4512 FOREST DR 2023-04-06 - Laserfiche WebLink

Intake &Approval Sheet (FOR PERMIT STAFF ONLY) • PERMIT# 3 V 1-01 - 0 3.1 1 BUILDING PLANNING Intake OK by: i--- Date: G/u _f Z� Intake OK by:1�; Assign To: Date: q/lq/20 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 ❑ Hold in Planning File Drawer Garage/Accessory Struct.Size Zone Number of Stories I Overlay/Agreement Basement ❑Noe 1Yes, Fin/Unfin Nonresidential Use . Type of Construction - Residential Use ^ -- Occupancy Group Proposed No.of Dwelling Units: Occupancy Load 11 -G. Total No.of Dwelling Units: Fire Sprinklers: ❑Update Existing ❑New System ONot Req'd Planning/Landscape Inspection Required before Final? ❑Yes ❑No Reason Sprinklers Required: "In Lieu"Fee:Type: Amount$ Fire Alarm: ❑Update Existing El New System DI Not Req'd School Impact Fee: Total $ Reason Fire Alarm Required: Calculated: Credit: RCW 64.55 MF worksheet req'd for permit? ❑Yes ❑ No ❑Everett School Dist ❑Mukilteo School Dist Add'I RCW 64.55 docs required prior to final? ❑Yes ❑No Additional Notes: VALUATION CALCULATION: Total$ 10/DO6 1 n . :T11 ay )c.0 0A04, ==/41-1 gilq/r -i— b(2)11,tvtu— 0 ' �-1J If2-) , Approved By: Date: I2 PI Ace £4)V1t-- Th 5 PUBLIC w®Rlc8 Intake OK by: Date: Additional Notes: Intake Comments: €PW Worksheet Needed if: DSys Dev Eval ❑Traffic'Mit Eval hr` (2`/c ❑Site Work or Drainage Proposed. Approved �� Date: ( Ji B y: ' Z fz_z_ :(dental,medical,animals,mortuary,hospital, ;supportive housing) - . FIRE DEPARTMENT El 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 ❑ 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 0 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: Date: