4934 VESPER DR 2023-05-22 - Laserfiche WebLink

Intake &Approval Sheet 0 (FOR PERMIT STAFF ONLY) 0 PERMIT#V` 1 k.\ —12g BUILDING PLANNING Intake OK by: V{", /t Date: I`Z( 49 Intake OK by: Assign To: Date: Intake Comments: Intake Comments: ❑ Route to Commercial Building ❑ Attach to Project No. 151 Route to Residential Building 0 Route to Historic Reviewer ❑ Make this a"W" Permit ❑ OK to Route to Other Departments Bldg/T i •• /Rem Size qr - j IA, ❑ Hold in Planning File Drawer Garage/Accessory Struct.Size A" Zone ')..1, Number of Stories ( Overlay/Agreement Basement INo ❑Yes, Fin/Unfin Nonresidential Use Type of Construction ,j(3 Residential Use ck,V 5r%1--- Occupancy Group R Proposed No.of Dwelling Units: — Occupancy Load Total No.of Dwelling Units: 1 Fire Sprinklers: ❑Update Existing El New System LCI.Not Req'd Planning/Landscape Inspection Required before Final? ❑Yes IgINo Reason Sprinklers Required: "In Lieu"Fee:Type: Amo nt$ Fire Alarm: ❑Update Existing ❑New System Not Req'd School Impact Fee: Total $ Reason Fire Alarm Required: Calculated: Cr It: RCW 64.55 MF worksheet req'd for permit? El Yes 6 No DEverett School Dist ❑Mukil o School Dist J Add'I RCW 64.55 docs required prior to final? ❑Yes EtNo Additional Notes: Z , 'S}aa1S r �tp� t(=�' — VALUATION CALCULATION: Total$ S$l ('j G Q.Ci14�16rw1 rr #0 loe) Qti,� r`1k9 oti�!e � r Approved By: a .,, ,), Date: 1k.zi. (9 PUBLIC WORKS Intake OK by: Date: I1 121 114 Additional Notes: Z.o i 6- !/ _. W 5a.e Intake Comments: IPW Worksheet Needed if: C7 ,°�5(L. 10 R.IE".,f tzca, s Dev Eval ❑Trafc Mit Eval r4Av.r) su:z-�At—C- (rite Work or Drainage Proposed ❑Backflow Prevention for high hazard: Approved By: Date: /Z/?O/f 9 '`' ,# i 5?'—'4 i}3� 4- :(dental,medical,animals,mortuary,hospital, f-40T(... -r -IEA-c,C.' isupportive housing) FIRE DEPARTMENT i'i `oute 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: El 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: 0 Public Works has no scope---PW Not Required Additional Notes: ELECTRICAL Additional Notes: Approved By: Date: Approved By: A7/AVII. Date: )2 / j, Z/