523 61ST ST SE 2022-08-12 - Laserfiche WebLink

PERMIT STAFF �51- DO 1 110 Intake &Approval Sheet (FORONL .� PERMIT#C BUILDING / PLANNING V Intake OK by: v� Date: 7(2 /1? Intake OK by s2(`� Date: s2- �Intake Comments: Intake Co ments: Assign To. \C!\\c NC ZAc ayt CoCoo, CAA \\JeA4 cl. C �4Af' " *t;: baG s • .,11\ cCC.tsso r( lok.4,� r ❑ Route to Commercial Building No. 0 Attach to Project Route to Residential Building ❑ Route to Historic Reviewer ❑ Make this a"W" Permit 0 OK to Route to Other Departments Bldg/II/ZED Rem Size 1120 ❑ Hold in Planning File Drawer, arag gesso y truct. Size / 311,7 Zone Number of Stories 2 Overlay/Agreement rr�� Basement J No ❑Yes, Fin/Unfin Nonresidential Use _ Type of Construction Residential Use Occupancy Group VLlu 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 Lieu"Fee:Type: Amount$ Fire Alarm: ❑Update Existing El New System El Not Req'd School Impact Fee: Total $ Reason Fire Alarm Required: Calculated: Credit: RCW 64.55 MF worksheet req'd for permit? ❑Yes I'No ❑Everett School Di ❑Mukilteo School Dist Add'I RCW 64.55 dots required prior to final? DYes IN'No Additional No . VALUATION CALCULATION: Total$ (80) ce$ASS (-I ItiF0 Ci24 • 747 3a '4.i&V,tom Approved B � k!. Date: ` . \,ZQ\CII 1374 e 1-2i 3 2.S 3 3 ) 58:1Cz5 PUBLIC WORKS . 3 @ 4g� 46.(v 7! Intake OK by:....,.4-64 Date: 7 �i��r? Additional Notes: Intake Comments: PW Worksheet Needed if: o 4/ /,0 )jy /rh ❑Sys Dev Eval ❑Traffic Mit Eval ,�[IV/l �I iol 'jl�� ❑Site Work or Drainage Proposed / /V vfioer ❑Backflow Prevention for high hazard: Approved By: li�� Date: /!S/`� (dental,medical,animals,mortuary,hospital, 1 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) ❑Fire Sprinklers ❑Fire Alarm ❑Other: AND ❑Create Green Folder ❑Submitted Previously ❑Deferred Additional Notes: 0 This Permit is Approved by Public Works ❑ See PW Review Worksheet and associated attached items Fire Dept. Fees: 0 A Separate PW Permit is Required (Permit#: PW ) ❑ Review of As-Built Plans-NO FIRE FEE AND 0 Is located in this folder ❑ Minimal or No Fire Scope-NO FIRE FEE 0 Is in a Separate Green Folder(join with this folder for permit issuance) ❑ Review/Inspection Scope-ADD FIRE FEE �� El Will be issued separately(Separate Green Folder,PW issued ahead of Bldg) Approved By: Date: )21//Public Works has no scope---PW Not Required Additional Notes: ELECTRICAL Additional Notes: Approved By: Date: Approved By: f vg--- Date: -74 ZO/q ;/k (q--6 /Z.—