1005 NORTH PARK DR 2023-05-19 - Laserfiche WebLink

Intake &Approval Sheet &FOR PERMIT STAFF ONLY) • PERMIT# B,(9.a 00 1 - BUILDING HZ-7Z— PLANNING" • " • •/� ' • p Intake OK by: 1244 Date: Y Intake OK by: AS Assign To: �"�Q� /S Date:q/i1 f�2iZ 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 Hold in Planning File Drawer Garage/Accessory Struct.Size Zone I Number of Stories Overlay/Agreement Basement ❑No ❑Yes, Fin/Unfin Nonresidential Use . Type of Construction Residential Use Occupancy Group Proposed No.of Dwelling Units: Occupancy Load Total No.of Dwelling Units: Fire Sprinklers: ❑Update Existing El New System Not Req'd Planning/Landscape Inspection Required before Final? Oyes ❑No Reason Sprinklers Required: "In Lieu"Fee:Type: Amount$ Fire Alarm: ❑Update Existing El New System El Not 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'I RCW 64.55 doss required prior to final? DYes ❑No Additional Notes: VALUATION CALCULATION: Total$ I 1 33® Approved By: 4, Date: a/�I 1L PUBLIC WORKS ( / Intake OK by: 'thi Date: S/36/La Z Additional Notes: SQELI f}( _ rJ, SP€Z.-11G'135 Intake Comments: IPW Worksheet Needed if: �� ,p1-f.ov o N�-! ❑Sys Dev Eval ❑TrafficMit Eval Q ( ,� `�`�� ❑Site Work or Drainage Proposed Jts SSW 5cs Po Approved By: �R E L Date: 9 ❑Backflow Prevention for high hazard: J-. /17L.. (dental,medical,animals,mortuary,hospital, supportive housing) FIRE DEPARTMENT DRoute 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) El Fire Sprinklers ❑Fire Alarm ❑Other: AND OCreate 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(loin 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: airmwy) Date: h 4..„2i2 'ublic Works has no scope--- PW Not Required Additional Notes: ELECTRICAL Additional Notes: � 3d Za Z -•c Approved By: Date: Approved By: Date: z/Z