712 33RD ST 2022-05-11 - Laserfiche WebLink

e 0 - Intake &Approval Sheet (FOR PERMIT STAFF ONLY) PERMIT# L 2 )\ Goa BUILDING PLANNING Intake OK by: Date: Intake OK by: Assign To: Date: Intake Comments: Intake Comments: ❑ 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/TI/Addn ize Z.co ❑ Hold in Planning File DrawerSF 7•••X Garage/Accessory Struct. Size Zone Number of Stories Av \ Overlay/Agreement Basement ❑No Yes , Fin/Unfin } Nonresidential Use Type of Construction 17 P _,..,- Residential Use �A Occupancy Group 12. Proposed No. of Dwelling Units/' Occupancy Load 11[,,4 Total No. of Dwelling Units: " Fire Sprinklers: DUpdate Existing ❑New System 1,247Not Req'd Planning/Landscape Ins ection Required before Final? DYes ❑No Reason Sprinklers Required: "In Lieu"Fee: Type: Amount$ Fire Alarm: DUpdate Existing ONew System I -Not Req'd School Impact Fee: Total $ Reason Fire Alarm Required: Calculated: Credit: RCW 64.55 MF worksheet req'd for permit? DYes a No ❑Everett Sch of Dist DMukilteo School Dist Add'I RCW 64.55 docs required prior to final? Yes QNo Additional Ites: // '®VALUATION CALCULATION: Total $ 11 Z.o ZOO Sr. -7 t/s i Approved By: Date: PUBLIC WORKS 5u tg_i z' �c, .FL L O M15P6L?lflli Intake OK by: / Date: Additional Notes: Z�J 5 I12G sj (�SAC Intake Comments: /�� _PW Worksheet Needed if. T 7 ❑Sys Dev Eval ❑Traffic Mit Eval /29/2v _�T ✓ _❑Site Work or Drainage Proposed Approved By: d tP Date: I liJ" =❑Backflow Prevention for high hazard: "��jj (der al,medical,animals,mortuary,hospital, supportive housing) FIRE DEPARTMENT DRoute this folder for PW Reviewat end ---PW Review Worksheet Separate/Deferred Submittals Required: ❑This project also has a sepat`ate concurrent PW Review(Green Folder) ❑Fire Sprinklers ❑Fire Alarm ❑Other: AND DCreate 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 ) ❑ R• eview of As-Built Plans-NO FIRE FEE AND ❑ Is lopated in this folder 0 M• inimal or No Fire Scope- NO FIRE FEE 0 Is,ih a Separate Green Folder(join with this folder for permit issuance) 0 Review/Inspection Scope-ADD FIRE FEE ❑kill be issued separately(Separate Green Folder,PW issued ahead of Bldg) Approved By: Date: ❑ Publc Works has no scope--- PW Not Required Additional Notes: ELECTRICAL Additional Notes: Approved By: Date: Approved By: Date: