6522 WETMORE AVE 2023-05-31 - Laserfiche WebLink

411° Intake & Approval Sheet (FOR PERMIT STAFF ONLY) PERMIT 3.‘ 70(0 —PT) 21 BUILDING PLANNING Intake OK by: Date: Intake OK Assign To: (Vita Date: 1a. 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 1 -(05 - ( ❑ Hold in Planning File Drawer Garage/Accessory Struct. Size 4� Zone Number of Stories Z Overlay/Agreement Basement ❑No Yes , Fin/ Nonresidential Use Type of Construction \- Residential Use Occupancy Group . - Proposed No. of Dwelling Units: Occupancy Load Total No. of Dwelling Units: Fire Sprinklers: El Update Existing ❑New System ElNot Req'd Planning/Landscape Inspection Required before Final? ❑Yes IW_No Reason Sprinklers Required: "In Lieu" Fee: Type: Amount$- ❑New System El Req'dImpact Fee: Total $School Fire Alarm: ❑Update Existing Reason Fire Alarm Required: Calculated: redit: RCW 64.55 MF worksheet req'd for permit? ❑Yes JI No DEverett School Dist ukilteo School Dist Add'I RCW 64.55 docs required prior to final? ❑Yes L!gNo Additional Notes: VALUATION CALCULATION: Total $ 't O CO5;;SCD 27a, SS4- (�1 = ( c3�"r Approved B Date: a vs-T, (41, PUBLIC WORKS Intake OK by: _ Date: Additional Notes: Intake Comments: IPW Worksheet Needed if: ❑Sys Dev Eval ❑Traffic Mit Eval Site Work or Drainage Proposed Approved By: ��. Date: ',�/Z 2 9 I ❑Backflow Prevention for high hazard: (dental,medical,animals,mortuary,hospital, supportive housing) FIRE DEPARTMENT DRoute 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 DOther: AND ❑Create Green Folder ❑Submitted Previously ❑Deferred Additional Notes: ❑ This Permit is Approved by Public Works `-- ❑ See PW Review Worksheet and associat attached items Fire Dept. Fees: El Separate PW Permit is Required (Per it#: PW 2010 -0 35 ) ❑ Review of As-Built Plans- NO FIRE FEE AND ❑ Is located in this folder I ❑ Minimal or No Fire Scope-NO FIRE FEE D Is in a Separate Green Folder(join with this folder for permit issuan ❑ Review/ Inspection Scope-ADD FIRE FEE ❑ Will be issued separately(Separate Green Folder,PWrued ahead of Bldg) Approved By: Date: ❑ Public Works has no scope--- PW Not Required Additional Notes: ELECTRICAL Additional Notes: i Approved By: Date: Approved By: Date: ?Z7,0