2207 GIBSON PL 2022-10-28 - Laserfiche WebLink

Intake & Approval Sheet 11111 (FOR PERMIT STAFF ONLY) • PERMIT# �.�• BUILDING PLANNING Intake OK by: A Date: /i/Z'/1 I Intake OK by: Assign To: Date: Intake Comments: Intake Comments: ❑ Route to Commercial Building Attach to Project No. c40 11 2.1-02,5-- ❑ Route to Residential Building 0 Route to Historic Reviewer ❑ Make this a"W"Permit ❑ OK to Route to Other Departments Bldg/TI Addn/Rem Size ❑ Hold in Planning File Drawer Gara ccessory Struct.Size 6'1 2 4 2 Zone Number of Stories Overlay/Agreement Basement .No ❑Yes , Fin/Unfin Nonresidential Use Type of Construction .j Y1 C• Residential Use (jOJ-r l 5' _ Occupancy Group Proposed No. of Dwelling Units: Occupancy Load Total No.of Dwelling Units: Fire Sprinklers: ❑Update Existing ❑New System KINot Req'd Planning/Landscape Inspection Required before Final? ❑Yes r51,No Reason Sprinklers Required: "In Lieu" Fee:Type: Amount$ Fire Alarm: ❑Update Existing ONew System 171Not Req'd School Impact Fee: Total $ Reason Fire Alarm Required: Calculated: Credit: RCW 64.55 MF worksheet req'd for permit? DYes ® No El Everett School Dist ❑Mukilteo School Dist Add'RCW 64.55 docs required prior to final? ❑Yes ®No Additional Notes: VALUATION CALCULATION: Total$ Co 8/ o00 Approved By: )L Date: 2 .Z. ZZ PUBLIC WORKS Intake OK by: Date: Additional Notes: A-996Q NI'°'rcs kt- Intake Comments: 1PWWorksheetNeeded if: Ql,lt'vs 1 DSys Dev Eval OTraffic Mit Eval • D Site Work or Drainage Proposed Approved By: Date: /2lo7/2.ozl ;OBackflow Prevention for high hazard: :(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) El Fire Sprinklers ❑Fire Alarm DOther: AND OCreate Green Folder ❑Submitted Previously ❑Deferred • Additional Notes: El This Permit is Approved by Public Works El See PW Review Worksheet and associated attached items Fire Dept. Fees: gl A Separate PW Permit is Required (Permit#: PW 77oj—Ott ) ❑ Review of As-Built Plans-NO FIRE FEE AND ❑ Is located in this folder ❑ Minimal or No Fire Scope-NO FIRE FEE to Is in a Separate Green Folder(loin 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: �c /20 _