6001 BROADWAY 2022-11-16 - Laserfiche WebLink

Intake &Approval Sheet •(FOR PERMIT STAFF ONLY) • PERMIT# 3ZZO3--OO 1-1 BUILDING PLANNING • • • . Intake OK by: lf""" Date: `1J y2422... Intake OK b? Assign To: Date:)f 2Ll i 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 Bldg/TI/Addn/Rem Size ❑ Hold in Planning File Drawer Garage/Accessory Struct.Size Zone 1Z. I Number of Stories Z Overlay/Agreement Basement ❑No BYes, ti /Unfin Nonresidential Use . Type of Construction • Ue Residential Use S � Occupancy Group Proposed No.of Dwelling Units: Occupancy Load ZA2'(i • Total No.of Dwelling Units: Fire Sprinklers: DUpdate Existing ONew System IPNot Req'd Planning/Landscape Inspection Required before Final? DYes ❑No Reason Sprinklers Required: "In Lieu"Fee:Type: Amount$ Fire Alarm: El Update Existing ❑New System F4Not Req'd School Impact Fee: Total $ Reason Fire Alarm Required: Calculated: Credit: RCW 64.55 MF worksheet req'd for permit? DYes IQ No ❑Everett School Dist DMukilteo School Dist Add'I RCW 64.55 docs required prior to final? DYes ®No Additional Notes: VALUATION CALCULATION: Total$ 2 s 0-0 DO,-Ki 0)21 War6ill2/Z2— Approved By: Date: • PUBLIC WORKS' Intake OK by: Date: Additional Notes: Intake Comments: 1PW Worksheet Needed if: luSys Dev Eval ❑TrafficMit Eval • illSite Work or Drainage Proposed Approved By: 0•} " Date: (of 2I/26 VL ;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 ❑Create Green Folder ❑Submitted Previously ODeferred Additional Notes: ❑This Permit is Approved by Public Works a ❑ 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: