4909 NARBECK RD 2023-06-22 - Laserfiche WebLink

Intake & Approval Sheet 0 (FOR PERMIT STAFF ONLY) • PERMIT# 2-0 l c J 6 1 3 BUILDING PLANNING Intake OK by: Date: Intake OK by2 Assign To >& • Date: / 7 /21 Intake Comments: Intake Comments: 111 Arai e Novi' 01 cif f1" i4PAL C-,e 3s9cs�\ ige\s.? rttt 11.1e4\. Y ❑ Route to Commercial Building ❑ Attach to.Project No. O Route to Residential Building ❑ Route to Historic Reviewer ❑ Make this a"W"Permit AOK to Route to Other Departments Bldg/TI/Addn/Rem Size 3ceCo Z-�+" 4 ❑ Hold in Planning File Drawer Garage/Accessory Struct.Size `t-' P -+' Zone Number of Stories Overlay/Agreement Basement ❑No ' Yes, in Unfin Nonresidential Use Type of Construction '(—ej Residential Use r_ Occupancy Group 'k Proposed No.of Dwelling Units: i Occupancy Load Total No. of Dwelling Units: I Fire Sprinklers: ❑Update Existing El New System'Mot Req'd Planning/Landscape Inspection Required before Final? ❑Yes ❑No Reason Sprinklers Required: "In Lieu"Fee:Type: --.Amo t-$ Fire Alarm: ❑Update Existing El New System ky Not Req'd School Impact Fee: Total Jt- U ' t8 Reason Fire Alarm Required: Calculated:...4 redit: RCW 64.55 MF worksheet req'd for permit? ❑Yes 13i No ❑Everett School Dist1Aukilteo School Dist Add'I RCW 64.55 docs required prior to final? ❑Yes Ci No Additional Notes: VALUATION CALCULATION: Total$ G✓�mft4- R t g'--A- (Ia.t) 2.24"s4 _ i 3 4 !t2%) Z.z. 1 R i 4 Approved By: 0/ig Date: /24 I Z' -i---u c.4-4 3 5 So f 7i- ' 61-1)Th - 5D t .Sco g 62-0 Co s I-2r$ PUBLIC WORKS `• ' 1 coo ( 2.t) 33cev Intake OK by: Date: Additional Notes: Intake Comments: PW Worksheet Needed if: ❑Sys Dev Eval ❑Traffic Mit Eval €❑Site Work or Drainage Proposed Approved By: Date: t2_/3® �� ❑Backflow Prevention for high hazard: 1(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 OFire Alarm ❑Other: AND�// OCreate Green Folder ❑Submitted Previously ODeferred Additional Notes: (�I.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 2-010-02- ) ❑ Review of As-Built Plans-NO FIRE FEE AND ❑ Is located in this folder Y Minimal or No Fire Scope-NO FIRE FEE 'M 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: .6119 tApn Date: 'i-5—.2.0,70 0 Public Works has no scope---PW Not Required Additional Notes: ELECTRICAL Additional Notes: Approved By: Date: Approved By: ISC\'\ Date: l-t/g Li (-2:.:12)-