2414 CEDAR ST 2022-02-14 - Laserfiche WebLink

Intake &Approval Sheet 0(FOR PERMIT STAFF ONLY) • PERMIT#B2()OU"1)I a 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. ❑ 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 11.4-- -r y-2 ❑ Hold in Planning File Drawer Garage/Accessory Struct. Size — Zone a•-Z Number of Stories J.. Overlay/Agreement Basement ❑No IYes , Fin/Unfin Nonresidential Use Type of Construction Y '1 . Residential Use _ 66141L4 '5112.- Occupancy Group ''F. Proposed No.of Dwelling Units: Occupancy Load Total No.of Dwelling Units: I Fire Sprinklers: ❑Update Existing ❑New System lNot Req'd Planning/Landscape Inspection Required before Final? ❑Yes 9tNo Reason Sprinklers Required: tt "In Lieu"Fee:Type: Amount$ Fire Alarm: El Update Existing El New System El Not Req'd School Impact Fee: Total $ Reason Fire Alarm Required: Calculated: Credit: RCW 64.55 MF worksheet req'd for permit? ❑Yes W No El Everett School Dist ❑Mukilteo Schoo ist Add'I RCW 64.55 dots required prior to final? ❑Yes 511 No Additional Notes: VALUATION CALCULATION: Total$ l9-i 4=r2-2 ( t&A A ViaUtt - g wrts 01 vas Approved By: IA Date: 1\,Zy.Zv'Lo Cow t ef, ` l4?5a I tc (Q."t �R. PUBLIC WORKS Intake OK by: Date: Additional Notes: Intake Comments: PW Worksheet Needed if: °Sys Dev Eval ❑Traffic Mit Eval °Site Work or Drainage Proposed Approved By: Date: a( ( 4 '°Backflow 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) El Fire Sprinklers OFire Alarm ❑Other: AND ❑Create Green Folder ❑Submitted Previously ❑Deferred Additional Notes: C" 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 ) ❑ 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) ❑ Review/Inspection Scope-ADD FIRE FEE 0 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: A'VI Date: 1 Z/r