3506 ROCKEFELLER AVE 2022-01-21 - Laserfiche WebLink

Intake &Approval Sheet • (FOR PERMIT STAFF ONLY) • PERMIT# Okij $—oe BUILDING PLANNING Intake OK by: Date: Intake OK bN Assign To: MCA_ Date: Intake Comments: Intake Comments: ❑ Route to Commercial Building ❑ Attach to Project No. ❑ Route to Residential Building ❑ Route to Historic Reviewer ❑ Make this " " Permit ❑ OK to Route to Other Departments Bldg/TI/Ad n/Rem Siz 7, QJd494 ❑ Hold in Planning File Drawer Garage/Accessory Struct.Size Zone �, — Number of Stories Overlay/Agreement — Basement ❑No Yes , Fin/Unfin Nonresidential Use — i Type of Construction V`°'13 J Residential Use -S"f — Occupancy Group OZ :3 Proposed No. of Dwelling Units: Occupancy Load Ll f,,* Total No.of Dwelling Units: Fire Sprinklers: El Update Existing Mew System %Not Req'd Planning/Landscape Inspection Required before Final? ❑Yes 15!I,No k Reason Sprinklers Required: "In Lieu"Fee:Type: Amount$ — Fire Alarm: ❑Update Existing El New System 2Not 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''RCW 64.55 docs required prior to final? ❑Yes ItNo Additional Notes: �n�o�ncoI\ C�►:V VALUATION CALCULATION: Total$ /t7p 1J.� iVC(ON i5 QffcM :Qa Ok viA - yNk /Ac., x I oZ/ f,i Ccvs,,orFo�. 4 )si,„„rr ! Approved By: -- Date: k2-d\ Zr32,6 p G3/ Y`J PUBLIC WORKS o Intake OK by: Date: Additional Notes: Intake Comments: i PW Worksheet Needed if: ❑Sys Dev Eval ❑Traffic Mit Eval f €OSite Work or Drainage Proposed Approved By: Leg- Date: `2./3/AQ '1 DBackflow Prevention for high hazard: ` I(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 El Fire Alarm ❑Other: AND OCreate Green Folder OSubmitted 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 M 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: K.ecown Date:9-29 02 '!4 Public Works has no scopeeit) ---PW Not Required Additional Notes:ELECTRICAL score Additional Notes: Approved By: Date: Approved By: a:A Date: /Q Z02D