2824 GRAND AVE NAUTICA CONDOMINIUMS 2022-03-23

Intake & Approval Sheet • (FOR PERMIT STAFF ONLY) 0 PERMIT # y� 0� BUILDING Intake OK b %Date: O? Zi U2A Intake Comments: ❑ Route to Commercial Building ❑ Route to Residential Building ❑ Make this a "W" Permit Bldg/TI/Addn/Rem Size Garage/Accessory Struct. Size Number of Stories Basement ❑No ❑Yes , Fin / Unfin Type of Construction Y Occupancy Group Occupancy Load Fire Sprinklers: ❑Update Existing ❑New System Not Req'd Reason Sprinklers Required: Fire Alarm: ❑Update Existing ❑New System M Not Req'd Reason Fire Alarm Required: RCW 64.55 MF worksheet req'd for permit? 51Yes ❑ No Add'I RCW 64.55 docs required prior to final? ❑Yes ONo VALUATION CALCULATION: Total $ Additional Notes: fccmC'ZEc�rFQ W% PaLr. Approved By: Date: U FIRE DEPARTMENT Separate / Deferred Submittals Required: ❑Fire Sprinklers []FireAlarm []Other: Additional Notes: Fire Dept. Fees: ❑ Review of As -Built Plans - NO FIRE FEE ❑ Minimal or No Fire Scope - NO FIRE FEE ❑ Review / Inspection Scope - ADD FIRE FEE Approved By: Date: ELECTRICAL Additional Notes: Approved By: Date: PLANNING Intake OK by: ' Assign To: Date: _Z- Zi, ZIDZ0 Intake Comments: GGe CL J a\, "V-- r , ❑ Attach to Project No. ❑ Route to Historic Reviewer OK to Route to Other Departments ❑ Hold in Planning File Drawer Zone Overlay/Agreement Nonresidential Use Residential Use Proposed No. of Dwelling Units: Total No. of Dwelling Units: Planning/Landscape Inspection Required before Final? ❑Yes No "In Lieu" Fee: Type: Amo t $ School Impact Fee: Total $ Calculated: Cre�e1 t: ❑Everett School Dist ❑Mukilt o School Dist i Additional Notes: 216-14 Ya F �,a,ea,3 � �c�` J �in�' `�►� or' c�o.�e�lt Approved By: , Date: 3 , Z1d Zp Z,v PUBLIC WORKS Intake OK by: Date: ©Z 2 ,.,,.........._......._ _.......,_........_._....., ............ ..... Intake Comments: PW Worksheet Needed if. .[]Sys Dev Eval []Traffic Mit Eval []Site Work or Drainage Proposed I❑Backflow Prevention for high hazard: ;(dental, medical, animals, mortuary, hospital, ,supportive housing) ._..................................................._.............................._..........-._......_...... ............. .. ❑ Route this folder for PW Review at end --- PW Review Worksheet ❑This project also has a separate concurrent PW Review (Green Folder) AND ❑Create Green Folder ❑Submitted Previously ❑Deferred ci ❑ This Permit is Approved by Public Works ❑ See PW Review Worksheet and associated attached items ❑ A Separate PW Permit is Required (Permit #: PW ) AND ❑ Is located in this folder ❑ Is in a Separate Green Folder Qoin with this folderfor permit issuance) ❑ Will be issued separately (Separate Green Folder, PW issued ahead of Bldg) Public Works has no scope --- PW Not Required Additional Notes: Approved By: Date: ��Z