5409 S 2ND AVE 2022-07-13 - Laserfiche WebLink

Intake &Approval Sheet (FOR PERMIT STAFF ONLY) • PERMIT# p2Z 0 3-03 n' U BUILDING PLANNING' • . • Intake OK by: /e le• Date: l2#/2 2- Intake OK by:A Assign To: f loX Date: 3/2•612Z Intake Comments: Intake Comments: New stints es Ltisvpt N'C,, ❑ Route to Commercial Building 0 Attach to Project No. ❑ Route to Residential Building 0 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 -Z Number of Stories Overlay/Agreement _ Basement ❑No ❑Yes , Fin/Unfin Nonresidential Use Type of Construction -P& Residential Use ,S12- Occupancy Group Proposed No.of Dwelling Units: Occupancy Load . U- • Total No.of Dwelling Units: Fire Sprinklers: ❑Update Existing ❑New System 13StNot Req'd Planning/Landscape Inspection Required before Final? ❑Yes ❑No Reason Sprinklers Required: "In Lieu"Fee:Type: Amount$ Fire Alarm: ❑Update Existing ❑New System IgNot Req'd School Impact Fee: Total $ Reason Fire Alarm Required: Calculated: Credit: RCW 64.55 MF worksheet req'd for permit? ❑Yes It No ❑Everett School Dist ❑Mukilteo School Dist Add'I RCW 64.55 docs required prior to final? ❑Yes ElNo Additional Notes: VALUATION CALCULATION: Total$ /SOV Approved By: /vim Date: 57?S'/272___ PUBLIC WORKS'' Intake OK by: Date: Additional Notes: Intake Comments: IPW Worksheet Needed if: OSys Dev Eval OTraffic Mit Eval I Osite Work or Drainage Proposed Approved By: Ar 1L, Date: W2.1/2621- OBackflow 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: Fa This Permit is Approved by Public Works 151.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: ❑ Public Works has no scope---PW Not Required Additional Notes: ELECTRICAL Additional Notes: Approved By: Date: Approved By: 4 1✓ Date: p 5 le,) Z-'7i