1507 GRAND AVE 2022-06-28 - Laserfiche WebLink

Intake & Approval Sheet • (FOR PERMIT STAFF ONLY) • PERMIT# G 1C6c OO2— BUILDING PLANNING Intake OK by: Date: 5/2R 0 Intake OK by: Date: 1&f Z9/I1 Intake Comments: Intake Comments: Assign To: Offn S- Gt.r-j- ❑ Route to Commercial Building LJ Attach to Project No. lZ I 19"01 Route to Residential Building ►= 'oute 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 F'"2- , P-UCKe/r erario1 Number of Stories `Overlay greement ii-6-toffC DiS1Cf'0y{.r Basement ❑No ❑Yes, Fin/Unfin Nonresidential Use �1 Type of Construction Residential Use S -I- U Occupancy Group Proposed No. of Dwelling Units: Occupancy Load Total No.of Dwelling Units: I Fire Sprinklers: ❑Update Existing ❑New System ❑Not Req'd Planning/Landscape Inspection Required before Final? ❑YesrNo 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 Et El Everett School Dist ❑Mukilteo School Dist Add'I RCW 64.55 docs required prior to final? ❑Yes aio Additional Notes: AVV Doc kr&tdi edieLL 1 , VALUATION CALCULATION: Total SOD lb DelfKir i1't<COr'd gevipp.0,4 Als (1 cEc Approved ByA 4 S Date: (j f S)1 1 6 PUBLIC WORKS Y� Intake OK by: T t•-\ Date: Jr/2.4 /24o l 9 Additional Notes: Intake Comments: PWWorksheetNeededif: No-NE .F"v Co0.t..tEa-S•o.-+ ❑Sys Dev Eval ❑Traffic Mit Eval 1*-4 gFz ❑Site Work or Drainage Proposed Approved By: Date: /Z �( ❑Backflow Prevention for high hazard: �` c 4o '� Lac_ vhcovice=4�S (dental,medical,animals,mortuary,hospital, S CO P 4 supportive housing) FIRE DEPARTMENT liagoute 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: pfThis Permit is Approved by Public Works li,I 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: 0 Public Works has no scope---PW Not Required Additional Notes: ^a ti 1 L - ADo jS ELECTRICAL Ad Additional Notes: crYtitk t W Scope ,a Srii Approved By: Date: Approved By: A E Date: i/gItoiq 2f2