2818 GRAND AVE 2022-11-28 - Laserfiche WebLink

Intake &Approval Sheet ! (FOR PERMIT STAFF ONLY • PERMIT 102C0--'007--> Ni6 BUILDING �v/ PLANNING Intake OK b /A. Date: 0-2- U ZOZ.m Intake OK by: t" Assign To: 1L 14— Date: `�l Intake Comments: Intake Comments: Z. C e)1-1- v ° '— (eq. ❑ Route to Commercial Building ❑Attach to Project No. ❑ Route to Residential Building ❑ Route to Historic Reviewer ❑ Make this a"W"Permit .0 OK to Route to Other Departments Bldg/TI/Addn/Rem Size know ❑ Hold in Planning File Drawer Garage/Accessory Struct.Size _ Zone (j M Number of Stories Overlay/Agreement Basement El No ❑Yes, Fin/Unfin Nonresidential Use Type of Construction Residential Use Iv1.J1Vt 1 11 / rdelda Occupancy Group %°-� Proposed No.of Dwelling Units: J Occupancy Load Total No.of Dwelling Units: Fire Sprinklers: ❑Update Existing ❑New System Mot Req'd Planning/Landscape Inspection Required before Final? ❑Yes ❑No Reason Sprinklers Required: "In Lieu"Fee:Type: Amount$ Fire Alarm: ❑Update Existing ❑New System tEl Req'd School Impact Fee: Total $ Reason Fire Alarm Required: Calculated: Credit: RCW 64.55 MF worksheet req'd for permit? 1Yes ❑ No ❑Everett School Dist ❑Mukilteo School Dist Addi RCW 64.55 docs required prior to final? Oyes No Additional Notes: /�ep�,,� OlS N _ P, ((05 VALUATION CALCULATION: Total$ ts43 6 - '�(y �1 Approved By: "1 Date: .- .• Ito.jaw PUBLIC WORKS Intake OK by: Date: mr 21 Additional Notes: I �' vv ci -FALL., Intake Comments: PW Worksh et Needed if: Qr €DSys Dev Eval ❑Traffic Mit Eval ❑Site Work or Drainage Proposed Approved By: V Date: i)- ver =0Backflow Prevention for high hazard: :(dental,medical,animals,mortuary,hospital, Li 1 '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 ❑Other: AND ❑Create Green Folder ❑Submitted Previously ❑Deferred Additional Notes: 0 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(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: 24.