3402 SHORE AVE 2022-05-24 - Laserfiche WebLink

Intake &Approval Sheet • (FOR PERMIT STAFF ONLY • PERMIT# )V3I — Re BUILDING PLANNING Intake OK by: 1 Date: 1 Intake OK by: Assign To: Date: Intake Comm Intake Comments: `)r'1/4cC\SQ-&\Calt22' e g ati s ❑ Route to Commercial Building El 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/Rem Size ❑ Hold in Planning File Drawer Garage/Accessory Struct.Size Zone Number of Stories Overlay/Agreement Basement ❑No ❑Yes, Fin/Unfin Nonresidential Use Type of Construction Residential Use Occupancy Group Proposed No.of Dwelling Units: Occupancy Load Total No.of Dwelling Units: Fire Sprinklers: ❑Update Existing ❑New System ❑Not Req'd Planning/Landscape Inspection Required before Final? ❑Yes kallo Reason Sprinklers Required: "In Lieu"Fee:Type: Amount$ Fire Alarm: ❑Update Existing ❑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 ❑ No ❑Everett School Dist ❑Mukilteo School Dist Add'I RCW 64.55 docs required prior to final? ❑Yes ❑No Additional Notes: VALUATION CALCULATION: Total$ Approved By Date: \d,'d. 2QiCk ` ` PUBLIC WORKS 'Intake OK by: —A�i Date: I Q t O l_ Additional Notes: Intake Comments: PW Worksheet Needed if: C-1p"4" .C. ti _DSys Dev Eval ❑Traffic Mit Eval fogtier-% r ❑Site Work or Drainage Proposed Approved By: /.�' Date: lO�o' �1� cv..;�w-r•o"a L IGT%�V%OBackflow Prevention for high hazard: t(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) DFire Sprinklers ❑Fire Alarm ❑Other: AND ❑Create Green Folder ❑Submitted Previously ❑Deferred Additional Notes: 0 This Permit is Approved by Public Works ❑ 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 ❑Will be issued separately(Separate Green Folder,PW issued ahead of Bldg) Approved By: Date: lic Works has no scope---PW Not quired Additional aU 'io I/ ELECTRICAL •d' Additional Notes: Approved By: Date: Approved By: Date: