11401 3RD AVE SE 2022-03-03 - Laserfiche WebLink

• • Intake & Approval Sheet (FOR PERMIT STAFF ONLY) PERMIT# Flo —0( L BUILDING PLANNING Intake OK by: Date: Intake OK by: Assign To:filly Date: Intake Comments: Intake Comments: p -1/4 ❑ Route to Commercial Building ❑ Attach to Project No. ❑ Route to Residential Building ❑ Route to Historic Reviewer ❑ Make this a"W" Permit P OK to Route to Other Departments Bldg/TI/Addn/Rem Size f Zv -r E i 0 Hold in Planning File Drawer Garage/Accessory Struct. Size — Zone V3 Number of Stories 2- Overlay/Agreement Basement ICI No ❑Yes , Fin/Unfin Nonresidential Use Type of Construction \(- gj Residential Use l Y Wf h - /lq Occupancy Group F .- 2. Proposed No. of Dwelling Units: Occupancy Load Total No. of Dwelling Units: Fire Sprinklers: ❑Update Existing ❑New System 12nNot Req'd Planning/La ape Inspection Required before Final? ❑Yes ri o 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: IN Calculated: Cre 1 .=,.,, RCW 64.55 MF worksheet req'd for permit? Yes ❑ No ❑Evere ool Dist ❑Mukilteo School Dist Add'I RCW 64.55 docs required prior to final? ®Yes ❑No Additional Notes: .ie 010V,r/,/n "(J�o ( J r / VALUATION CALCULATION: Total $ Co t` (p(4 �p(� � U " -,/�„rC lin F V� Approved By: 04s Date: N2.(0/ PUBLIC WORKS Intake OK by: Date: Additional Notes: . . ta. 7-0Ft,_E- •D{Atet Intake Comments: €PWWorksheetNeededif: Vt fiTci jDSys Dev Eval OTraffic Mit Eval 1� r❑Site Work or Drainage Proposed Approved By: , 1/ Date: 5 I f�>jAyj) ❑eackflow Prevention for high hazard: GI / / (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) ❑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 ❑ Is located in this folder 0-Minimal or No Fire Scope-NO FIRE FEE 0 Is in a Separate Green Folder(loin 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: O i Date:C, - .-:) Public Works has no scope---PW Not Required Additional Notes. L' P Ic 4 IZti-w ELECTRICAL Additional Notes: Approved By: Date: Approved By: Date: C-7:—'4)