks w-c,�oG,, ❑Backflow Prevention for high hazard: Approved By: Date: �Z,$'6iL'� ..1ae 'Tu. .bw t� (dental,medical,animals,mortuary,hospital, -Pecz...►.-c. . supportive housing) FIRE DEPARTMENT oute this folder for PW Review at end ---PW Review Worksheet Separate/Deferred Submittals Required: DThis project also has a separate concurrent PW Review(Green Folder) El Fire Sprinklers ❑Fire Alarm ❑Other: AND DCreate Green Folder ❑Submitted Previously ❑Deferred Additional Notes: MI-This Permit is Approved by Public Works I 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 121.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: < /3nOcA/p Date: /0"1/—IF ❑ Public Works has no scope---PW Not Required Additional Notes: ELECTRICAL Additional Notes: Approved By: Date: Approved By: Date: /O1Z/ ,t 9