10632 ROSEWOOD AVE 2022-04-06 - Laserfiche WebLink

Intake &Approval Sheet 0 (FOR PERMIT STAFF ONLY) • PERMIT# -921014'o2.0 BUILDING PLANNING Intake OK by: Date: Intake OK Assign To: rhCk. Date: LA in' 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 Bldg/TI/Addn/Rem Size i f ❑ Hold in Planning File Drawer Garage/Accessory Struct. Size Zone 1- Number of Stories ,.,1 Overlay/Agreement L2No Basement ❑Yes , Fin/Unfin Nonresidential Use Type of Construction Residential Use \- 2' \k% v4A Occupancy Group Proposed No.of Dwelling Units: Occupancy Load Total No.of Dwelling Units: ®Ae._ Fire Sprinklers: El Update Existing DI New System ONot Req'd Planning/Landscape Inspection Required before Final? ❑Yes ®No Reason Sprinklers Required: "In Lieu"Fee:Type: Amount$ Fire Alarm: El Update Existing CI New System ❑it Req'd School Impact Fee: Total $ Reason Fire Alarm Required: . Calculated: redit: RCW 64.55 MF worksheet req'd for permit? ❑Yes 4lo ❑Everett School Dist ri Mukilteo School Dist Add'I RCW 64.55 docs required prior to final? �s❑Yes L�d'No Additional Notes: .x VALUATION CALCULATION: Total$ oo Z11-IS" Approved By< —". Date: ', 10,T c 21 PUBLIC WORKS' Se& ri-I 6 ' 662 *IA 21 ou" 00F4 Intake OK by: Date: Additional Notes: Intake Comments: IPW Works he et Needed if: I❑Sys Dev Eval ❑Traffic Mit Eval • ❑Site Work or Drainage Proposed ❑Backflow Prevention for high hazard: Approved By: Date: f�I 3(dental,medical,animals,mortuary,hospital, supportive housing) FIRE DEPARTMENT ❑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 ❑Fire Alarm DOther: AND 2 Create Green Folder ❑Submitted Previously ❑Deferred Additional Notes: C /Tr's Permit is Approved by Public Works 0 PW Review Worksheet and associated attached items pn 6lZ Fire Dept. Fees: la A Separate PW Permit is Required(Permit#: PW 21 CO4 P ) , ❑ Review of As-Built Plans-NO FIRE FEE AND 0 Is located in this folder faMinimal or No Fire Scope-NO FIRE FEE QifIs in a Separate Green Folder(join with this folder for permit issuance) 0 Review/Inspection Scope-ADD FIRE FEE ❑ Will be issued separately(Separate Green Folder,PW issued ahead of Bldg) Approved By: K►F3r/7C,J n Date: 4,-6 �/ 0 Public Works has no scope---PW Not Required Additional Notes: ELECTRICAL Additional Notes: '� Approved By: Date: Approved By: ! Date: Silb7212\