1301 E CASINO RD 2022-01-11 - Laserfiche WebLink

Intake & Approval Sheet0 I (FOR PERMIT STAFF ONLY) 0 PERMIT# c l g/f- ea 1 BUILDING PLANNING Intake OK by: Date: 1` I2/I$ Intake Of Date: (n/f5//g Intake Comments: Intake Comments: Assign To: 7: L'V aGTvf) ❑ Route to Commercial Building 0 Attach to Project No. Route to Residential Building 0 Route to Historic Reviewer ❑ Make this a"W"Permit ,L-1Q�OK�to Route to Other Departments /1/7/,2 lifiD I/ n Size L iri in Planning File Drawer Garage/Accessory Struct. Size Zone K^ Number of Stories I Overlay/Agreement Basement ❑No '0 Yes 40 nfin Nonresidential Use Type of Construction /IV Residential Use j , Occupancy Group f 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 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 '� No ❑Everett School Dist ❑Mukilteo School Dist Add'I RCW 64.55 docs required prior to final? ❑Yes No Additional Notes: VALUATION CALCULATION: Total$ 87`�'7� DPiJ = 1301 CA Approved Date: Mill l ]C etf- 100 .5.p. PUBLIC WORKS Intake OK by:_ Date: Ii1R Oig Additional Notes: IS /j c Et (J SSG. Intake Comments: PW Worksheet eeded if:: No146 Qo i 9� ❑Sys Dev Eval ❑Traffic Mit Eval / / / IQ \►� yy�� W ❑Site Work or Drainage Proposed Approved By V Date: `/! 28/rter'"'"" ` ‘ ❑Backflow Prevention for high hazard: (� (dental,medical,animals,mortuary,hospital, supportive housing) FIRE DEPARTMENT ❑Route this folder for PW Review at end ---PW Review Worksheet Intake: (Needed for Townhomes,Alley load SFR,New Commercial) ❑This project also has a separate concurrent PW Review(Green Folder) El Route to Fire Drawer---Fire Preliminary Review Notice AND ❑Create Green Folder ❑Submitted Previously ❑Deferred ❑Sending Fire Notes to Project Team 0 This Permit is Approved by Public Works Date: (OK to Route to Other Departments) 0 See PW Review Worksheet and associated attached items Fire Sprinklers: ❑Update Existing ❑New System ❑ Not Req'd ❑A Separate PW Permit is Required (Permit#: PW ) Fire Alarm: ❑Update Existing ❑New System 0 Not Req'd AND 0 Is located in this folder Chemical Sup: ❑Update Existing ❑New System 0 Not Req'd 0 Is in a Separate Green Folder(join with this folder for permit issuance) Additional Notes: ❑Will be issued separately(Separate Green Folder,PW issued ahead of Bldg) Approved By: Date: IQ,'ublic Works has no scope---PW Not Required Additional Notes: ELECTRICAL Additional Notes: Approved By: Date: Approved By:c Date: r'1 g ,20,$ 2/Z