9305 3RD PL SE 2022-01-26 - Laserfiche WebLink

Intake & Approval Sheet *FOR PERMIT STAFF ONLY) 4110 PERMIT# - BUILDING PLANNING Intake OK by: Date: Intake OK by: illS Assign To:ti-LeV J ) Date:(Q • /•2.-0ZI Intake Comments: Intake Comments: ❑ Route to Commercial Building ❑ Attach to Project No. ❑ Route to Residential Building 0 Route to Historic Reviewer ❑ Make this a"W"Permit ArOK to Route to Other Departments Bldg/TI/Addy gem Sizz /ZD (5'F ❑ Hold in Planning File Drawer Garage/Accessory Struct.Size Al Zone k- I Number of Stories / Overlay/Agreement _ Basement ❑No ❑Yes, Fin/Unfin Nonresidential Use Type of Construction 2 -( Residential Use S-12. Occupancy Group L%ZG Proposed No.of Dwelling Units: Occupancy Load Total No.of Dwelling Units: Fire Sprinklers: El Update Existing El 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 El New System INot Req'd School Impact Fee: Total $ Reason Fire Alarm Required: . Calculated: Credit: RCW 64.55 MF worksheet req'd for permit? ❑Yes lallo El Everett School Dist ❑Mukilteo School Dist Add'I RCW 64.55 docs required prior to final? ❑Yes ]No Additional Notes: No eh(-f-ef tor Wa J-fe'.tcWeof or ae?i'A/Pal VALUATION CALCULATION: Total$ VJ;-(1-WS 17ef rya--+-, ,c/0 f/4L6Qre6A/ 1,2- /60G 1Io )CS 0 Gel t/ Approved By:04 Date: (° , f �2- f 0" PUBLIC WORKS Ihtake OK by: Date: Additional Notes: Intake Comments: FPW Worksheet Needed if: 1DSys Dev Eval ❑Traffic Mit Eval . IDSite Work or Drainage Proposed Approved By:�J)1�� Dater/� j / =0Backflow Prevention for high hazard: t�� :(dental,medical,animals,mortuary,hospital, isupportive housing) - FIRE DEPARTMENT El 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) El Fire Sprinklers El Fire Alarm ❑Other: AND ❑Create Green Folder ❑Submitted Previously ❑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 II: 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: Ir).)