2904 RIVERVIEW BLVD 2022-04-28 - Laserfiche WebLink

• • Intake &Approval Sheet (FOR PERMIT STAFF ONLY) PERMIT# j2/1(go-07 0 BUILDING ,((�� PLANNING Intake OK by: Date: Intake OK by /��f Assign To:Abet- Date:V6/20/ Intake Comments: Intake Comments: ❑ Route to Commercial Building 0 Attach to Project No. ❑ Route to Residential Building ❑ Route to Historic Reviewer ❑ Make this a" " rmit jsrOK to Route to Other Departments Bldg/TI/Ac n Rem Siz 6W 4'F - ❑ Hold in Planning File Drawer Garage/Accessory Struct.Size f"es Zone I4-1 Number of Stories / Overlay/Agreement Basement No ❑Yes, Fin/Unfin Nonresidential Use Type of Construction Residential Use JPI-' Occupancy Group " Proposed No.of Dwelling Units: Occupancy Load Total No.of Dwelling Units: Fire Sprinklers: El Update Existing ❑New System ,®Not Req'd Planning/Landscape Inspection Required before Final? ❑Yes ❑No 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: RCW 64.55 MF worksheet req'd for permit? ❑Yes ❑ No ❑Everett School Dist ❑Mukilteo School Dist Add'I RCW 64.55 docs required prior to final? ❑Yes ❑No Additional Notes:No e0.6t is r•W,,ep rooee p(q/ aveaf VALUATION CALCULATION: Total$ ZS act",00 Wahl*X rei `t: Approved By:AS Date: 7/412-4 PUBLIC WORKS Intake OK by: . Date: Additional Notes: Intake Comments: IPW Worksheet Needed if: IDSys Dev Eval ❑Traffic Mit Eval iDSite Work or Drainage Proposed Approved B• Date:Q�/I2/ / • OBackflow 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: 0 This Permit is Approved by Public Works 0 See PW Review Worksheet and associated attached items Fire Dept.Fees: ❑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: ❑ Public Works has no scope---PW Not Required Additional Notes: ELECTRICAL Additional Notes: Approved By: Date: Approved By: Date: .2_,l Z