4111 FEDERAL AVE 2022-06-28 - Laserfiche WebLink

Intake &Approval Sheet (FOR PERMIT STAFF ONLY) - PERMIT# C. \\0 ' , BUILDING 05 PLANNING Intake OK by: •\\• Date: 10/8 Aci Intake OK by: Assign To: Date:.- Intake Comments: Intake Comments: LQ y 10, .1- it I K‘not" L srred on5 5 ertrAde.A► 31-0 Ai;Can*-- e c ler— ❑ Route to Commercial Building ❑ Attach to Project No. Route to Residential Building El Route to Historic Reviewer Make this a"W"Permit g: a K to Route to Other Departments Bldg/TI/ dd Rem Size 274f . f Y Hold in Planning File Drawer Garage/Accessory Struct. Size )9— Zone V 2•-- Number of Stories I Overlay/Agreement Basement puNo ❑Yes, Fin/Unfin Nonresidential Use Type of Construction 3113 Residential Use t.-ri e Lj`FL Occupancy Group f2, Proposed No.of Dwelling Units: Occupancy Load Total No.of Dwelling Units: Fire Sprinklers: ❑Update Existing ❑New System [blot Req'd Planning/Landscape Inspection Required bef re Final? ❑Yes 044 Reason Sprinklers Required: "In Lieu" e . • Amount$ Fire Alarm: ❑Update Existing ❑New System lot Req'd School Impact Fee: Reason Fire Alarm Required: Calculated: Credit: RCW 64.55 MF worksheet req'd for permit? ❑Yes No ❑ ett School Dist ❑Mukilteo School Dist Add'I RCW 64.55 docs required prior to final? ❑Yes No Additional Notes: VALUATION CALCULATION: Total$ 2 0, cc.2- Approved By: 4/(--- Date: I+ I L-/(g PUBLIC WORKS Intake OK by:71—^J Date: i s 13 1 j et Additional Notes:20,5 /QC 0 iv 5Ec, Intake Comments: 'PWWorksheetNeededif: .--+4'9.A4.c Ca.-a JF a"+"1OSys Dev Eval ❑Traffic Mit Eval e1/454rsecab c)i/• M f3 `f L'V' N"J C� SWI IOSite Work or Drainage Proposed Approved By: <iit Date://I gi/g .".fr O '7Nt4 S Co'Prc_ =OBackflow Prevention for high hazard: i(dental,medical,animals,mortuary,hospital, :supportive housing) FIRE DEPARTMENToute 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 El Fire Alarm DOther: 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: 0 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: IN •ublic Works has no sco a---PW Not Required Additional Not - i i i Fi I ELECTRICAL Additional Notes: Approved By: Date: Approved By: Date: ? J 2"