2222 BAKER AVE 2022-01-24 - Laserfiche WebLink

• • Intake & Approval Sheet (FOR PERMIT STAFF ONLY) PERMIT#Ci2"-Ax-) ? O -GO BUILDING PLANNING Intake OK by: Date: Intake OK by: Assign To: Date: Intake Comments: Intake Comments: ❑ Route to Commercial Building 0 Attach to Project No. 0 Route to Residential Building 0 Route to Historic Reviewer ❑ Make this a"W" Permit 0 OK to Route to Other Departments Bldg/TI/Addn/Rem Size t q�`t -'4-2 0 Hold in Planning File Drawer Garage/Accessory Struct. Size - Zone Q ' 1- . Number of Stories Z Overlay/Agreement (z \\IeS -s&\\ \gs1C Basement El No atlYes , Fin(GnfinO Nonresidential Use Type of Construction V - ' ' Residential Use 'S� Occupancy Group C- Proposed No. of Dwelling Units: Occupancy Load Total No. of Dwelling Units: 4:72,1\ - Fire Sprinklers: ❑Update Existing ❑New System ®Not Req'd Planning/Landscape Inspection Required before Final? ❑Yes EZINo Reason Sprinklers Required: "In Lieu" Fee: Type: Amount$ Fire Alarm: ❑Update Existing ❑New System ZNot Req'd School Impact Fee: Total $ Reason Fire Alarm Required: Calculated: Credit: RCW 64.55 MF worksheet req'd for permit? ❑Yes ® No 0 Everett School Dist MI Mukilteo School Dist Add'I RCW 64.55 docs required prior to final? ❑Yes IigINo Additional Notes: VALUATION CALCULATION: Total$ 1 1 c ' `jd 2 -.' x 12.,1 = -3gi¢gd 6I co "- co oaf)(5,0 ' 8s,45o Approved qY' Date: "Z .\I,2 ,Z,, PUBLIC WORKS Intake OK by: Date: Additional Notes: Intake Comments: 1PW Worksheet Needed if: ❑Sys Dev Eval ❑Traffic Mit Eval ❑Site Work or Drainage Proposed Date: l ❑Backflow Prevention for high hazard: Approved By: /7/2D2_,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 ❑Fire Alarm ❑Other: AND ❑Create Green Folder ❑Submitted Previously ❑Deferred Additional Notes: 0 This Permit is Approved by Public Works 0 See PW Review Worksheet and associated attached items Fire Dept. Fees: 0 A Separate PW Permit is Required(Permit#: PW ) 0 Review of As-Built Plans-NO FIRE FEE AND ❑ Is located in this folder lig Minimal or No Fire Scope-NO FIRE FEE 0 Is in a Separate Green Folder(join with this folder for permit issuance) 0 Review/Inspection Scope-ADD FIRE FEE 0 Will be issued separately(Separate Green Folder,PW issued ahead of Bldg) Approved By: IK, u1,c1 Date: 7-19,2020 / �Rublic Works has no scope---PW Not Required Additional Notes: - -,./,' - ./ • ELECTRICAL -% /-- R. e d ! (Z r C o" c-i Additional Notes: Approved By: Date: Approved By: Date: