8907 5TH AVE W 2023-04-11 - Laserfiche WebLink

Intake &Approval Sheet (FOR PERMIT STAFF ONLY) • PERMIT# z20---043 BUILDING //2 PLANNING Intake OK by:/ -b Date: 57/�/L'42Z Intake OK Assign To: MO Date: Intake Comments: Intake Corn . ❑ Route to Commercial Building ❑Attach to Project No. .Route to Residential Building 0 Route to Historic Reviewer ❑ Make this a"W"Permit ❑ OK to Route to Other Departments Bldg/TI/Addn/Rem Size 3 S 0 5 i_ ❑ Hold in Planning File Drawer Garage/Accessory Struct.Size Ltoy Zone �- \ Number of Stories '2_ Overlay/Agreement Basement .rNo ❑Yes, Fin/Unfin Nonresidential Use Type of Construction Residential Use Occupancy Group Proposed No.of Dwelling Units: QAQ Occupancy Load Total No.of Dwelling Units: ©A\,Q. Fire Sprinklers: El Update Existing ❑New System 14Not Req'd Planning/Landscape Inspection Required before Final? 'Yes ❑No Reason Sprinklers Required: "In Lieu"Fee:Type: ' ount$ Fire Alarm: ❑Update Existing ❑New System SNot Req'd School Impact Fee:: Total $ rO/04 Reason Fire Alarm Required: Calculated: 5 f d'1 8 Credit: RCW 64.55 MF worksheet req'd for permit? ❑Yes 1J No El Everett School Dist Aukilteo School Dist Add9 RCW 64.55 docs required prior to final? Dyes EINo Additional Notes: VALUATION CALCULATION: Total$ 3 Z(c, I 9 OltitCt dptyttY L acthANgi *I-$1514- /3 SF X SF= ©S,SOV Approved By � Date: 51/SF x oLiSP = i (o(9 32 //o Lf LI WORKS Intake OK by ._-� Date: Additional Notes: Intake Commen s: `PW Worksheet Needed if: ❑Sys Dev Eval ❑Traffic Mit Eval El Site Work or Drainage Proposed 4/i ❑Backflow Prevention for high hazard: Approved By: ! Date: 0`l �022 :(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) ❑Fire Sprinklers ❑Fire Alarm ❑Other: AND OCreate Green Folder ❑Submitted Previously ❑Deferred Additional Notes: This Permit is Approved by Public Works rr See PW Review Worksheet and associated attached items Fire Dept. Fees: g A Separate PW Permit is Required (Permit#: PW 2 Zo 4 -0+1 ❑ Review of As-Built Plans-NO FIRE FEE AND gl Is located in this folder 8:Minimal or No Fire Scope-NO FIRE FEE 0 Is in a Separate Green Folder(join with this folder for permit issuance) ❑ Review/Inspection ope- DD FIRE FEE ❑Will be issued separately(Separate Green Folder,PW issued ahead of Bldg) Approved By e: > GV. ❑ Public Works has no scope---PW Not Required Additional Notes: ELECTRICAL Additional Notes: Approved By: Date: Approved By: - ' " Date: 6 Jizirs/17,,L t