1405 HEWITT AVE DELICIAS AZTECA 2022-07-26

• Intake &Approval Sheet (FOR PERMIT STAFF ONLY) Ill PERMIT# SZ/66•-6b 2 BUILDING PLANNING Intake OK by: Date: Intake OK by: Assign To: Date: Intake Comments: Intake Comments: Gf ff e—lia I IQ, e -h (v/q/2 I. a eCdS yyta),(imulo affr,Je.ol• ❑ 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 ❑ Hold in Planning File Drawer Garage/Accessory Struct.Size Zone 1► U — 1'YI(tf) Number of Stories / Overlay/Agreement S,l r cR-11-0N Basement I No ❑Yes, Fin/Unfin Nonresidential Use (� Type of Construction Residential Use Occupancy Group Proposed No.of Dwelling Units: Occupancy Load Total No.of Dwelling Units: Fire Sprinklers: ❑Upda - Existing ❑New System ❑Not Req'd Planning/Landscape Inspection Required before Final? ❑Yes ❑No Reason Sprinklers ' quired: "In Lieu"Fee:Type: Amount$ Fire Alarm: r Update Existing El New System El Not Req'd School Impact Fee: Total $ Reason Fire arm Required: Calculated: Credit: RCW 64. F worksheet req'd for permit? ❑Yes ❑ No ❑Everett School Dist ❑Mukilteo School Dist Add'I RCW 64.55 docs required prior to final? ❑Yes El No Additional Notes: VALUATION CALCULATION: Total$ 9i ro Approved By:C Date: 7.256 2424 PUBLIC WORKS` Intake OK by: Date: Additional Notes: Intake Comments: IPW Worksheet Needed if: {OSys Dev Eval ❑Traffic Mit Eval I OSite Work or Drainage Proposed. l 1 OBackflow Prevention for high hazard: Approved By: ,� S Date: /�/ 0 '(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 El Fire Alarm DOther: AND ❑Create Green Folder ❑Submitted 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 ❑ Minimal or No Fire Scope-NO FIRE FEE ❑ Is in a Separate Green Folder Coin 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: Date: