6402 HIGHLAND DR 2022-10-28 - Laserfiche WebLink

-?..WYVIad • Intake & Approval Sheet (FOR PERMIT STAFF ONL PERMIT# b°\ 00'/ BUILDING PLANNING Intake OK by: Date: Intake OK by: 06 Assign To: He . Date: V1' kel Intake Comments: Intake Comments: vive v&r/ S� `I e -l- eic,4 t�orly s'rue -111 un r �r ❑ Route to Commercial Building ❑ Attach to Project No. _ _ _ ❑ Route to Residential Building ❑ Route to Historic Reviewer ❑ Make this a"W" Permit K to Route to Other Departments Bldg/TI/Addn/Rem Size Hold in Planning File Drawer Garage/Accessory Struct. Size Zone Number of Stories Overlay/Agreement Basement El No ❑Yes , Fin/Unfin Nonresidential Use Type of Construction Residential Use Occupancy Group 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 El No Reason Sprinklers Required: "In Lieu" Fee: Type: Amount$ Fire Alarm: ❑Update Existing ❑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 ❑ No El Everett School Disc/ LMukilteo School Dist Addl RCW 64.55 docs required prior to final? ❑Yes ❑No Additional Notes: Yam. Co-A-JGG- VALUATION CALCULATION: Total $ t1 "1X (g.t7 Approved ByCO Date: \0-2 2 L PUBLIC WORKS Intake OK by: Date: Additional Notes: '17 .rri ez. kst. Intake Comments: PW WorksheetNeededif: ❑Sys Dev Eval ❑Traffic Mit Eval ❑Site Work or Drainage Proposed Approved By: Date: (a.it ;_e:,2,0 I❑Backflow 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: DThis project also has a separate concurrent PW Review(Green Folder) ❑Fire Sprinklers ❑Fire Alarm El 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 0 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: 0 Public Works has no scope--- PW Not Required Additional Notes: ELECTRICAL Additional Notes: Approved By: Date: Approved By-- � Date: 09(7.6)-/2-c, _ V v�