3506 ROCKEFELLER AVE 2023-04-07 - Laserfiche WebLink

Intake & Approval Sheet • (FOR PERMIT STAFF ONLY) i PERMIT# 1J 22O -OZJ BUILDING `PLANNING Intake OK by: Afik Date: Alt311-7-- Intake OK byrlD / ` Assign To: Date:022/22 Intake Comments: Intake Comments: ❑ Route to Commercial Building ❑ Attach to Project No. ET-Route to Residential Building ❑ Route to Historic Reviewer ❑ Make this a"W" Permit ❑ OK to Route to Other Departments Bldg/TI/Addn( —em 1217 ? ❑ Hold in Planning File Drawer Garage/Accessory Struct. Size Zone V I`--23 • Number of Stories I Overlay/Agreement Basement ❑No aYes FjUnfin Nonresidential Use Type of Construction Se— Residential Use Occupancy Group Proposed No. of Dwelling Units: Occupancy Load Total No. of Dwelling Units: Fire Sprinklers: ❑Update Existing LJNew System &lot 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 lot Req'd School Impact Fee: Total $ Reason Fire Alarm Required: Calculated: Credit: RCW 64.55 MF worksheet req'd for permit? ❑Yes ..13 No ❑Everett School Dist ❑Mukilteo School Dist Add.'RCW 64.55 docs required prior to final? ❑Yes ViNo Additional Notes..c k—.re_.$2, I�z3 5o 1• Lrt VALUATION CALCULATION: Total $ It> bO© �^ tt-tLk �1M 4( 5icP �- 27/27 Approved By: Date: PUBLIC WORKS Intake OK by: g Date: 4.l0 I7,Ov Additional Notes: Intake Comments: lPW Worksheet Needed if: ❑Sys Dev Eval ❑Traffic Mit Eval ❑Site Work or Drainage Proposed jt Approved By: vk Date: I U (Z� I❑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) ❑Fire Sprinklers ❑Fire Alarm ❑Other: AND ❑Create Green Folder ❑Submitted Previously ❑Deferred Additional Notes: 51.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 0 Is in a Separate Green Folder(join with this folder for permit issuance) O 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:, I,,�. ELECTRICAL 0(A6 w'V,0 C1,er1141-W Additional Notes: Approved By: Date: Approved By:54aAjwilvp Date: q) to .26 2� 1 v