2902 RUCKER AVE 2022-01-25 - Laserfiche WebLink

intake &Approval Sheet • (FOR PERMIT STAFF ONLY) • PERMIT# �2OO-J.'D . 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 0 Route to Historic Reviewer ❑ Make this a" " 'ermit ❑ OK to Route to Other Departments Bldg/TI/Addn Ma - 7,,e�6 ❑ Hold in Planning File Drawer cGara ccessory Struct.Size ei 7 r3 1F Zone Number of Stories Z-- Overlay/Agreement Basement dtolo ❑Yes , Fin/Unfin Nonresidential Use Type of Construction It/:B Residential Use Occupancy Group 5-Z_- Proposed No.of Dwelling Units: Occupancy Load f.Z.Z_ Total No.of Dwelling Units: Fire Sprinklers:ClUpdate Existing DI New System ❑Not Req'd Planning/Landscape Inspection Required before Final? ❑Yes ❑No Reason Sprinklers Required: "In Lieu"Fee:Type: Amount$ Fire Alarm: 9Update Existing ONew System ONot Req'd School Impact Fee: Total $ Reason Fire Alarm Required: Calculated: Credit: RCW 64.55 MF worksheet req'd for permit? ❑Yes a No ❑Everett School Dist ❑Mukilteo School Dist Add']RCW 64.55 docs required prior to final? ❑Yes iliNo Additional Notes: VALUATION CALCULATION: Total$ 2 d OO d OO.00 vi Approved B : ae: By:IA leg Dt �, I' o' t PUBLIC WORKS Intake OK by: Date: Additional Notes: Intake Comments: IPW.Worksheet Needed if: `DSys Dev Eval ❑Traffic Mit Eval GDvi/ `i clnp Q i ICISite Work or Drainage Proposed Date: /� Zp I❑Backflow Prevention for high hazard: Approved B '_ �/ 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 15eFire 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#: PW 1005°01❑ Review of As-Built Plans-NO FIRE FEE AND 0 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) 51 Review/Inspection Scope-ADD FIRE FEE ❑ Will be issued separately(Separate Green Folder,PW issued ahead of Bldg) Approved By:K,?vroct-w Date: 3-8 p ❑ Public Works has no scope---PW Not Required Additional Notes: ELECTRICAL I��V Additional Notes:. di — " Approved By: Date: Approved B . Date: L 2 /C