320 89TH ST SE 2022-01-25 - Laserfiche WebLink

Intake &Approval Sheet 0 (FOR PERMIT STAFF ONLY) 40 PERMIT# 2bt2.�0--\/2-, BUILDING PLANNINGI� Intake OK by:_7'�°'L Dater/j,/ / Intake OK by . Assign To: V \g Date: "L'Or Intake Comments: Intake Comments: 124CLi XV/T1 14° P6d 0-t 1, 156° 0 Route to Commercial Building ❑ Attach to Project No. oute to Residential Building 7e .0 0 Route to Historic Reviewer 0 OK to Route to Other Departments Bldg/II/Adds ere 900 ,cS''ii 0 Hold in Planning File Drawer Garage/Accessory Struct.Size 4/14 Zone q-- X i 1 Number of Stories / Overlay/Agreement �~-- Basement 'No ❑Yes , Fin/Unfin Nonresidential Use r . Type of Construction ..r/i_.0 Residential Use 1�T R S T Z Occupancy Group 2 -C Proposed No.of Dwelling Units: Occupancy Load 6 Total No.of Dwelling Units: rrhh Fire Sprinklers: ❑Update Existing ❑New System Not Req'd Planning/Landscape Inspection Required before Final? ❑Yes 1 No Reason Sprinklers Required: "In Lieu"Fee:Type: Amount$ Fire Alarm: ❑Update Existing ❑New System/Not Req'd School Impact Fee: Total $ Reason Fire Alarm Required: Calculated: Cr ' : RCW 64.55 MF worksheet req'd for permit? ❑Yes An No ❑Everett School Dist ❑ ilteo School Dist _ Addi RCW 64.55 docs required prior to final? ❑Yes O.No Additional Notes: VALUATION CALCULATION: Total$ 24 de, 00 Approved B Date: P'S{t i • PUBLIC WORKS Intake OK by: Date: Additional Notes: Intake Comments: IPW Worksheet Needed if: OSys Dev Eval OTraffic Mit Eval i OSite Work or Drainage Proposed Approved 1'h'\ ,� Date:®7/9/Uz1 l OBackflow Prevention for high hazard: ((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 OFire Alarm ❑Other: AND ❑Create Green Folder ❑Submitted Previously ❑Deferred Additional Notes: ) ItiThis 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 0 Is located in this folder ❑ 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 ❑ Will be issued separately(Separate Green Folder,PW issued ahead of Bldg) Approved By: Date: 0 Public Works has no scope---PW Not Required Additional Notes: ELECTRICAL Additional Notes: Approved By: Date: Approved By: Date: A.5/2.t (Zo z I