1700 13TH ST 3RD FLOOR 2022-05-16

Intake &Approval Sheet • (FOR PERMIT STAFF ONLY) • PERMIT# B2I o2-0 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 Bldeddn/Rem Size R5F C ❑ Hold in Planning File Drawer Garage/Accessory Struct. Size Zone Number of Stories Z it Overlay/Agreement Basement ❑No ❑Yes , Fin/Unfin Nonresidential Use Type of Construction / / Residential Use Occupancy Group /— Proposed No.of Dwelling Units: Occupancy Load�{ X �i/ - Total No.of Dwelling Units: Fire Sprinklers: ,K`1Update Existing El New System El Not Req'd Planning/Landscape Inspection Required before Final? ❑Yes,Jo Reason Sprinkl s Required: "In Lieu"Fee:Type: Amount$ Fire Alarm: Nii Update Existing El New System ❑Not Req'd School Impact Fee: Total $ Reason Fire Alarm Required: Calculated: Credit: RCW 64.55 MF worksheet req'd for permit? ❑Yes Id No ❑Everett School Dist ❑Mukilteo School Di Add(RCW 64.55 docs required prior to final? ❑Yes INo Additional Notes: Ind Als ed �Je VALUATION CALCULATION: Total$_ l Approved By: y, 41 Date: 7.11. Z J UBLIC WORKS Intake OK by: Date: Additional Notes: Intake Comments: IPW Worksheet Needed if: IDSys Dev Eval ❑Traffic Mit Eval ` OSite Work or Drainage Proposed Approved By: Date: ../jy/7/ I OBackflow Prevention for high hazard: :(dental,medical,animals,mortuary,hospital, ;supportive housing) FIRE DEPARTMENT ❑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) El Fire Sprinklers ❑Fire Alarm ❑Other: AND ❑Create Green Folder ❑Submitted Previously ❑Deferred Additional Notes: ❑ 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 ) ❑ Review of As-Built Plans-NO FIRE FEE AND ❑ Is located in this folder Minimal or No Fire Scope-NO FIRE FEE ❑ Is in a Separate Green Folder(join with this folder for permit issuance) ❑ Review/Inspection Scope-ADD FIRE FEE ElWill be issued separately(Separate Green Folder,PW issued ahead of Bldg) Approved By: / j Date: Public Works has no scope---PW Not Required Additional Notes: ELECTRICAL Additional Notes: Approved By: 46. Date: Approved By: Date: