3426 TULALIP AVE 2022-01-13 - Laserfiche WebLink

Intake & Approval Sheet • (FOR PERMIT STAFF ONLY) ! PERMIT# 32(04-02?) • BUILDING PLANNING /f Intake OK by: Date: Intake OK by:ag Assign To: R ) 0 • Date: 4) Intake Comments: Intake Comments: (Orr-e. 'fr vt U -erSen /I212A • ❑ Route to Commercial Building ❑Attach to Project No. ❑ Route to Residential Building ❑ Route to Historic Reviewer ❑ Make this a"W"Permit NI OK to Route to Other Departments Bldg/TI/Addn/Rem Size ��i ❑ Hold in Planning File Drawer Garage/Accessory Struct.Size 2-co Zone g. - I Number of Stories l Overlay/Agreement Basement 'No ❑Yes , Fin/Unfin Nonresidential Use Type of Construction `V2- . Residential Use � �-- Occupancy Group Proposed No.of Dwelling Units: Occupancy Load Total No.of Dwelling Units: Fire Sprinklers: DUpdate Existing El New System ErNot Req'd PlanninglLandscape Inspection Required before Final? DYes ONo Reason Sprinklers Required: "In Lieu"Fee:Type: Amount$ Fire Alarm: ❑Update Existing ❑New System IINot Req'd School Impact Fee: Total $ Reason Fire Alarm Required: . Calculated: Credit: RCW 64.55 MF worksheet req'd for permit? DYes CYNo DEverett School Dist ❑Mukilteo School Dist Add'I RCW 64.55 docs required prior to final? DYes e.ElNo Additional Notes: VALUATION CALCULATION: Total$ Cos gr° Approved By: �/�OfDate: /,2.4• 2.624 gf PUBLIC WORKS' Intake OK by: Date: Additional Notes: Intake Comments. PW Worksheet Needed if: IOSys Dev Eval ❑Traffic Mit Eval !Mite Work or Drainage Proposed Approved By: L Date: !y� ,, ❑Backfiow Prevention for high hazard: (dental,medical,animals,mortuary,hospital, supportive housing) FIRE DEPARTMENT DRoute 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 DOther: AND ❑Create Green Folder ❑Submitted Previously ❑Deferred Additional Notes: ❑This Permit is Approved by Public Works :a ❑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 El 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: Date: ❑ Public Works has no scope---PW Not Required Additional Notes: ELECTRICAL Additional Notes: Approved By: Date: Approved By: Date: Z