2215 PINE ST 2022-01-25 - Laserfiche WebLink

Intake &Approval Sheet 0 (FOR PERMIT STAFF ONLY) • PERMIT# B2 "'O 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 ❑ -.ute to Historic Reviewer ❑ Make this a"W"Permit r. OK to Route to Other Departments 69d /TI/Addn/Rem Size .�lfg , F ❑ Hold in Planning File Drawer Garage/Accessory Struct.Size `c/ije/ Zone '-2. Number of Stories / Overlay/Agreement Basement I INo ❑Yes , Fin/Unfin Nonresidential Use SCi Type of Construction Residential Use Occupancy Group e- Proposed No.of Dwelling Units: Occupancy Load 9s Total No.of Dwelling Units: Fire Sprinklers: ❑Update Existing El New System WNot Req'd Planning/Landscape Inspection Required before Final? ❑Yes o Reason Sprinklers Required: "In Lieu"Fee:Type: Amount$ Fire Alarm: El Update Existing RNew System ❑Not Req'd School Impact Fee: Total $ Reason Fire Alarm Required: Calculated: Credit: RCW 64.55 MF worksheet req'd for permit? ❑Yes ►. No DEverett School Dist ❑Mukilteo School Dist Add'I RCW 64.55 docs required prior to final? ❑Yes RiNo Additional Notes: VALUATION CALCULATION: Total$ i.S(,'t90.00 Approved By: A5 Date: I o /20 J PUBLIC WORKS Intake OK by: Date: Additional Notes: Intake Comments: IPW Worksheet Needed if: €DSys Dev Eval ❑Traffic Mit Eval ❑Site Work or Drainage Proposed Approved B Date:(]/27 ?� 0Backflow Prevention for high hazard: ;(dental,medical,animals,mortuary,hospital, ;supportive 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) ❑Fire Sprinklers ❑Fire Alarm ❑Other: AND ❑Create Green Folder ❑Submitted Previously El Deferred 1 Cr Additional Notes: ❑ This Permit is Approved by Public Works ❑ See PW Review Worksheet and associated attached items Fire Dept. Fees: 0 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:x,Sreo c„...)a--1 Date: y/'y 0 Public Works has no scope--- PW Not Required Additional Notes: ELECTRICAL Additional Notes: Approved By: Date: Approved By: Date: