4405 RUCKER AVE MILKHOUSE COFFEE CO 2022-08-04

Intake & Approval Sheet (FOR PERMIT STAFF ONLY) • PERMIT#g2oCk BUILDING PLANNING Intake OK by: Date: Intake OK by: V"f Assign To:_114,_ Date: -1 f04 Intake Comments: Intake Comments: ❑ Route to Commercial Building ❑ Attach to Project No. ❑ Route to Residential Building ❑ oute to Historic Reviewer ElMake this a "W" Permit OK to Route to Other Departments Bldg/TI/Addn/Rem Size / c* TS 0 Hold in Planning File Drawer Garage/Accessory Struct. Size Zone �— Number of Stories Tt�� / Overlay/Agreement Basement t�lNo ❑Yes , Fin/Unfin Nonresidential Use Type of Construction 1/— /a Residential Use Occupancy Group .3 Proposed No. of Dwelling Units: Occupancy Load 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 Lie " Fee:Type: Amount$ Fire Alarm: ❑Update Existing ❑New System ❑Not Req'd Sch I Impact F . Total) Reason Fire Alarm Required: al lath / Cr dit:@ RCW 64.55 MF worksheet req'd for permit? ❑Yes No verett ool Dist ❑Mu ilteo School/Dist Add'I RCW 64.55 docs required prior to final? ❑Yesc j Jo Additional Notes:2_ mu j LS S,IN,t l( r „ Il2J/��U�1 e_,l VALUATION CALCULATION: Total $ h Y Approved By: e fs Date: PUBLIC WORKS Intake OK by: Date: Additional Notes: Intake Comments: PW Worksheet Needed if: ❑Sys Dev Eval ❑Traffic Mit Eval ❑Site Work or Drainage Proposed / ❑Backflow Prevention for high hazard: Approved By: �� Date: /e/ 7 )p (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) OFire Sprinklers ❑Fire Alarm ❑Other: AND ❑Create Green Folder OSubmitted Previously CI Deferred Additional Notes: ❑ This Permit is Approved by Public Works ❑ See PW Review Worksheet and associated attached items Fire Dept. Fees: El A Separate PW Permit is Required (Permit#: PW Q-010 ' OI S ) ❑ Review of As-Built Plans- NO FIRE FEE AND ti Is located in this folder sfri Minimal or No Fire Scope-NO FIRE FEE ❑ Is in a Separate Green Folder(join with this folder for permit issuance) O Review/Inspection Scope-ADD FIRE FEE ❑ Will be issued separately(Separate Green Folder,PW issued ahead of Bldg) Approved By: Zz:P.& Date: /7'/5/Jd ❑ Public Works has no scope---PW Not Required Additional Notes: ELECTRICAL Additional Notes: Approved By: ! J Date: 119{1 Approved By: , Date: �U