1700 13TH ST 2023-04-07 - Laserfiche WebLink

Intake &Approval Sheet • (FOR PERMIT STAFF ONLY) PE # 8\9‘ 2-0E BUILDING PLAN ING Intake OK by: Date: IC2 1.41 Intake OK by:j Assign To: Date: 1 Intake Comment : Intake Comments: ❑ Route to Commercial Building ❑Attach to Project No. ❑ Route to Residential Building ❑ oute to Historic Reviewer CI Make this a"W"Permit ( pK to Route to Other Departments Bldg/TI/Addn/Rem Size .¢t 0-t--k-' ❑ Hold in Planning File Drawer Garage/Accessory Struct.Size — Zone Z �J Number of Stories lO Overlay/Agreement OPY1O\/r-n -\4' Ivv( Basement ❑No ❑Yes, Fin/Unfin Nonresidential Use fl/-PAWA,1 Type of Construction - A. Residential Use Occupancy Group .1- 'A- Proposed No.of Dwelling Units: Occupancy Load -2-- Total No.of Dwelling Units: Fire Sprinklers: ®Update Existing ❑New System ❑Not Req'd Planning/Landscape Inspection Requir d before Final? ❑Yes Lo Reason Sprinklers Required: "In Lieu T pe: Amount$ In Fire Alarm: Update Existing ❑New System CI Not Req'd School Impact Fee: Reason Fire Alarm Required: 1a Calculated: dit: RCW 64.55 MF worksheet req'd for permit? ❑Yes I�77 No ❑Ever chool Dist ❑Mukilteo Schoo Add'I RCW 64.55 dots required prior to final? ❑Yes IuuII No Additional Notes: VALUATION CALCULATION: Total$ t) 2 53 � Noe rIcr- Nor IL rt v i ewec1 ar ct1Pp roVeso( wfth-th;s Pey- i-f • Approved By: M3 Date: 12,0Aq PUBLIC WORKS Intake OK by d ' Date: 121 4 i 20 19 Additional Notes: Intake Comments: IPW Worksheet Needed if: ("`�.10E4..o V. ❑Sys Dev Eval ❑Traffic Mit Eval 60.4 l�'t" j OSite Work or Drainage Proposed Approved By: Date: 2 20 ►.�o S Go P£ o F 0- €❑Backflow Prevention for high hazard: It(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: ❑ This Permit is Approved by Public Works ❑ 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 0 Will be issued separately(Separate Green Folder,PW issued ahead of Bldg) Approved By: .:BI2 C.f./j-jDate:4 Z/?—/70-Public Works has no scope--- PW Not Required Additional Notes:....-- ------- /2hi 120/7 ELECTRICAL Additional Notes: Approved By: Date: Approved By: Date: