5512 FAIRVIEW AVE 2022-11-17 - Laserfiche WebLink

Intake &Approval Sheet 0 (FOR PERMIT STAFF ONLY) • PERMIT# 3 05-$Noq BUILDING PLANNING • Intake OK by: Date: Intake OK b • Assign To: Date: Intake Comments: • Intake Comme s: • ❑ Route to Commercial Building ❑Attach to No. `\ Project \ El Route to Residential Building ❑ Route to Historic Reviewer\ ❑ Make this a"W"Permit ❑ OK to Route to Other DepartTents Bldg/TI/Addn/Rem Size a__47i 4-t-2-' ❑ Hold in Planning File Drawer e Garage/Accessory Struct.Size Zone \ Number of Stories Overlay/Agreement Basement ❑No L4IYes, Fin/Unfin Nonresidential Use N, Type of Construction f kZ� Residential Use N Occupancy Group i,e.c, Proposed No.of Dwelling Units: N Occupancy Load t �- Total No.of Dwelling Units: \ ` Fire Sprinklers: ❑Update Existing❑New System ®Not Req'd Planning/Landscape Inspection Required before Final? ❑Yes ❑No Reason Sprinklers Required: "In Lieu"Fee:Type: Amount$\\ Fire Alarm: El Update Existing❑New System tiNot Req'd School Impact Fee: Total $ - Reason Fire Alarm Required: r Calculated: Credit: RCW 64.55 MF worksheet req'd for permit? ❑Yes No ❑Everett School Dist ❑Mukilteo School Dist Add i RCW 64.55 does required prior to final? ❑Yes gi No Additional Notes: VALUATION CALCULATION: Total$ S D J I/4— Approved By: Date: ' PUBLIC WORKS In :ke OK by: . Date: Additional Notes: UPqe-v 'Cb `'{� `c>•C Intak- Comments: PW Worksheet Needed if: DSys Dev Eval ❑Traffic Mit Eval Ii OSite Work or Drainage Proposed Approved By: ). • Date: .Il u'( iZf - =OBackflow Prevention for high hazard: ydental,medical,animals,mortuary,hospital, ;supportive housing) FIRE DEPARTM ENT ❑Route this folder for'• Review at end ---PW Review Worksheet Separate/Deferred Submittals Required: ❑This project also has a se.crate concurrent PW Review(Green Folder) ❑Fire Sprinklers ❑Fire Alarm ❑Other: AND ❑Create Green Folder a Submitted Previously ❑Deferred Additional Notes: ❑This Permit is Approved by Pubs 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 Fixer,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 L In Date: