1423 VIRGINIA AVE 2022-08-11 - Laserfiche WebLink

Intake &Approval Sheet (FOR PERMIT STAFF ONL� PERMIT# \ \Zo 0 BUILDING PLANNING Intake OK by: Date: Intake OK by: Assign To: Date: Intake Comments. Intake Comments: ❑ 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 Eft S fly, ❑ Hold in Planning File Drawer Garage/Accessory Struct. Size /1W. Zone Number of Stories , Overlay/Agreement Basement lallo ❑Yes , Fin/Unfin Nonresidential Use Type of Construction 7- 3 Residential Use Occupancy Group Proposed No.of Dwelling Units: Occupancy Load Total No. of Dwelling Units: Fire Sprinklers: ❑Update Existing ❑New System El Not Req'd Planning/Landscape Inspection Required before Final? ❑Yes El No Reason Sprinklers Required: "In Lieu"Fee:Type: Amount$ Fire Alarm: ❑Update Existing ❑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 o1 No DEverett School Dist ❑Mukilteo School Dist Add'I RCW 64.55 docs required prior to final? ❑Yes EINo Additional Notes: VALUATION CALCULATION: Total$ (c•v® Approved By: Date: PUBLIC WORKS Intake OK by: Date: Additional Notes: Zo /s- fat_ ups6 Intake Comments: 'PWWorksheetNeededif. x� DSys Dev Eval DTraffic Mit Eval I Site Work or Drainage Proposed Approved By: Date: 1 Z,/i 7/1 joBackflow Prevention for high hazard: i(dental,medical,animals,mortuary,hospital, :supportive housing) FIRE DEPARTMENT - El 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 ❑Create Green Folder ❑Submitted Previously El Deferred Additional Notes: El 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: