3125 OAKES AVE 2022-02-15 - Laserfiche WebLink

Intake &Approval Sheet • (FOR PERMIT STAFF ONLY)411 PERMIT# Z200Z ` / 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 ❑ Route to Historic Reviewer El Make-this a"W"Permit ❑ OK to Route to Other Departments Bldg/TI/Addn/Rem Size .C!S 4-42- ❑ Hold in Planning File Drawer Garage/Accessory Struct.Size — Zone Number of Stories Overlay/Agreement Basement No ❑Yes , Fin/Unfin Nonresidential Use Type of Construction •i.i . Residential Use Occupancy Group Proposed No.of Dwelling Units: Occupancy Load Total No.of Dwelling Units: Fire Sprinklers:P Update Existing ❑New System ❑Not Req'd Planning/Landscape Inspection Required before Final? ❑Yes ❑No Reason Sprinklers Required: "In Lieu"Fee:Type: Amount$ Fire Alarm: tgl Update Existing El New System El Not Req'd School Impact Fee: Total $ Reason Fire Alarm Required: IV Calculated: Credit: RCW 64.55 MF worksheet req'd for permit? ❑Yes IZI No ❑Everett School Dist ❑Mukilteo School Dist Add'I RCW 64.55 docs required prior to final? ❑Yes KiNo Additional Notes: Ir+ o/ b roar, remodel 0 VALUATION CALCULATION: Total$ SGD ,no R.Aonb/ riv,�,s revt►y,,, or aff_" as of -tw, Approved By: '(_, Date: Z, - 3 -Z oZ v C PUBLIC WORKS Intake OK by: ,� e /.g./Dat : 2 ..Z Additional Notes: Intake Comments: i f PW Worksheet Needed if: ArOAfE 10 ��• _❑Sys Dev Eval ❑Traffic Mit Eval I❑Site Work or Drainage Proposed Approved By: k�( Date:1 J3/2o.2 cs DBackflow Prevention for high hazard: lli / i(dental,medical,animals,mortuary,hospital, ;supportive housing) FIRE DEPARTMENT DRoute this folder for PW Review at end ---PW Review Worksheet eparate/Deferred Submittals Required:)4, ❑This project also has a separate concurrent PW Review(Green Folder) Fire Sprinklers Fire Alarm ❑Other: AND OCreate 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 ) ❑ 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 / El Will be issued separately(Separate Green Folder,PW issued ahead of Bldg) Approved By: 1.o,. ,Q, Date: 2/S/ouzo J1ublic Works has no scope---PW Not Required Additional Notes: ELECTRICAL Additional Notes: Approved By: Date: Approved By: J.A Date: 213 � t� 272