10418 ROSEWOOD AVE 2022-07-27 - Laserfiche WebLink

Intake &Approval Sheet 0(FOR PERMIT STAFF ONLY) ID PERMIT#$21 DI-OM BUILDING PLANNING Intake OK by: Date: Intake OK b ' —Assign To: Date: `• t L .Z I Intake Comments: Intake Comments: ❑ Route to Commercial Building ❑ Attach to Project No. ❑ Route to Residential Building 0 Route to Historic Reviewer ❑ Make this a"W" mit ❑ OK to Route to Other Departments Bldg/TI/Add em Si /C a Arr. ❑Hold in Planning File Drawer Garage/Accessory Struct.Size 70 Zone 'q.,--'L-. Number of Stories 3 Overlay/Agreement Basement qN,o/ ❑Yes, Fin/Unfin Nonresidential Use 1✓. Type of Construction Residential Use A,' \\ CSC(. ) Occupancy Group 12-3 Proposed No.of Dwelling Units: Occupancy Load IC Total No.of Dwelling Units: Fire Sprinklers: ❑Update Existing ❑New System lallot Req'd Planning/Landscape Inspection Required before Final?—❑Yes IiiiiNo Reason Sprinklers Required: "In Lieu"Fee:Type: Am Fire Alarm: El Update Existing El New System Not Req'd School Impact Fee: Total $ Reason Fire Alarm Required: Calculated: Credit: RCW 64.55 MF worksheet req'd for permit? ❑Yes E No ❑Everett School D' ❑Mukilteo School Dist Add'I RCW 64.55 docs required prior to final? ❑Yes ' J No Additional No . VALUATION CALCULATION: Total$ ?/6)0 11fl (a c7/ . 7i®v J Approved Br Date: ,2'5',Zeyt,l PUBLIC WORKS Intake OK by: Date: Additional Notes: Intake Comments: IPW Worksheet Needed if: OSys Dev Eval OTraffic Mit Eval IOSite Work or Drainage Proposed Approved B Date:df//(��zei�/ OBackflow Prevention for high hazard: // =(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) ❑Fire Sprinklers ❑Fire Alarm ❑Other: 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(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: (cjwiN Date:3- vp,2 ' !1-Public Works has no scope---PW Not Required Additional Notei,,„ z it"R-oe--r ELECTRICAL p.t0 Scoc-' 4e.”4— ,,.is: rz - a-ri-S Additional Notes: Approved By: Date: Approved By: Date: 2/>