3430 16TH ST 2022-05-11 - Laserfiche WebLink

Intake & Approval Sleet • (FOR PERMIT STAFF •NLY) • PERMIT# .3/ 4 4:1-D 4, BUILDING PLANNING i �s, Q Intake OK y: �- -��Date:t/„�/q/ZC/1 Intake OK by; — Assign To: _ Date: Ql.\CI .\ \ Intake Comments: i Intake Comments: ❑ Route to Commercial Building ❑ Attach to Project No. ❑ Route to Residential Building ❑ Route to Historic Reviewer ❑ Make this a"W" Permit id OK to Route to Other Departments Bldg/TI/Addn/Rem Size ( ,z.4- ® Hold in Planning File Drawer Garage/Accessory Struct. Size v Zone A.—2_. Number of Stories A_ Overlay/Agreement Basement ,1No DYes, Fin/Unfin Nonresidential Use Type of Construction V Residential Use , Occupancy Group l) Proposed No.of Dwelling Units: Occupancy Load — Total No. of Dwelling Units: Fire Sprinklers: DUpdate Existing ONew System reJNot Req'd Planning/Landscape Inspection Required before Final? DYes ❑No Reason Sprinklers Required: rr "In Lieu"Fee:Type: Amount$ Fire Alarm: El Update Existing ❑New System LYnn Not Req'd School Impact Fee: Total $ Reason Fire Alarm Required: Calculated: Credit: RCW 64.55 MF worksheet req'd for permit? ❑Yes 0 No ❑Everett School Dist ❑Mukilteo School Dist Addl RCW 64.55 does required prior to final? ❑Yes IJ No Additional Notes: VALUATION CALCULATION: Total$ 4, C Approved By (--- Date: 12,\y, `Gi PUBLIC WORKS Intake OK by: 17, Date: Additional Notes: Intake Comments: iPWWorkshee Needed if: LaSys Dev Eval ❑Traffic Mit Eval I. // 1/ Site Work or Drainage Proposed Approved By: 09 Date: « (3 16t F. Backflow Prevention for high hazard: .®r_ . ._.m.. `/— (dental,medical,animals,mortuary,hospital, :supportive housing) _ FIRE DEPARTMENT C5fRoute 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 DOther: AND ❑Create Green Folder ❑Submitted Previously ❑Deferred Additional Notes: 0 This Permit is Approved by Public Works 0 See PW Review Worksheet and associated attached items Fire Dept. Fees: ❑A Separate PW Permit is Required (Permit#: PW ) CI Review of As-Built Plans-NO FIRE FEE AND 0 Is located in this folder _ `Minimal or No Fire Scope- NO FIRE FEE Is in a Separate Gree Fold ' ' ' is folder for permitissuance-e ❑ Review/Inspection Scope-ADD FIRE FEE Will be issued separately(Separate Green Folder,PW issued ahead of Bldg) Approved By: ii--Ov„(�� Date: /0- 9 —iq - El Public Works has no scope--- PW Not Required -- y --_ .-- ---� _ Additional Notes: ELECTRICAL Additional Notes: Approved By: Date: Approved By: 7,4 9 Date: