7628 E CASINO RD 2023-06-16 - Laserfiche WebLink

• • ( Intake & Approval Sheet (FOR PERMIT STAFF ONLY) PERMIT# 2�1 � ��BUILDING PLANNING Intake OK by: L�rj� Date: Intake O y: Assign To: ttkCk Date: ` •//„s Intake Comments: Intake Co s: ❑ Route to Commercial Building ElAttach to Project No. \ jEt Route to Residential Building ❑ Route to Historic Reviewer ❑ Make this a"W"Permit ❑ OK to Route to Other Departments Bldg/TI/ 9/Rem Size 2-(III 5f ❑ Hold in Planning File Drawer Garage/Accessory Struct. Size Zone — Number of Stories ; Overlay/Agreement Basement ElNo ❑Yes, Fin/Unfin Nonresidential Use Type of Construction Residential Use Occupancy Group Proposed No.of Dwelling Units: Occupancy Load Y"c. Total No.of Dwelling Units: Fire Sprinklers: ❑Update Existing ❑New System 21Not Req'd Planning/Landscape Inspection Required be a Final? ❑Yes ❑No Reason Sprinklers Required: "In Lieu" Fee:Type: /Amount$ Fire Alarm: ID Update Existing El New System 1K.In-�Not Req'd School Impact Fee: Total $ Reason Fire Alarm Required: I--I Calculated: Credit: RCW 64.55 MF worksheet req'd for permit? ❑Yes 12 No El Everett School D. ❑Mukilteo School Dist Add'I RCW 64.55 docs required prior to fi . Yes 12INo Additional Not . VALUATION CALCULATION: tal$ 2 7I`'(3 c, 2t1 5 x. 4 ( ' 5r 12 ?i 4,30 1 Approved Date: PUBLIC WORKS Intake OK by: Date: Additional Notes: fiez t A-ap[Ti-un/ Intake Comments: [PW Worksheet Needed if: ❑Sys Dev Eval OTraffic Mit Eval ❑Site Work or Drainage Proposed ❑Backflow Prevention for high hazard: Approved By: �i�� Date: �� 1Z :(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 El 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: 2