1629 107TH PL SE 2022-05-02 - Laserfiche WebLink

Intake &Approval Sheet •(FOR PERMIT STAFF ONLY) • PERMIT#C e:D -co R BUILDING PLANNING Intake OK by: 411E Date: Ei/f(0/i Intake OK by: �� Date: Cr - tie 2-0`7- Intake Comments: Intake Comments: Assign To: C -cQCt_ ❑ Route to Commercial Building ❑Attach to Project No. Route to Residential Building 0 Route to Historic Reviewer ❑ Make this a"W"Permit ❑ OK to Route to Other Departments Bldg/TI/ dd /Rem Size To $6 9 0 Hold in Planning File Drawer Garage/Accessory Struct.Size ,4 Zone 'Z Number of Stories I Overlay/Agreement Basement ViNo ❑Yes, Fin/Unfin Nonresidential Use Type of Construction Residential Use Sc 4Z Occupancy Group i2, Proposed No. of Dwelling Units: Occupancy Load Total No.of Dwelling Units: Fire Sprinklers: ❑Update Existing ❑New System Mot Req'd Planning/Landscape Inspection Required before Final? 'Yes R®No Reason Sprinklers Required: "In Lieu"Fee:Type: Amo , Fire Alarm: El Update Existing ❑New System 121,Not Req'd School Impact Fee: Total $ Reason Fire Alarm Required: Calculated: " redit: RCW 64.55 MF worksheet req'd for permit? ❑Yes 121No ❑Everett School Dist IR ukilteo School Dist. Add'I RCW 64.55 docs required prior to final? ❑Yes EiNo Additionaltiio�Not s: \ g 67Lf6 i\ a� �/3 tAJ�C�QS �S �QSV�R\� ' C9'`/v&\--km2.U. VALUATION CALCULATION: Total$ � O � � � � `�� ` _ \�a �� c oM .-N- ito.Ov6y05--Op\ Approved B Date: 2 . 20 Ion PUBLIC WORKS Intake OK by: Cig^- Date: 2114/W.194g Additional Notes: 2 0!5- l� LaSiAC. Intake Comments: PW Worksheet Needed if. � Nis�1 • g AIL` ❑Sys Dev Eval ❑Traffic Mit Eval A l ifeb 'tot 13 f ❑Site Work or Drainage Proposed Approved By: . Vr/ Date: Z`Z'?i/ jTU 0. �'0.1'�' ❑Backflow Prevention for high hazard: (dental,medical,animals,mortuary,hospital, supportive housing) FIRE DEPARTMENT jgRoute this folder for PW Review at end ---PW Review Worksheet Intake: (Needed for Townhomes,Alley load -,New Commercial) ❑This project also has a separate concurrent PW Review(Green Folder) ❑Route to Fire Drawer---Fire -reliminary Review Notice AND ❑Create Green Folder ❑Submitted Previously ❑Deferred ❑Sending Fire Notes t• 'roject Team ► This Permit is Approved by Public Works Date: (OK to Route to Other Departments) ❑ See PW Review Worksheet and associated attached items Fire Sprinkler : E Update Existing ❑New System ❑ Not Req'd ❑A Separate PW Permit is Required (Permit#: PW ) Fire Alarr. ❑Update Existing ❑New System ❑ Not Req'd AND 0 Is located in this folder Ch99rnical Sup: ❑Update Existing ❑New System 0 Not Req'd 0 Is in a Separate Green Folder(join with this folder for permit issuance) Additional Notes: iktt reA)�t i a ❑ Will be issued separately(Separate Green Folder,PW issued ahead of Bldg) Approved By: Date: 0 Public Works has no scope--- PW Not Required `�t Additional Notes: A �>A nos itdscn� sfR / /Z, i . ELECTRICAL eti\ to p}vtj �,tra• / Additional Notes: Approved By: Date: Approved By: RYA Date: 140420 ,. I1o1cl \a' pL S6 elh,