3312 FEDERAL AVE 2022-02-14 - Laserfiche WebLink

• Intake & Approval Sheet (FOR PERMIT STAFF ONLY) 4110 PERMIT# ib(61Q '® 3 BUILDING PLANNING Intake OK by: 414 Date: �. f& /f9 Intake OK by: Date: 5-/2A/1 1 Intake Comments: Intake Comments: Assign To: --/-I--x ❑ Route to Commercial Building 0 Attach to Project No. .Route to Residential Building 0 Route to Historic Reviewer ❑ Make this a"W" Permit ,OK to Route to Other Departments Bld Add?id Size 57s" Sc. 0 Hold in Planning File Drawer Garage/Accessory Struct. Size 6,39, S,r Zone j— 1 Number of Stories Overlay/Agreement Basement ❑No r:Yes , Fin/Unfin Nonresidential Use Type of Construction �h Residential Use 5FW-- Occupancy Group I(Z/u Proposed No. of Dwelling Units: Occupancy Load Total No. of Dwelling Units: Fire Sprinklers: ❑Update Existing ONew System :blot Req'd Planning/Landscape Inspection Required before Final? ❑Yes No Reason Sprinklers Required: "In Lieu"Fee:Type: Amount$ Fire Alarm: ❑Update Existing ONew System ❑Not Req'd School Impact Fee: Total $ Reason Fire Alarm Required: Calculated:_ _ Credit: RCW 64.55 MF worksheet req'd for permit? ❑Yes Er No ❑Everett School Dist ❑Mukilteo School Dist Add'I RCW 64.55 docs required prior to final? ❑Yes ErNo Additional Notes: -oac sua03,_ r eq 0lye4 -fc_r \/ - VALUATION CALCULATION: Total$ l00 141 tc(esSG,'\JI 5"}Y l)G-j ue- 1 5 @ ILI 6g1575 J 6 3 ct 4e. 30(67t Approved By: (1 Date: I)13/1 GI PUBLIC WORKS Intake OK by: Date: 17--)L Additional Notes: 20,5 /,e G ir IA.) .aEG Intake Comments: PW Worksheet Needed if: ❑Sys Dev Eval ❑Traffic Mit Eval 1 t Z 1 / ',T mSite Work or Drainage Proposed Approved By: %ct 1 Date:7/// n Rife 1/261 ❑Backflow Prevention for high hazard: (dental,medical,animals,mortuary,hospital, supportive housing) FIRE DEPARTMENT 1Route 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 ❑ 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 0 Minimal or No Fire Scope-NO FIRE FEE 0 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: Date: ❑ Public Works has no scope---PW Not Required Additional Notes: ELECTRICAL Additional Notes: , Approved By: Date: Approved By: 4., - yA.,, Date: e /?ci1JltJ4