2120 RAINIER AVE 2022-03-24 - Laserfiche WebLink

Intake & Approval Sheet *(FOR PERMIT STAFF ONLY) 0 PERMIT # &U Z603'0 j BUILDING Intake OK by:Citk Date:��_ Intake Comments: ❑ Route to Commercial Building R Route to Residential Building 91 Make this a "W" Permit Bldg/TI/Add e Size Z �� Garage/Accessory Struct. Size Number of Stories 2 Basement []No WYes , Fin / n i Type of Construction Occupancy Group Occupancy Load Fire Sprinklers: ❑Update Existing ❑New System []Not Req'd Reason Sprinklers Required: Fire Alarm: ❑Update Existing ❑New System ❑Not Req'd Reason Fire Alarm Required: RCW 64.55 MF worksheet req'd for permit? ❑Yes No Add'I RCW 64.55 docs required prior to final? ❑Yes JgNo VALUATION CALCULATION: Total $9.¢ Additional Notes: 20/,157- /a2 C Approved By: Date: 3 Zo FIRE DEPARTMENT Separate / Deferred Submittals Required: El Fire Sprinklers ❑Fire Alarm ❑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: Intake Comments: 12 ❑ Attach to Project No. ❑ oute to Historic Reviewer OK to Route to Other Departments ❑ Hold in Planning File Drawer Zone —2 Overlay/Agreement Nonresidential Use Residential Use 2 Proposed No. of Dwelling Units: Total No. of Dwelling Units: 0— PlanningLLandscape Inspection Required before Final? ❑Yes "In Lieu" Fee: ount $ School Impact Fee: To Calculated: t: ❑ School Dist ❑Mukilteo School Additional Notes: Approved By:! Date: PUBLIC WORKS Intake OK by: Date: 207-0 ___................... .................._.._._......._...........................-..-................._...... Intake Comments,:{, PW Worksheet Needed if., ❑Sys Dev Eval ❑Traffic Mit Eval I❑Site Work or Drainage Proposed ❑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 ❑ 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 (join with this folder for permit issuance) ❑ WIII be Issued separately (Separate Green Folder, PW issued ahead of Bldg) Public Works has no scope --- PW Not Required Additional Notes: Approved By: Date: 6 u 91 1 Z /