421 ROCKEFELLER AVE 2023-05-31 - Laserfiche WebLink

n k Approval Sheet SFOR PERMIT STAFF ONLY) PERMIT# C -O IntakeQ-Qfl I BUILDING PLANNING jQ Intake OK by: Date: Intake OK by: 1;�'D Assign To:191W . Date: 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 J'OK to Route to Other Departments Bldg/TI/Addn/Rem Size 3 -603F" ' bo91 ❑ Hold in Planning File Drawer Garage ccessory Struct. Size 4024 S9 D Zone IF- I Number of Stories 2 Overlay/Agreement Basement -'I No ❑Yes , Fin/Unfin Nonresidential Use Type of Construction Y 1 . Residential Use 51F P- Occupancy Group Proposed No.of Dwelling Units: ( _ Occupancy Load Total No.of Dwelling Units: I Fire Sprinklers: El Update Existing El New System V Not Req'd Planning/Landscape Inspection Required before Final? ❑Yes o Reason Sprinklers Required: "In Lieu"Fee:Type: mount$ Fire Alarm: El Update Existing El New System it`=JNot Req'd School Impact Fee: Total 5-1 3s8 Reason Fire Alarm Required: Cal ulated: Credit: RCW 64.55 MF worksheet req'd for permit? ❑Yes 43 No verett School Dist ❑Mukilteo School Dist Add'RCW 64.55 docs required prior to final? ❑Yes tilNo Additional Notes: VALUATION CALCULATION: Total$ (004 C +e....tv7 '3~-i c5 v Cis a 121 (✓at3 1 t A-t ) l g G.v-eay'x 3b;Li I to C kz-I ) 4 iC f' -°C3aApproved By: a45 Date. / U ,/ 410 C s ) g if, cA cl:x2S y�•o0 PUBLIC WORKS 5 y (vi 3q D.�i.ti Intake OK by: Date:_.____..._...._. ._...___ _..._..___._... Additional Notes: Intake Comments: PW Worksheet Needed if: - AVl6 � NfAA I �l' i f O�.6.e ❑Sys Dev Eval ❑Traffic Mit Eval V JJIIC.!/rtll/` h sh vi 14 IL ❑Site Work or Drainage Proposed Approved By: c Date: , f$ 20� ❑Backflow Prevention for high hazard: � (dental,medical,animals,mortuary,hospital, supportive housing) FIRE DEPARTMENT ❑Route this folder for PW Review at end Y---PW Review Worksheet Separate/Deferred Submittals Required: ❑This project also has a separate concurrent PW Review(Green Folder) ❑Fire Sprinklers ire 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 ZoC ''� ) ❑ Review of As-Built Plans-NO FIRE FEE AND ❑ Is located in this folder Minimal or No Fire Scope-NO FIRE FEE 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:k.2j6'ptAm Date:/O-�—�2j ❑ Public Works has no scope---PW Not Required Additional Notes: ELECTRICAL Additional Notes: Approved By: Date: Approved By: Date: