9316 HOLLY DR 2022-01-20 - Laserfiche WebLink

Intake &Approval Sheet (FOR PERMIT STAFF ONLY) PERMIT# +J W 2105 00+ BUILDING PLANNING Intake OK by: Date: Intake OK by: Assign To: Date: Intake Comments: Intake Comments: ❑ Route to Commercial Building ❑Attach to Project No. ❑ Route to Residential Building ❑ Route to Historic Reviewer ❑ Make this a"W"Permit ❑ OK to Route to Other Departments Bldg/TI/Addn/kem 4+ ❑ Hold in Planning File Drawer Garage/Accessory Struct.Size 5.24 Zone Number of Stories Overlay/Agreement Basement ❑No IYes , Fin/4ZiP Nonresidential Use Type of Construction (LC- Residential Use S Occupancy Group 1Z,G Proposed No.of Dwelling Units: Occupancy Load \ G Total No.of Dwelling Units: Fire Sprinklers: El Update Existing El New System ®Not Req'd Planning/Landscape Inspection Required before Fi I? Dyes Reason Sprinklers Required: "In Lieu"Fee:Type: Amo t$ Fire Alarm: El Update Existing El New System ®Not Req'd School Impact Fee: Total $ Reason Fire Alarm Required: Calculated: Credit: RCW 64.55 MF worksheet req'd for permit? DYes ® No ❑Everett School Dist ❑Mukilteo School Dist Add'I RCW 64.55 docs required prior to final? ❑Yes 'MNo Additional Notes: �/l VALUATION CALCULATION: Total$ 30��O Y "" 1 Or. i LOnLis Approved By: IL, Date: 3—20_-1 UBLIC WORKS �I Intake OK by: . Date: Additional Notes: Intake Comments: PW Worksheet Needed if: ❑Sys Dev Eval OTraffic Mit Eval I❑Site Work or Drainage Proposed Approved By: scl\ Date: Co(2,12024 I❑Backflow 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) El Fire Sprinklers ❑Fire Alarm DOther: AND ❑Create Green Folder ❑Submitted Previously El Deferred Additional Notes: ❑ 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 ❑ Review of As-Built Plans-NO FIRE FEE AND ❑ 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 ❑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: 2/Z