1705 WETMORE AVE 2022-05-10 - Laserfiche WebLink

Aik CC) Intake &Approval Sheet IIPF (FOR PERMIT STAFF ONLY) • PERMIT# ' t 1< l BUILDING PLANNING � / Intake OK by: !A__ Date: II 4 (4 Intake OK by: Assign To:7! '"'/" Date: 11.Hi 1Intake Comme 4 I Intake Comments: // ❑ Route to Commercial Building t Attach to Project No. N< IS 1 S 0 3 ARoute to Residential Building ArF' 0 Route to Historic Reviewer ❑ Make this a"W"Permit 0 OK to Route to Other Departments Bldg/TI/Addn/Rem Size 0 Hold in Planning File Drawer Garage/Accessory Struct.Size 15 Zone — Number of Stories 2 Overlay/Agreement Basement tiNo ❑Yes , Fin/Unfin Nonresidential Use "—' Type of Construction e !LN Residential Use S`('j2 Occupancy Group /Z, Proposed No.of Dwelling Units: - - Occupancy Load Total No. of Dwelling Units: I Fire Sprinklers: El Update Existing El New System ❑Not Req'd Pla ning/Landscape Inspection Required before Final? ❑Yes Lilo Reason Sprinklers Required: "In Lieu •Type: r Amount$ Fire Alarm: ❑Update Existing ❑New System ONot Req'd School Impact Fee: I Z11 Reason Fire Alarm Required: }� Calculated: RCW 64.55 MF worksheet req'd for permit? ❑ .Yes Lds7v�irNo El School Dist ElMukilteo School DI Add'I RCW 64.55 does required prior to final? ❑ PA No No Additional Notes: VALUATION CALCULATION: Total$ } ' O C'T.. Approved By: &JD Date: Sh /20 ."wisclrikg 9: ��`Z t 1 ? Sgt PUBLIC WORKS 3C X 30 I O ev, Intake OK by: Date: Additional Notes: 4,0 is J/ZC. Intake••nt— Comments: 'PW Worksheet Needed if: o rD.a s.A.O - )E-r t-trz+7 (" 4c. ''�?�i 5"rap R-/& P4 �� W �< w DgiAc Sys Dev Eval ❑Traffic Mit Eval 440 4' G-�A�c AG.C.. 3$D S F ? ite Work or Drainage Proposed Approved By: Date: �j// /�� — D 4b .v.-4 w ,,.b., Am.° 10Backflow Prevention for high hazard: tz-4."au•t� +a�,44 s:bt-f (dental,medical,animals,mortuary,hospital, *VD a-rage AO 2z>B Se isupportive housing) -viA...vt.r./4v 'L2(.s it: i._ ___...._...._..._..._...._..................................................._._............._........._...,.... FIRE DEPARTMENT IERoute 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) El Fire Sprinklers El 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: 1KA Separate PW Permit is Required (Permit#: PW 1112"Q Z8 ) ❑ Review of As-Built Plans-NO FIRE FEE AND �2 Is located in this folder ❑ Minimal or No Fire Scope-NO FIRE FEE 0 Is in a Separate Green Folder(join 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: Date: ❑ Public Works has no scope--- PW Not Required Additional Notes: ELECTRICAL $.7/1��<tea I� '; ,s. ,/ kt �y • Additional Notes: S2%I;( t.� / ► iV l Approved By: Date: Approved By: 4/c Date: 12.(13[7,6F1