5109 SEAHURST AVE 2022-04-06 - Laserfiche WebLink

Intake &Approval Sheet II (FOR PERMIT STAFF ONLY)S PERMIT# b(. `k0 C2-0. BUILDING PLANNING Intake OK by: c Date: to Aztiii Intake OK b Assign To: \-Q Date: \C).kti Intake Comments: Intake Comments: ❑ Route to Commercial Building El Attach to Project No. j ii L eP—oae Q Route to Residential Building ❑ Route to Historic Reviewer ❑ Make this a"W"Permit VOK to Route to Other Departments Bldg/TI/Addn/Rem Size ❑ Hold in Planning File Drawer Garage/Accessory Struct.Size 130. 5,r. Zone — Number of Stories I Overlay/Agreement l<V l Basement ale ❑Yes , Fin/Unfin Nonresidential Use 0 1 Type of Construction YF Residential Use eT' --- Occupancy Group it Proposed No. of Dwelling Units: 1 '�-Xtc7 f A/(r'" Occupancy Load Total No. of Dwelling Units: l Fire Sprinklers: El Update Existing ❑New System IXINot Req'd Planning/Landscape Inspection Required before Final? ❑Yes ISNo Reason Sprinklers Required: "In Lieu"Fee:Type: Amount$ Fire Alarm: ['Update Existing ['New System Not Req'd School Impact Fee: Total $ Reason Fire Alarm Required: Calculated: Credit: sir RCW 64.55 MF worksheet req'd for permit? oyes I No ❑Everett School Dist ❑Mukilteo School Dist Add'I RCW 64.55 does required prior to final? ❑Yes RiNo Additional Notes: VALUATION CALCULATION: Total$ 12 5e Approved By: w ; '"— Date: ` c1/cei PUBLIC WORKS Intake OK by: II AJ Date: 10 it 1 4 ! l 9 Additional Notes: -00is- /g,c Intake Comments: I PW Worksheet Needed if. iI�L ?D Pv.1, ScoE.- DSys Dev Eval ['Traffic Mit Eval ❑Site Work or Drainage Proposed Approved By: Citb Date: 11 ic-A ? I❑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/Deferred Submittals Required: ['This project also has a separate concurrent PW Review(Green Folder) ❑Fire Sprinklers ❑Fire Alarm ❑Other: AND ❑Create Green Folder ❑Submitted Previously ❑Deferred Additional Notes: ❑This Permit is Approved by Public Works ❑ See PW Review Worksheet and associated attached items Fire Dept. Fees: 0 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 ❑ 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: V�'ublic Works has no scope---PW Not Reegu�ired Additional Notes:---o� ea 6441 et ELECTRICAL Additional Notes: Approved By: Date: Approved By: Date: