6531 CYPRESS ST 2022-10-14 - Laserfiche WebLink

Intake &Approval Sheet (FOR PERMIT STAFF ONLY) PERMIT# C 7 (902-- 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 (Bld) I/Addn/Rem Size t 7QL6 ❑ Hold in Planning File Drawer Garage/Accessory Struct. Size Zone C>Z Number of Stories (2 Overlay/Agreement Basement EINo ❑Yes , Fin/Unfin Nonresidential Use Type of Construction Residential Use z.7K, Occupancy Group ,L.�-C._ Proposed No.of Dwelling Units: Occupancy Load f /As Total No.of Dwelling Units: 1 Fire Sprinklers: El Update Existing El New System Jot Req'd Planning/Landscape Inspection Required before Final? ❑Yes Reason Sprinklers Required: "In Lieu" Fee: Type: Amount$ Fire Alarm: ❑Update Existing El New System 15iNot Req'd School Impact Fee: Total $ Reason Fire Alarm Required: Calculated: Credit: RCW 64.55 MF worksheet req'd for permit? ❑Yes cfNo ❑Everett School Dist ❑Mukilteo School Dist Add'I RCW 64.55 docs required prior to final? ❑Yes ErNo Additional Notes: 1/4,,c-a � �e_ 11csry nS , VALUATION CALCULATION: Total$ 7J (7 \ 1^ (��Y J / 1v C1 t'Qf Approved By: L. 1 Date: 1 Z, z-Z. P BLIC WORKS Intake OK by: Date: Additional Notes: Intake Comments: iPW Worksheet Needed if: I❑Sys Dev Eval ❑Traffic Mit Eval I❑Site Work or Drainage Proposed Approved By: r Date: -Ag/�/ `❑Backflow Prevention for high hazard: I(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) ❑Fire Sprinklers El Fire Alarm ❑Other: AND ❑Create Green Folder ❑Submitted Previously ❑Deferred Additional Notes: ❑ 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: ` -