710 MADISON ST 2023-05-23 - Laserfiche WebLink

PERMIT#Intake &Approval Sheet (FOR PERMIT STAFF ONLY) • V� � — BUILDING PLANNING // Intake OK by: I�/�- Date: $/7!/242 Intake OK by L Assign To: Date: OP/2Z. Intake Comments: Intake Comments: CONv t 01V ❑ Route to Commercial Building ❑Attach to Project No. ❑ Route to Residential Building ❑ Route to Historic Reviewer ❑ Make this a"W"Permit ❑ OK to Route to Other Departments Bldg/TI/Addn/Rem Size ❑ Hold in Planning File Drawer Garage/Accessory Struct.Size Zone r��G Number of Stories Overlay/Agreement Basement 1?KlNo ❑Yes, Fin/Unfin Nonresidential Use ��----'L Type of Construction Residential Use 18- CT Occupancy Group Proposed No.of Dwelling Units: Occupancy Load Total No.of Dwelling Units: Fire Sprinklers: ❑Update Existing El New System allot Req'd Planning/Landscape Inspection Required before Final? ❑Yes ❑No Reason Sprinklers Required: "In Lieu"Fee:Type: Amount$ Fire Alarm: ❑Update Existing ❑New System BINot Req'd School Impact Fee: Total $ Reason Fire Alarm Required: Calculated: Credit: RCW 64.55 MF worksheet req'd for permit? ❑Yes kl No El Everett School Dist ❑Mukilteo School Dist Add'I RCW 64.55 docs required prior to final? ❑Yes -allo Additional Notes: -�// VALUATION CALCULATION: Total $ 30,00o [// 20 " ft, 04,arki,e, P /?4/17:2-- Approved By: Date: PUBLIC WORKS Intake OK by: -Mt Date: . Additional Notes: s A Iv Flew g Intake Comments: I PW Worksheet Needed if: n'l OR 5f ' A4.4t(w l$Sy Dev E al DTraffic Mit Eval IlfSite Work or Drainage Proposed Approved By: /e._e Date: all`202z, ❑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 I 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 ❑Deferred Additional Notes: Igalis Permit is Approved by Public WI-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 O 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/PLUMBING Additional Notes: Approved By: Date: Approved By: Date: 0(, 1 2,3 I?o z z