10923 PAINE FIELD WAY 2022-03-07

Intake &Approval Sheet •(FOR PERMIT STAFF ONLY) • PERMIT#f)W 20a3130CP BUILDING PLANNING Intake OK by: Date: !/i//Le> Intake OK by:6115 Assign To: Date: '/I)/2.0 Intake Comments: Intake Comments: 1 ❑ Route to Commercial Building ❑ Attach to Project No. ® Route to Residential Building ❑ -e ute to Historic Reviewer LI Make this a"W"Permit PS OK to Route to Other Departments dg I/Addn/W.ize £'S Se: /220 sf, ❑ Hold in Planning File Drawer Garage/Accessory Struct.Size Zone 1--'L.>> � Number of Stories t Overlay/Agreement Basement JNo ❑Yes, Fin/Unfin Nonresidential Use Type of Construction Residential Use Occupancy Group ( Proposed No.of Dwelling Units: Occupancy Load Total No.of Dwelling Units: j{ Fire Sprinklers: ❑Update Existing [hew System ❑Not Req'd Plan 'ng/Landscape Inspection Required before Final? ❑Yes Jo Reason Sprinklers Required: "In Lieu" •Type: Amount JJJJJJ Fire Alarm: ❑Update Existing ❑New System ❑Not Req'd School Impact Fee: $ Reason Fire Alarm Required: I� Calculated: RCW 64.55 MF worksheet req'd for permit? ❑Yes El No ❑Everett Schoo ' t ❑Mukilteo School Dls Add'I RCW 64.55 docs required prior to final? ❑ ta.O Yes No Additi otes: VALUATION CALCULATION: Total$ 19 t 6IS 5.f 73 4ots 21 f.7�,I IS 62o Approved By: 0 Date: /i/ /20 PUBLIC WORKS Intake OK by: I 71 Date: S L./I IZ°2-tg...................:.................,..... Additional Notes: 2,. /S I ,Rc. sik INS EL. Intake Comments: IPW Worksheet Needed if: —60 la,v EST ?o ":1.1 o"' 3 OSys Dev Eval ❑Traffic Mit Eval 6 F C.ACI-AGa.2. :o ❑Site Work or Drainage Proposed �7',/ Date:3/Z7/Z® L I) "-1 G. S+'Rc�. 1❑Backflow Prevention for high hazard: Approved By: . i �/'` r 2,F504. *e ,R-+viCW.4'{ !(dental,medical,animals,mortuary,hospital, a 'V.14..aL•IJAY pQ->E Ng.r.t _supportive housing) FIRE DEPARTMENT IgRoute 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: 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 w 2-oa3=00 9-) ❑ Review of As-Built Plans-NO FIRE FEE AND Ii6-ts 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 ❑ 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 B Date: 03/2.1 l Zo 2.0 C7.172)