2201 124TH ST SE 2022-05-11 - Laserfiche WebLink

intake & Approval Sheet • (FOR PERMIT STAFF ONL• PERMIT#1e).—OCC1--- 021 ! BUILDING //1� PLANNING Intake OK by: Date: 2111/20 v Intake OK by: V1 Assign To: Date: 21Ft/2Z Intake Comments: Intake Comments: e-e I N/ I IB - 0 21 - F !�1-01. ❑ Route to Commercial Building ❑ Attach to Project No. Pa Route to Residential Building ED oute to Historic Reviewer ❑ Make this a"W"Permit K to Route to Other Departments Bldg/TI/Addn/Rem Size 2D39. 5 SA ❑ Hold in Planning File Drawer Garage/Accessory Struct.Size 1 05 S s.p Zone 12 — Number of Stories 2 Overlay/Agreement Basement 147:.No Dyes , Fin/Unfin Nonresidential Use Type of Construction ' .B Residential Use ,,f'"IL-- Occupancy Group IZAA Proposed No. of Dwelling Units: Occupancy Load Total No.of Dwelling Units: Fire Sprinklers: ❑Update Existing RNew System ❑Not Req'd Planning/Landscape Inspection Required before Final? ❑Yes to Reason Sprinklers Required: a ly i' b'0114 veal "In Lieu"Fee:Type: �1 Amount$ Fire Alarm: ❑Update Existing 7 New System Not Req'd School Impact Fee: Total $ I —1 / 'O Reason Fire Alarm Required: CaJ,sulated: Credit: RCW 64.55 MF worksheet req'd for permit? ❑Yes El No verett School Dist ❑Mukilteo School Dist Add!RCW 64.55 docs required prior to final? ❑Yes No .Additional Notes: • VALUATION CALCULATION: Total$ 3041 q as Approved By: , Date:c 477 PUBLIC WORKS Intake OK by: Date: Additional Notes: Z 0 /S Ze.C- f 5r-c Intake Comments: i PW Worksheet Needed if: z set-Cr- 114Sys Dev Eval CifTraffic Mit Eval IIU,Site Work or Drainage Proposed Approved By: c __ Date: 2 _bn mt.UL.a"', I ElBackflow Prevention for high hazard: ,.._e: d 4 (dental,medical,animals,mortuary,hospital, !supportive housing) FIRE DEPARTMENT ID Route 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 OFire Alarm ❑Other: AND El 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: El A Separate PW Permit is Required (Permit#: PW2o0,2-a34 ) ❑ Review of As-Built Plans-NO FIRE FEE AND fig-is located in this folder ❑ Minimal or No Fire Scope-NO FIRE FEE ❑ Is in a Separate Green Folder(loin with this folder for permit issuance) .Review/Inspection Scope-ADD FIRE FEE ❑ Will be issued separately(Separate Green Folder,PW issued ahead of Bldg) Approved By: . j-Ct) W,n Date: 421-.24,20 ❑ Public Works has no scope---PW Not Required Additional Notes: ELECTRICAL Additional Notes:Approved By: Date: Approved By-J Date: �1� )-�,