1717 ROCKEFELLER AVE 2022-07-27 - Laserfiche WebLink

11) Intake &Approval Sheet 0 (FOR PERMIT STAFF ONLY) ID ERMIT# t I' V1003yb BUILDING PLANNING Intake OK by: Date: Intake OK by: v' Assign To:ititzidait Date: g/q/26) _ Intake Comments: Intake Comments: NY- El Route to Commercial Building ❑ Attach to Project No. ❑ Route to Residential Building ❑ Route to Historic Reviewer CI Make this a"W"Permit R QK to Route to Other Departments Bldg/TI/Addn/Rem Size ❑ Hold in Planning File Drawer Garage/Accessory Struct. Size °_ Zone ,. 3 Number of Stories Overlay/Agreement Basement CI 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: ❑Update Existing ❑New System ❑Not Req'd PI nning/Landscape Inspection Required before Final? ❑Yes k • Reason Sprinklers Required: "In Li "Fee: Type: Amount$ Fire Alarm: ❑Update Existing ❑New System ❑Not Req'd School Impact Total $ Reason Fire Alarm Required: Calculated: redit: RCW 64.55 MF worksheet req'd for permit? ❑Yes ❑ No ❑Everett School Dist Mu ' School Dist Add'I RCW 64.55 docs required prior to final? ❑Yes ❑No Additional Notes: VALUATION CALCULATION: Total$ .tea) %53 Approved By: * Date: 3///// q72_6,PUBLIC WORKS Intake OK by: Date: Additional Notes: Intake Comments: PW Worksheet Needed if: DSys Dev Eval ❑Traffic Mit Eval I❑Site Work or Drainage Proposed Approved By: Date:'3/1/4o2.O =ElBackflow Prevention for high hazard: i(dental,medical,animals,mortuary,hospital, isupportive 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) El Fire Sprinklers El Fire Alarm ❑Other: AND El Create Green Folder ❑Submitted Previously ODeferred 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(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: Date: