3322 52ND PL SW 2023-05-31 - Laserfiche WebLink

Intake &Approval Sheet (FOR PERMIT STAFF ONLY) PERMIT# 2 166 01 BUILDING PLANNING Intake OK by:_ Date: Intake OK by: Assign To: Date: Intake Comments: Intake Comments: ❑ Route to Commercial Building ❑ Attach to Project No. ❑ Route to Residential Building 0 Route to Historic Reviewer ❑ Make this "llPermit 0 OK to Route to Other Departments Bldg/TI/Ad1emyStze mo ❑ Hold in Planning File Drawer Garage/Accessory Struct. Size Zone c<. - Number of Stories Overlay/Agreement Basement ❑No tilYes, Fin/Unfin Nonresidential Use Type of Construction r✓LC Residential Use Sk-e, lkVolA Occupancy Group 4___L Proposed No.of Dwelling Units: QV-1, Occupancy Load Total No.of Dwelling Units: "'c�•.Z Fire Sprinklers: ❑Update Existing ❑New System , Not Req'd Planning/Landscape Inspection Required before Final? ❑Yes ❑No Reason Sprinklers Required: "In Lieu"Fee:Type: Amou '• Fire Alarm: El Update Existing ❑New System UNot 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'RCW 64.55 does required prior to final? ❑Yes 1:2No Additional Notes' VALUATION CALCULATION: Total$ 1/0 0 00,6d Approve: Date: \2.\" 2451.1 PUBLIC WORKS Intake OK by: Date: Additional Notes: Intake Comments: PW Worksheet Needed if: ❑Sys Dev Eval ❑Traffic Mit Eval ❑Site Work or Drainage Proposed Approved Date: ❑Backflow 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 DOther: AND ❑Create Green Folder ❑Submitted Previously ❑Deferred Additional Notes: 0 This Permit is Approved by Public Works ❑ See PW Review Worksheet and associated attached items Fire Dept. Fees: 0 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 Coln 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, )c LtJ n Date: /()-' ,2/ ❑ Public Works has no scope---PW No )quired Additional Notes: A ELECTRICAL Additional Notes: 0111/D 7'sts LA Approved By: Date: Approved By\j,4 a puutwite-.0444, z_