1820 100TH PL SE 2023-01-03 - Laserfiche WebLink

Intake &Approval Sheet (FOR PERMIT STAFF ONLY) PERMIT# 2 I 1 0— 0+7 BUILDING PLANNING Intake OK by: Date: Intake OK by: Assign To: Date: Intake Comments: Intake Comments: ❑ Route to Commercial Building ❑ Attach to Project No. ❑ Route to Residential Building ❑ Route to Historic Reviewer ❑ M e this a"W"Permit El OK to Route to Other Departments BIdt)IAddn/Rem Size Z//OG El Hold in Planning File Drawer Garage/Accessory Struct.Size sv�� Zone !v`U\ Number of Stories / Overlay/Agreement Basement ErNo ❑Yes , Fin/Unfin Nonresidential Use \-.�\c C 'Q Type of Construction l/6 Residential Use Occupancy Group ,L' Proposed No.of Dwelling Units: Occupancy Load Total No.of Dwelling Units: Fire Sprinklers: ❑update Existing ❑New System KiNot Req'd Planning/Landscape Inspection Required b e Final? ❑Yes ❑No Reason Sprinklers Required: "In Lieu"Fee:Type: Amount$ Fire Alarm: El 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 tSI No ❑Everett School Dist ❑Mukilteo School Dist Add]RCW 64.55 docs required prior to final? ❑Yes .15No Additional Notes: VALUATION CALCULATION: Total$ Z%0°0,DO Approved B Date: \\,_ (I\, trytA PUBLIC WORKS Intake OK by: Date: Additional Notes: Intake Comments: =PWWorksheet Needed if: IDSys Dev Eval ❑Traffic Mit Eval I❑Site Work or Drainage Proposed Approved Bye 4/ Date: h��j/i¢� ❑Backflow Prevention for high hazard: I(dental,medical,animals,mortuary,hospital, isupportive housing) FIRE DEPARTMENT El Route this folder for PW Review at end ---PW Review Worksheet Separate/Deferred Submittals Required: OThis project also has a separate concurrent PW Review(Green Folder) El Fire Sprinklers IZ Fire Alarm ❑Other: AND ❑Create Green Folder OSubmitted Previously ❑Deferred Additional Notes: ❑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 ❑ 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) Ef-Review/Inspection Scope-ADD FIRE FEE ❑Will be issued separately(Separate Green Folder,PW issued ahead of Bldg) Approved By:V.,:c),-)v-aAAN, Date: 1''22D'1/\ Public Works has no scope---PW Not Required Additional Notes: ELECTRICAL Additional Notes: -1-B �9j�Y Approved By: Date: Approved By: `V . Date: l� 17 ZU 1