1317 56TH ST SW 2022-03-04 - Laserfiche WebLink

s Intake & Approval Sheet ! (FOR PERMIT STAFF ONLY) lb PERMIT# /bp� 0 6`J 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 0 Route to Historic Reviewer ❑ Make this a"W"Permit ❑ OK to Route to Other Departments Bldg/TI/Addn/Rem Size ❑ Hold in Planning File Drawer Garage/Accessory Struct.Size Zone - j Number of Stories Overlay/Agreement Basement al No ❑Yes, Fin/Unfin Nonresidential Use Type of Construction V Residential Use C3112, \-Qpl . Occupancy Group 12./(4 Proposed No.of Dwelling Units: — Occupancy Load Total No.of Dwelling Units: 1— Fire Sprinklers: ❑Update Existing El New System Clot Req'd Planning/Landscape Inspection Required before Final? ❑Yes . No Reason Sprinklers Required: "In Lieu"Fee:Type: Amount$ Fire Alarm: El Update Existing El New System SNot Req'd School Impact Fee: Total $ Reason Fire Alarm Required: Calculated: Credit: RCW 64.55 MF worksheet req'd for permit? ❑Yes A No El Everett School Dist ❑Mukilteo School Dist Add'I RCW 64.55 docs required prior to final? ❑Yes Z No Additional Notes: \y tpo(Y..- 0 ^ AD L VALUATION CALCULATION: Total$ G (2D 'kN fr5Peeve)r.Ir `--- Approved By: IL• A Date: 2-— 12,7,c) UBLIC WORKS Intake OK by: a 1-100tc Date 2./ i z (Za 2c> Additional Notes: 2 0IS— !QL 4t GO,r6c. Intake Comments: 1PW Worksheet Needed if. 1•4-rE'9--4o4- `.'oqr-,t" :❑Sys Dev Eval ❑Traffic Mit Eval O a-►r- ❑Site Work or Drainage Proposed Approved By: c t/-- Date: 2//2/20 ❑Backflow Prevention for high hazard: '(dental,medical,animals,mortuary,hospital, 'supportive housing) FIRE DEPARTMENT - El Route 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 OFire Alarm ❑Other: AND ❑Create Green Folder ❑Submitted Previously ODeferred 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 ❑ 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: lic Works has no scope---PW Not Requi d Additional No / ELECTRICAL z_G iZ 1 w Additional Notes: Approved By: Date: Approved By: Date: