11419 19TH AVE SE KUMON AFTER SCHOOL CRTR 2023-04-07

Intake & Approval Sheet (FOR PERMIT STAFF ONLY) • PERMIT# 22° BUILDING PLANNING " Intake OK by: Date: Intake OK by: ' -� Assign To: (-4,41ID . Date: (�J/(1/2412-52-) 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 CI OK to Route to Other Departments BI /� d jv O �� ❑ Hold in Planning File Drawer Garage/Accessory Struct. Size ,i//.�4 Zone Number of Stories , Overlay/Agreement Basement EtNo ❑Yes, Fin/Unfin Nonresidential Use Type of Construction .1//5 Residential Use Occupancy Group ,GSr Proposed No.of Dwelling Units: Occupancy Load Total No.of Dwelling Units: Fire Sprinklers:111 Update Existing ❑New System El Not Req'd Planning/Landscape Inspection Required before Final? ❑Yes ❑No Reason Sprinklers Required: "In Lieu" Fee:Type: Amount$ Fire Alarm: El Update Existing ❑ rr��11New System YJNot 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! RCW 64.55 docs required prior to final? ❑Yes No Additional Notes: VALUATION CALCULATION: Total $ /w v °O Approved By: ;¢ Date: //Li/207-2_ PUBLIC WORKS Intake OK by: jimp Date �L1 t). 2— Additional Notes: Intake Comments. PW Worksheet Needed If: ❑Sys Dev Eval ❑Traffic Mit Eval ❑Site Work or Drainage Proposed /�/ �� ❑Backflow Prevention for high hazard: Approved By Date: C 3(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) El Fire Sprinklers El 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 ❑ Will be issued separately (Separate Green Folder,PW issued ahead of Bldg) Approved By: Date: Public Works has no scope--- PW Not Required dditional Notes: ELECTRICAL/PLUMBING I I 1hi• y Additional Notes: 6 l ��/�/�� ,.n '/n /y�q� �y� 1(0 Approved By: Date: Approved By: � Q,A II�r " e: &% 2j37) Z�fv.