11322 2ND AVE SE 2022-07-13 - Laserfiche WebLink

• •Intake & Approval Sheet (FOR PERMIT STAFF ONLY) PERMIT# V2,1 2\�� BUILDING PLANNING Intake OK by: Date: t2/ot/Z41-21 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 Bldg/TI/Addn/Rem Size 0 Hold in Planning File Drawer Garage/Accessory Struct.Size Zone R. Number of Stories Overlay/Agreement Basement No ❑Yes , Fin/Unfin Nonresidential Use Type of Construction s Residential Use e)ff2-- Occupancy Group Proposed No.of Dwelling Units: Occupancy Load Total No.of Dwelling Units: Fire Sprinklers: ❑Update Existing ❑New System ialNot Req'd Planning/Landscape Inspection Required before Final? ❑Yeso Reason Sprinklers Required: "In Lieu" Fee:Type: Amount$ Fire Alarm: CI Update Existing ❑New System riZI 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? oyes No Additional Notes: ('1) c�a s ;^"- VALUATION CALCULATION: Total$ j 75� 1. l O„_A �I � M►i- 3t�i i�(Lta►'L - et_ ("� ��,nnx,o `W Approved By: L. Date: q.2.7,I BLIC WORKS Intake OK by: Date: Additional Notes: /3-pptt.=.,rtrp es Nt;fiED Intake Comments: PW Worksheet Needed if: ❑Sys Dev Eval ❑Traffic Mit Eval ❑Site Work or Drainage Proposed Approved By: �f- Date: 12/GY,/7 ,21 ❑Backflow 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) ❑Fire Sprinklers ❑Fire Alarm ❑Other: AND ❑Create Green Folder ❑Submitted Previously ❑Deferred Additional Notes: 0 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 O Minimal or No Fire Scope-NO FIRE FEE ❑ Is in a Separate Green Folder(join with this folder for permit issuance) O Review/ Inspection Scope-ADD FIRE FEE ❑ Will be issued separately(Separate Green Folder,PW issued ahead of Bldg) Approved By: Date: ❑ Public Works has no scope---PW Not Required Additional Notes: ELECTRICAL Additional Notes: Approved By: Date: Approved By: Date: