2401 TAYLOR DR 2022-08-29 - Laserfiche WebLink

Intake & Approval Sheet (FOR PERMIT STAFF ONLY) PERMIT# —CC)` BUILDING PLANNING i Intake OK by: Date: Intake OK by: Assign To: Date: Intake Comments: Intake Comments: ,a Route to Commercial Building ❑ Attach to Project No. Route to Residential Building ❑ Route to Historic Reviewer ❑ Make this a "W"Permit ❑ OK to Route to Other Departments :Idg I/Addn/Rem Size 4Z4d Si ❑ Hold in Planning File Drawer Q. ag=.=c - so ,Struct. Size —2 I i S,K /12-7o $F Zone c�- Number o ories 3 Overlay/Agreement Basement 131No ❑Yes , Fin/Unfin Nonresidential Use Type of Construction -TV Residential Use F. Occupancy Group 12� Proposed No. of Dwelling Units: Occupancy Load Total No. of Dwelling Units: ©`^k_ mmtt Fire Sprinklers: ❑Update Existing ❑New System ❑Not Req'd Planning/Landscape Inspection Required before Final? ❑Yes LbtNo Reason Sprinklers Required: "In Lieu" Fee: Type: A Fire Alarm: CI Update Existing ❑New System ❑Not Req'd School Impact Fee: Total $ Reason Fire Alarm Required: Calculated: Credit: RCW 64.55 MF worksheet req'd for permit? ❑Yes , I No DEverett School Dis ❑Mukilteo School Dist \_ - Add'I RCW 64.55 docs required prior to final? ❑Yes 21No Addit`io_nal ��te_s:� ��} S� Q e (i t `GI( VALUATION CALCULATION: Total$ S301 3�ct S�AJM�7r .R4 \`t 2-ee OL k. Approved B • Date: \CD .VS. PUBLIC WORKS Intake OK by: Date: Additional Notes: z 0/$ /�2C it WCEC Intake Comments: (PWWorksheet Needed if: ❑Sys Dev Eval OTraffic Mit Eval I❑Site Work or Drainage Proposed Approved By: h�� Date: `❑Backflow Prevention for high hazard: ;(dental,medical,animals,mortuary,hospital, :supportive housing) FIRE DEPARTMENT DRoute 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) CI Fire Sprinklers ❑Fire Alarm ElOther: ANDr ❑Create Green Folder ❑Submitted Previously ElDeferred Additional Notes: , This Permit is Approved by Public Works III -%rSee PW Review Worksheet and associated attached items Fire Dept. Fees: �.:I A Separate PW Permit is Required (Permit#: PW :Lt• 4' -C ' ) ❑ Review of As-Built Plans-NO FIRE FEE AND ❑.Is located in this folder EI Minimal or No Fire Scope-NO FIRE FEE riaIs 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:k, sir,f.Jn Date: 11—/L./„ 0 Public Works has no scope--- PW Not Required Additional Notes: ELECTRICAL Additional Notes: Approved By: Date: Approved B " Date: / 1.4c. c-,