2510 BROADWAY 2022-08-10 - Laserfiche WebLink

Intake &Approval Sheet • (FOR PERMIT STAFF ONLY) • PERMIT# 'td?)'O 16t BUILDING PLANNING Intake OK by: Date: ' '/ l ' Intake OK br 9 Date: Intake Comments: Intake Comments: Assign To: P o Route to Commercial Building 0 Attach to Project No. ❑ Route to Residential Building 0 Route to Historic Reviewer ❑ Make this a"W"Permit 111 OK to Route to Other Departments Bldg/TI/Addn/Rem Size 2"",��991/ SF El Hold in Planning File Drawer Garage/Accessory Struct.Size ,U// Zone cSI k Number of Stories / Overlay/Agreement Basement NNo ❑Yes, Fin/Unfin Nonresidential Use Type of Construction Ua . Residential Use CAS OkkUSG,1\. Occupancy Group '4— z_ Proposed No. of Dwelling Units: Occupancy Load S Total No. of Dwelling Units: Fire Sprinklers: El Update Existing El New System Not Req'd Planning/Landscape Inspection Required before Final? Yes .No Reason Sprinklers Required: dc� "In Lieu"Fee:Type: Amount$ Fire Alarm: ❑Update Existing El New System Not Req'd School Impact Fee: Total $ Reason Fire Alarm Required: Calculated: Credit: r� RCW 64.55 MF worksheet req'd for permit? ❑Yes r No ❑Everett School Dist ❑Mukilteo School Dist. Add'I RCW 64.55 docs required prior to final? ❑Yes ®No A ditional Notes: Y\CVNitiAs5 Sv qe OA V - VALUATION CALCULATION: Total $ 60,60o.00 W4\\Avn coe\er (vs \ s'c tee to L.34 Ap\an \n�s - 1a.3'At.o1Ao.0 proved Bye' Date: \ , \S",aCk PUBLIC WORKS Intake OK by: Date: Additional Notes:,,2a/; O�/f�Z0/g Intake Comment :PW Worksheet Needed if: 2 6 Ds-CI ( ❑Sys Dev Eval ❑Traffic Mit Eval � jt Mite Work or Drainage Proposed Approved B `\, Date: p No ❑Backflow Prevention for high hazard: `/o��$ f_ (dental,medical,animals,mortuary,hospital, _,�„ ' I n,i M OV supportive housing) FIRE DEPARTMENTIg�°R�oute this folder for PW Review at end ---PW Review Worksheet Intake: (Needed for Townhomes,Alley load SFR,New Commercial) ❑This project also has a separate concurrent PW Review(Green Folder) ❑Route to Fire Drawer---Fire Preliminary Review Notice AND ❑Create Green Folder ❑Submitted Previously ❑Deferred ❑Sending Fire Notes to Project Team 0 This Permit is Approved by Public Works Date: (OK to Route to Other Depart nts) 0 See PW Review Worksheet and associated attached items Fire Sprinklers: ❑Update Existing El New System 'Not Req'd ElA Separate PW Permit is Required (Permit#: PW ) Fire Alarm: ❑Update Existing El New System/L_I Not Req'd AND 0 Is located in this folder Chemical Sup: ❑Update Existing El New System,ot Req'd ❑ Is in a Separate Green Folder(join with this folder for permit issuance) Additional Notes: ❑Will be issued separately(Separate Green Folder,PW issued ahead of Bldg) Approved By: 1j¢g- Za Date: g/.,/0 tz -ublic Works has no scope---PW Not Required Additional Notes: ELECTRICAL Additional Notes: Approved By: Date: Approved By: A,(Z- )-1. Date: 49/A3/(4,/7 12._