415 100TH ST SW 2022-05-02 - Laserfiche WebLink

PERMIT STAFF ONLY) PERMIT#3°log-0'O Intake &Approval Sheet (FOR BUILDING PLANNING Intake OK by: ,4 Date: Sl 11 l9 Intake OK by: Date: Intake Commen 4.1 Intake Comments: Assign To: ❑ Route to Commercial Building 0 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 ' '4-2' ❑ Hold in Planning File Drawer Garage/Accessory Struct. Size — Zone 'E.1 MOO Number of Stories 3 Overlay/Agreement t-A,U 0 Basement wiNo ❑Yes , Fin/Unfin Nonresidential Use yytOWI - i Type of Construction V P' Residential Use Occupancy Group R-Z Proposed No.of Dwelling Units: Occupancy Load Total No. of Dwelling Units: Fire Sprinklers: ❑Update Existing ❑New System ANot Req'd Planning/Landscape Inspection Required before Final? ❑Yes $o Reason Sprinklers Required: "In Lieu" Fee:Type: Amount$ Fire Alarm: ❑Update Existing ❑New System 6Not Req'd School Impact Fee: Total $ Reason Fire Alarm Required: Calculated: Credit: RCW 64.55 MF worksheet req'd for permit? ❑Yes 0 No El Everett School Dist ❑Mukilteo School D t Add'I RCW 64.55 docs required prior to final? ❑Yes No Additional Notes: (}t nente_ v - A.() cjAirvat41:3 VALUATION CALCULATION: Total $ 1 'OO C1/41(i•A3 1-n„lWk- _fprlQce_ 'ik_ _ ';YR__ Approved By: y_ Date: -6-,_I f PUBLIC WORKS Intake OK by:(i'_ `" Date: g1 7 Additional Notes: Intake Comments: PW Worksheet Needed if: t1,0 1. 2 OSys Dev Eval ❑Traffic Mit Eval ❑Site Work or Drainage Proposed �k IX�� Approved By: Date: ` � � ❑Backflow Prevention for high hazard: ffff G Ai 4 (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) CI 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 ) ❑ff Review of As-Built Plans-NO FIRE FEE AND 0 Is located in this folder �I,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: <,is rOW n Date: 6-<,3-IQ WPublic Works has no scope---PW Not Required Additional Notes: A . t C p_�`C ELECTRICAL w� i Additional Notes: Approved By: Date: Approved By: _.A? -E,54— Date: 8/ �76NI