12029 14TH DR SE 2022-04-29 - Laserfiche WebLink

Intake &Approval Sheet • (FOR PERMIT STAFF ONLY) • PERMIT#'p,2cO2�c�� BUILDING PLANNING • Intake OK by: Date: 7/3/20 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 CI Make this a"W"Permit ❑_OK to Route to Other Departments Bldg/TI/Addn/Rem Size ❑ Hold in Planning File Drawer Garage/Accessory Struct.Size 2441 Sg Zone V---._ 2 Number of Stories . Z. Overlay/Agreement Basement ❑No ❑Yes , Fin/Unfin Nonresidential Use Type of Construction V-F Residential Use di° L 5 - Occupancy Group t Proposed No.of Dwelling Units: Occupancy Load Total No.of Dwelling Units: Fire Sprinklers:❑Update Existing ❑New.System Fagot Req'd Planning/Landscape Inspection Required before Final? ❑Yes 12.1No Reason Sprinklers Required: "In Lieu"Fee:Type: Amo $ Fire Alarm: ❑Update Existing ❑New System 'Not Req'd School Impact Fee: Total $ Reason Fire Alarm Required: Calculated: Cre RCW 64.55 MF worksheet req'd for permit? ❑Yes No DEverett School Dist ❑Mukiilt 'School Dist y, Add'I RCW 64.55 docs required prior to final? ❑ cJ Yes ISNo Additional Notes: On G ` `� 5 ' A L'Ul1— VALUATION CALCULATION: Total$ 11 rb Y$,, -I ;offer' ( ci—Level �� ''4• - i.Ja�. Approved By: l y Date: Z—-• _2®�D PUBLIC WORKS Intake OK by: th— Date: Additional Notes: 2 a is. /Qe_ Intake met ;PW Worksheet eeded if. D ne ' � Sys Dev Eval ❑Traffic Mit Eval ❑Site Work or Drainage Proposed Approved By: 41/1" Date:Z, �/tsp �(7 ] =OBackflow Prevention for high hazard: :(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) ID Fire Sprinklers ❑Fire Alarm ❑Other: - AND ❑Create Green Folder ❑Submitted Previously ❑Deferred a. Additional Notes: This Permit is Approved by Public Works `, El 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)1Approved By: Date: Public Works has no scope--- PW Not Required Additionaldi Notes: ELECTRICAL Additional Notes: Approved By: Date: Approved By: —.)&7S. Date: Zez,