1504 108TH ST SW 2022-05-06 - Laserfiche WebLink

Intake &Approval Sheet • (FOR PERMIT STAFF ONLY) • PERMIT# 137467—O7— BUILDING • PLANNING . Intake OK by: Date: Intake OK by: Assign To: Date: Intake Comments: Intake Comments: a ❑ Route to Commercial Building ❑ Attach to Project No. ❑ Route to Residential Building ❑ Route to Historic Reviewer ❑ Make this a"W"Permit ❑ OK to Route to Other Departments Bldg/Tl/Addn/Rem Size / 7SY ) El Hold in Planning File Drawer Garage/Accessory Struct. Size i✓�i4 Zone _ Number of Stories / Overlay/Agreement Basement I4No ❑Yes, Fin/Unfin Nonresidential Use Type of Construction �/ZC Residential Use P 1 'ri,'r i ILO`t Occupancy Group CA-C._ Proposed No.of Dwelling Units: Occupancy Load i . Total No.of Dwelling Units: Fire Sprinklers: ❑Update Existing ❑New System IZINotReq'd Planning/Landscape Inspection Required before Final? ❑Yes"No Reason Sprinklers Required: "In Lieu"Fee:Type: Amount$ Fire Alarm: El Update Existing ONew System 1Not Req'd School Impact Fee: Total $ Reason Fire Alarm Required: Calculated: Credit: RCW 64.55 MF worksheet req'd for permit? ❑Yes 1 No ❑Everett School Dist ❑Mukilteo School Dist Add'I RCW 64.55 dots required prior to final? ❑Yes inNo Additional Notes: VALUATION CALCULATION: Total$ 30 0001 60 Approved By: Date: 4. , /1,1 BLIC WORKS Intake OK by: Date: Additional Notes: Intake Comments: tPW Worksheef Needed if: Aril poi s /A tsse.A✓4-, .se . -r2, i r-r dare. CISys Dev Eval ❑Traffic Mit Eva! DSite Work or Drainage Proposed Approved By:(c /.., Date:/p 6/Z4Z J ;C]Backflow Prevention for high hazard: � i(dentai,medical,animals,mortuary,hospital, isupportive housing) F - FIRE DEPARTMENT DRoute 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 , ❑ 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 0 Is located in this folder iFi-Minimalor No Fire Scope-NO FIRE FEE 0 Is in a Separate Green Folder coin with this folder for permit issuance) ❑ Review/Inspection Scope-ADD FIRE FEE 0 Will be issued separately(Separate Green Folder,PW issued ahead of Bldg) Approved By: WM Date: 1-,20 0 Public Works has no scope---PW Not Required Additional Notes: ELECTRICAL Additional Notes: Approved By: Date: Approved By: Date: