4957 VISTA PL 2022-05-24 - Laserfiche WebLink

Intake & Approval Sheet • (FOR PERMIT STAFF ONLY) • PERMIT# 0_2C —CI BUILDING PLANNING Intake OK by: Date: Intake OK by: Assign To: Y ► 74 Date: q/7-6/20 Intake Comments: Intake Comments: IS - ❑ 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/Addy em S>i / Td ,r`F Hold in Planning File Drawer Garage/Accessory Struct. Size P/C-5 Zone f-- t Number of Stories / Overlay/Agreement pp�� Basement ICtNo ❑Yes , Fin/Unfin Nonresidential Use Type of Construction I/.!U Residential Use 5 rg. Occupancy Group /e`3 Proposed No. of Dwelling Units: Occupancy Load I Total No. of Dwelling Units: Fire Sprinklers: ❑Update Existing ❑New System chot Req'd Planning/Landscape Inspection Required before Final? ❑Yes liNo Reason Sprinklers Required: "I 'eu" Fee:Type: , A�etrrrt-$"' Fire Alarm: ❑Update Existing ❑New System iliNot Req'd School Impa e: Total $ Reason Fire Alarm Required: Calculated: Credit: RCW 64.55 MF worksheet req'd for permit? ❑ ��-,-��Yes 1 I No ❑Eyerett"5chool Dist Mu ' School Dist Add'I RCW 64.55 docs required prior to final? ❑Yes „GjNo Additional Notes: VALUATION CALCULATION: Total $ r. �'"0• 0,3 (i3 )( 0 ')x4,0;7, Approved By: (� Date:12—/3/ PUBLIC WORKS Intake OK by: Date: Additional Notes: Intake Comments: I PW Worksheet Needed if: ❑Sys Dev Eval OTraffic Mit Eval ❑Site Work or Drainage Proposed / / , ❑Backflow Prevention for high hazard: Approved By � Date: G� � (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) ❑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 ❑ Will be issued separately(Separate Green Folder,PW issued ahead of Bldg) Approved By: Date: g Public Works has no scope--- PW Not Required Additional Notes: ELECTRICAL AtAN W HUANGt lo/tJzo Additional Notes: Approved By: Date: Approved By: Date: 2/2