5033 CLAREMONT WAY FABER CONSTRUCTION 2023-06-12

Intake &Approval Sheet 0 (FOR PERMIT STAFF ONLY) 0 PERMIT# 6 2- °6 - 06 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 ❑ Route to Historic Reviewer ❑ Make this a"W"Permit ❑ OK to Route to Other Departments Bldddn/Rem 11 Size a„4`ef ,i& ❑ Hold in Planning File Drawer Garage/Accessory Struct.Size /14 Zone t v\0%. Number of Stories / Overlay/Agreement Basement ERNo ❑Yes , Fin/Unfin Nonresidential Use . e 2CQ_ Type of Construction Residential Use (pk) Occupancy Group ff Proposed No.of Dwelling Units: Occupancy Load I', Total No.of Dwelling Units: ------- Fire Sprinklers: CI Update Existing ❑New System MNot Req'd Planning/Landscape Inspection Required before Final? -'Yes ❑No Reason Sprinklers Required: "In Lieu"Fee:Type: Amount$ Fire Alarm: 12Update Existing CI 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 til No ❑Everett School Dist ❑Mukilteo School Dist Add'l RCW 64.55 docs required prior to final? ❑Yes �,No Additional Notes: VALUATION CALCULATION: Total$ ASO OD0.O \alasc_cocx- v\ -qte-ia\ Ak- c-.PL'- Approved By: Date: < "pi.A.totA PUBLIC WORKS Intake OK by: Date: Additional Notes: Intake Comments: IPW Worksheet Needed if: ❑Sys Dev Eval ❑Traffic Mit Eval ❑Site Work or Drainage Proposed Approved Byll,h✓/. Date: Fj� i7/M ❑Backflow Prevention for high hazard: i(dental,medical,animals,mortuary,hospital, ;supportive housing) FIRE DEPARTMENT ❑Route this folder for PW Review at end ---PW Review Worksheet Separate I Deferred Submittals Required: ❑This project also has a separate concurrent PW Review(Green Folder) CI Fire Sprinklers OFire Alarm ❑Other: AN ❑Create Green Folder ❑Submitted Previously ❑Deferred Additional Notes: 1 ✓This Permit is Approved by Public Works iS ee PW Review Worksheet and associated attached items Fire Dept.Fees: gi A Sep rate PW Permit is Required (Permit#: PW2jO8'`O ) CIReview of As-Built Plans-NO FIRE FEE AND Is located in this folder ❑ Minimal or No Fire Scope-NO FIRE FEE ❑ Is in a Separate Green Folder(join with this folder for permit issuance) Kr Review/Inspection Scope-ADD FIRE FEE + ❑ Will be issued separately(Separate Green Folder,PW issued ahead of Bldg) Approved By:T1.Ere,f',t)-n Date:622 / .,ublic Works has no scope---PW Not Required Additional Notes: ELECTRICAL Additional Notes: Approved By: Date: Approved By: j Date: 6' 094061