1607 RUCKER AVE 2023-04-07 - Laserfiche WebLink

Intake &Approval Sheet •(FOR PERMIT STAFF ONLY) • PERMIT# I 1 0 (3 C 6 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 0 Hold in Planning File Drawer Garage/Accessory Struct.Size Zone Number of Stories 2 Overlay/Agreement Basement No ❑Yes, Fin/Unfin Nonresidential Use . Type of Construction DVLResidential Use Occupancy Group Proposed No.of Dwelling Units: Occupancy Load Total No.of Dwelling Units: Fire Sprinklers: ❑Update Existing ❑New System ERNot Req'd Planning/Landscape Inspection Required before Final? DYes ❑No Reason Sprinklers Required: "In Lieu"Fee:Type: Amount$ tvt Fire Alarm: ❑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 I No ❑Everett School Dist ❑Mukilteo School Dist Add'I RCW 64.55 docs required prior to final? ❑Yes ►1 No Additional Notes: VALUATION CALCULATION: Total$ Approved By: Date: PUBLIC WORKS- Intake OK by: Date: Intake Comments: iPW Worksheet Needed if:: Additional Notes: I =OSys Dev Eval ❑Trafic'Mit Eval �) • , 9�z IDSite Work or Drainage Proposed. J Approved By: 1/ Y Date: (2,I z. ;OBackflow Prevention for high hazard: f _(dental,medical,animals,mortuary,hospital, :supportive housing) FIRE DEPARTMENT DRoute 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 OFire Alarm ❑Other: AND ❑Create Green Folder ❑Submitted Previously ODeferred Additional Notes: ❑This Permit is Approved by Public Works • a • ❑See PW Review Worksheet and associated attached items Fire Dept. Fees: 0 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 ❑Will be issued separately(Separate Green Folder,PW issued ahead of Bldg) Approved By: Date: ❑ Public Works has no scope---PW Not Required Additional Notes: ELECTRICAL Additional Notes: Approved By: Date: Approved By: Date: