1315 PACIFIC AVE LUMEN APARTMENTS 2022-01-20

11, Intake &Approval Sheet (FOR PERMIT STAFF ONLY) 0 PERMIT# 1°1 0 I '02. BUILDING PLANNING Intake OK byJ V 1 Date: _i\ t I't°1 Intake OK by: Assign To: Date: Intake Comments: e s�� Intake Comments: -� &`k ceG. l& v,��; - y 6,408,9,p \. Ltb c4 -e4RAoC, 0 Route to Commercial Building ❑Attach to Project No. ❑ Route to Residential Building ❑ Route to Historic Reviewer ❑ Make this a"W"Permit 0 OK to Route to Other Departments Bldg/TI/Addn/Rem Size 2244- 0 Hold in Planning File Drawer Garage/Accessory Struct.Size — Zone A Number of Stories -4- Overlay/Agreement Basement ❑No ,Yes , Fin/Unfin Nonresidential Use Type of Construction V et Residential Use Occupancy Group Proposed No. of Dwelling Units: Occupancy Load (.el Total No.of Dwelling Units: Fire Sprinklers: xiUpdate Existing ❑New System ❑Not Req'd Planning/Landscape Insp- tion Required before Final? ❑Yes ❑No Reason Sprinklers Required: ; "In Lieu"Fee:Type: Amount$ Fire Alarm: Update Existing ONew System ❑Not Req'd School Impact Fee: otal $ Reason Fire Alarm Required: Calculated: Credit: RCW 64.55 MF worksheet req'd for permit? ❑Yes jaqq No ❑Everett Schoo Dist ❑Mukilteo School Dist Add'I RCW 64.55 dots required prior to final? ❑Yes KINo Additional Notes: VALUATION CALCULATION: Total $ 9..5o boo Approved By:( 'Z Date: \0-2©\e PUBLIC WORKS Intake OK by:Ai t Date: S Additional Notes: Intake,, /Comments: PW Work heet Needed if: N�"E� a U V r�4v-thy my*. `C]Sys Dev Eval ❑Traffic Mit Eval WM Site Work or Drainage Proposed Approved By: „ Date: R e, 1 q 1 • I• `OBackflow Prevention for high hazard: ;(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 KFire Alarm ❑Other: AND El Create Green Folder ❑Submitted Previously ❑Deferred Additional Notes: 12C ry(d 57 r►0-k--r c-" CIThis Permit is Approved by Public Works 4-t,� AiC-/"`-' ❑ 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 aoin with this folder for permit issuance) I Review/Inspection Sco e-ADD FIRE FEE ❑ Will be issued separately(Separate Green Folder,PW issued ahead of Bldg) Approved By: Sr, , Date: (D/!//9 1XPublic Works has no scope---PW Not Required Additional Notes: ELECTRICAL Additional Notes: Approved By: Date: Approved By: c�� Date: g IR 70/9 7z_,