2206 SUMMIT AVE 2023-05-22 - Laserfiche WebLink

Intake &Approval Sheet • (FOR PERMIT STAFF ONLY) • PERMIT#V-201] 004 BUILDING PLANNING Intake OK by: iiu- Date: L/iZZI ZO2Z Intake OK by: Assign To: Date: Intake Comments: R61:14-i Intake Comments: 2.00 yt TOLSTS 4D6-cI o fia FtE pii cie ❑ 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 Wing ❑ Hold in Planning File Drawer Garage/Accessory Struct.Size Zone r2 Number of Stories 2 Overlay/Agreement Basement ❑No PaYes, Fin/t y Nonresidential Use Type of Construction Residential Use \ i,,W\ - &4.Q,,�,�A.) Occupancy Group Proposed No.of Dwelling Units: Occupancy Load .L[, Total No.of Dwelling Units: CAR- Fire Sprinklers: El Update Existing ❑New System EE1Not Req'd Planning/Landscape Inspection Required before Final? ❑Yes [.No Reason Sprinklers Required: "In Lieu"Fee:Type: Amount$ Fire Alarm: El Update Existing ❑New System rs/Not Req'd School Impact Fee: Total $ Reason Fire Alarm Required: IN Calculated: Credit: RCW 64.55 MF worksheet req'd for permit? ❑Yes I��I No ❑Everett School Dist ❑M ' o School Dist Add'I RCW 64.55 does required prior to final? ❑Yes 111No Additional Notes: VALUATION CALCULATION: Total$ Yv/6c?c Approved By� .) Date: PUBLIC WORKS Intake OK by: . Date: Additional Notes: Intake Comments: IPW Worksheet Needed if: IDSys Dev Eval ❑Traffic Mit Eval =OSite Work or Drainage Proposed Approved By: IL_ Date: /Z.Z/ZpZL OBackflow 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/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: ❑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: