1429 BROADWAY 2023-02-03 - Laserfiche WebLink

061". Intake & Approval Sheet (FOR PERMIT STAFF ONLY) PERMIT# T✓ 049) 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 ❑ Make this a"W"Permit ❑ OK to Route to Other Departments Bldg/TI/Addn/Rem Size I ❑ Hold in Planning File Drawer Garage/Accessory Struct. Size Zone Number of Stories / Overlay/Agreement IS{20—\ r i✓.' : *A%1\ Basement ❑No RYes, Fin/Unfin Nonresidential Use \(AeA\en, v4 Type of Construction ;/6 Residential Use _ /-' Occupancy Group v 7 Proposed No. of Dwelling Units: Occupancy Load Total No.of Dwelling Units: Fire Sprinklers: El 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 El New System ❑Not Req'd School Impact Fee: Total $ Reason Fire Alarm Required: Calculated: Cre • : RCW 64.55 MF worksheet req'd for permit? ❑Yes ❑ No El Everett School Dist ❑ 1 teo School Dist Add]RCW 64.55 docs required prior to final? ❑Yes El No Additional Notes:/ VALUATION CALCULATION: Total$-??/J'Z ov Approved By: c::: ' Date:q,22.2C3Z1 PUBLIC WORKS Intake OK by: Date: Additional Notes: Intake Comments: IPW Worksheet Needed if: s❑Sys Dev Eval ❑Traffic Mit Eval ❑Site Work or Drainage Proposed Approved By ,.,, Date:G'`�/1-9/t-o r, ❑Backflow 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 ❑Other: AND ❑Create Green Folder ❑Submitted 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 0 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:K ; j Date: /0, -6 j ❑ Public Works has no scope---PW Not Required Additional Notes: ELECTRICAL Additional Notes: Approved By: Date: Approved By: Date: Z/ Z