1507 RUCKER AVE B 2022-07-21 - Laserfiche WebLink

Intake &Approval Sheet • (FOR PERMIT STAFF ONLY) • PERMIT# 3 Zli 6 1 o Z BUILDING PLANNING� Q ,,,c Intake OK by: Date: Intake OK by: � Assign To: �'�ll U'tJ Date: I / Sf-Z J Intake Comments: Intake Comments: N f t1100 4191011 ,44wt, cikeG Lc-}- mvt ❑ 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 3' ❑ Hold in Planning File Drawer Garage/Accessory Struct.Size Zone 'r-2- Number of Stories 1 Overlay/Agreement ,rjP-c 6td'Gt,(IOI Basement EINo ❑Yes , Fin/Unfin Nonresidential Use Type of Construction Residential Use S - Occupancy Group { .tIz g-i Proposed No.of Dwelling Units: Occupancy Load 614," Total No.of Dwelling Units: Z („t 61lz- J- ( (AP)"> Fire Sprinklers: ❑Update Existing ❑New System 'Not Req'd Planning/Landscape Inspection Required before Final? ❑Yes 5,Klo 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? ❑ CB No ❑Everett School Dist ukilteo School Dist Add'I RCW 64.55 docs required prior to final? ❑Yes IFINo Additional Notes: CAW • VALUATION CALCULATION: Total$ ��? l/GL� t 1ehuAINS- ' i Approved By: 4.. Date: 12. PUBLIC WORKS Intake OK by: Date: Additional Notes: Intake Comments: I PW Worksheet Needed if: c4J -- I DSys Dev Eval ❑Traffic Mit Eval El Site Work or Drainage Proposed Approved By: 6 -- Date: i`P,R--/�i I 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) DFire Sprinklers ❑Fire Alarm DOther: AND ❑Create Green Folder OSubmitted Previously ❑Deferred Additional Notes: —This Permit is Approved by Public Works 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 P3-Minimal or No Fire Scope-NO FIRE FEE 0 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:\4491,c /N Date: ` -26-2' ❑ Public Works has no scope---PW Not Required Additional Notes: ELECTRICAL Additional Notes: Approved By: Date: Approved By: Date: /2/o Z_/ iA