705 OLYMPIC BLVD 2022-12-30 - Laserfiche WebLink

to Intake & Approval Sheet (FOR PERMIT STAFF ONL19 W PERMIT# BkQ oI -01 Co BUILDING I PLANNING Intake OK by: ' Date: 7�I2f;�9 Intake OK bya45 Date: 1/)2 /l'1 Intake Comments: Intake Comments: Assign To: j(_/6 Very if r adattfyzo ,c fm(t-A`144m,hrLSeUiVe Sj spuee. ❑ Route to Commercial Building Attach to Project No. JEr Route to Residential Building ❑ Route to Historic Revi wer ❑ Make this a"W"Permit 'K OK to Route to Oth Departments Bldg/TI/ dd Rem Size 3 V7 S.F ❑ Hold in Plannin ile Drawer _ an-0/Accessory/Accessory Struct. Size 5 2S S i Zone - Number of Stories I verla eement Basement RINo ❑Yes, Fin/Unfin Nonresidential Use --— Type of Construction Residential Use Sr-K- Occupancy Group 12./I4 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 befor Final? ❑Yes / o Reason Sprinklers Required: "In Lieu" Fee:Type: ount$ / Fire Alarm: ❑Update Existing ❑New System ❑Not Req'd School Impact Fee: Total $ Reason Fire Alarm Required: Calculated: Credit: RCW 64.55 MF worksheet req'd for permit? ❑Yes I No ❑Everett School Dist Mukilteo School Dist Add!RCW 64.55 dots required prior to final? ❑Yes ElNo Additional Notes: VALUATION CALCULATION: Total$ 6,:fi ?67 322 @12.1 4 ® � S 2S e 48 Approved By: f l wy �W' 1y Dater I 1 j 12,' PUBLIC WORKS „ j/S 7 22f119 d 4 Intake OK by: Date: -/2- C. PW Worksh et Needed if: Additional Notes: 2 D 13 �I2C �' kI S� Intake Comments: Ate' � � ❑Sys Dev Eval ❑Traffic Mit Eval ie-Nt' Site Work or Drainage Proposed Pi-e qZ5 Backflow Prevention for high hazard: Approved By: Date: 8/Z$!i 9 ,w,'�j,tn (dental,medical,animals,mortuary,hospital, pr-71-42- 2 4 OlL/h1 supportive housing) FIRE DEPARTMENT ❑Route this folder for PW Review at end ---PW Review Worksheet Separate/Deferred Submittals Required: 5IThis project also has a separate concurrent PW Review(Green Folder) ❑Fire Sprinklers ❑Fire Alarm ❑Other: ANDr� ®Create Green Folder ❑Submitted Previously ❑Deferred Additional Notes: ecl This Permit is Approved by Public Works 0 See PW Review Worksheet and associated attached items Fire Dept. Fees: Ll A Separate PW Permit is Required (Permit#: PW /40--U0) ) ❑ 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(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: 0 Public Works has no scope---PW Not Required Additional Notes: ELECTRICAL Additional Notes: Approved By: Date: Approved By: } .'... " A Date: q„, / 9 y".2_,