2712 TAYLOR DR 2023-11-01 - Laserfiche WebLink

Intake & Approval Sheet 0 (FOR PERMIT STAFF ONLY • PERMIT BUILDING Intake OK by: Date: Intake Comments: ❑ Route to Commercial Building ❑ Route to Residential Building ❑ Make this a "W" Permit " dg%TI/Addn/Rem Size ' c' Garage/Accessory Struct. Size Number of Stories Basement No ❑Yes , Fin / Unfin Type of Construction V6.1 Occupancy Group le—i Occupancy Load 40 Fire Sprinklers: ❑Update Existing ❑New System 19Not Req'd Reason Sprinklers Required: Fire Alarm: ❑Update Existing El New System q Not Req'd Reason Fire Alarm Required: RCW 64.55 MF worksheet req'd for permit? ❑Yes P No Add'I RCW 64.55 docs required prior to final? ❑Yes 15No VALUATION CALCULATION: Total $ /, &t 7, 000.00 1y/0/,2',/�r�� ' q 70 pXr y = If 6v L9 �{�VJL �Z�O�iIZI/�JJiLFU� / OV Additional Notes: Approved B Date: FIRE DEPARTMENT Separate / Deferred Submittals Required: El Fire Sprinklers ❑Fire Alarm ❑Other: Additional Notes: Fire Dept. Fees: ❑ Review of As -Built Plans - NO FIRE FEE ❑ Minimal or No Fire Scope - NO FIRE FEE ❑ Review / Inspection Scope - ADD FIRE FEE Approved By: Date: ELECTRICAL Additional Notes: Approved By: Date: PLANNING Intake OK by: Assign To: Date: Intake Comments: ❑ Attach to Project No. ❑ Route to Historic Reviewer ❑ OK to Route to Other Departments ❑ Hold in Planning File Drawer Zone S Overlay/Agreement Nonresidential Use Residential Use S't" Proposed No. of Dwelling Units: Total No. of Dwelling Units: Planning/Landscape Inspection Re u' final? []Yes [KNo "In Lieu" Fee: Type: Amount $ School Impact Fee: Total 2 Calculated: Credit: >J Qs ❑Everett School Dist nMukilteo School Dist Additional Notes: Approved By: Date: PUBLIC WORKS Intake OK by: Date: :.._ ......................... .......................... ...................... ...................................... ........... _....... .................. Intake Comments: PW Worksheet Needed if. ❑Sys Dev Eval ❑Traffic Mit Eval OSite Work or Drainage Proposed ❑Backflow Prevention for high hazard: ,(dental, medical, animals, mortuary, hospital, ,supportive housing) ....................... .................................................... _............................................................................... []Route this folder for PW Review at end --- PW Review Worksheet []This project also has a separate concurrent PW Review (Green Folder) AND ❑Create Green Folder []Submitted Previously []Deferred ❑ This Permit is Approved by Public Works ❑ See PW Review Worksheet and associated attached items ❑ A Separate PW Permit is Required (Permit #: PW ) AND ❑ Is located in this folder ❑ Is in a Separate Green Folder (join with this folderfor permit issuance) ❑ WIII be Issued separately (Separate Green Folder, PW issued ahead of Bldg) ❑ Public Works has no scope --- PW Not Required Additional Notes: Approved By: Date: /7