10708 HOLLY DR B 2022-07-20 - Laserfiche WebLink

Intake &Approval Sheet • (FOR PERMIT STAFF ONLY) • PERMIT# B Z!0l--04 BUILDING PLANNING Intake OK by: Z r _ Date: 2jI� ',Z I Intake OK by: Assign To: Date: Intake Comments: Intake Comments: �,O Route to Commercial Building El Attach to Project No. �1 Route to Residential Building ❑ Route to Historic Reviewer ❑ Make this a 't ❑ OK to Route to Other Departments Bldg/TI/Add Rerm Siz 6-6g cp c.„,' ❑ Hold in Planning File Drawer Garage/Accessory Struct.Size f Oaf 4 cx ii Zone Number of Stories C7 Overlay/Agreement _ Basement ONo ❑Yes, Fin/Unfin Nonresidential Use Type of Construction - Residential Use Occupancy Group Proposed No.of Dwelling Units: Occupancy Load p✓4 Total No.of Dwelling Units: Fire Sprinklers: ❑Update Existing ❑New System Not Req'd Planning/Landscape Inspection Required before Final? ❑Yes ❑No 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? ❑ �r Yes Ulf No ❑Everett School Dist ❑Mukilteo School Dist Add'I RCW 64.55 docs required prior to final? ❑Yeso Additional Notes: VALUATION CALCULATION: Total$ .1)ac/4) I) 4s) Approved By:NA 4" M Date: @ d21 PUBLIC WORKS Intake OK by: Date: Additional Notes: Intake Comments: pW Worksheet Needed if: C/ :- 12-AyW-71 Abo 4,14.c) jUSys Dev Eval ❑Traffic Mit Eval I DSite Work or Drainage Proposed ❑Backflow Prevention for high hazard: Approved By: `� � Date: /a(p/,1 i(dental,medical,animals,mortuary,hospital, / =supportive housing) FIRE DEPARTMENT DRoute 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 ODeferred Additional Notes: IThis Permit is Approved by Public Works ee 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: 161 B „n Date:-9�/ ❑ Public Works has no scope---PW Not Required Additional Notes: ELECTRICAL Additional Notes: Approved By: Date: Approved By: Date: 02-b6 trcrz/