422 CROWN DR 2023-06-16 - Laserfiche WebLink

Intake & Approval Sheet • (FOR PERMIT STAFF ONLY) • PERMIT# 22.0C-o 1- BUILDING PLANNING Intake OK by: ?Ski Date: k' \'ZC Intake OK by: Assign To: Date: Intake Comments: Intake Comments: ❑ Route to Commercial Building ❑ Attach to Project No. El Route to Residential Building ❑ Route to Historic Reviewer ❑ Make this a"W"Permit ❑ OK to Route to Other Departments Bldg/TI/Addn/Rem Size ❑ Hold in Planning File Drawer Garag: •ccessory Struct. 66 Zone Number o tories Overlay/Agreement Basement ❑No ❑Yes , Fin/Unfin Nonresidential Use Type of Construction Residential Use Occupancy Group Proposed No. of Dwelling Units: �— Occupancy Load PLC.- Total No.of Dwelling Units: I Fire Sprinklers: El Update Existing ❑New System &lot Req'd Planning/Landscape Inspection Required before Final? El Yes 90 Reason Sprinklers Required: "In Lieu" Fee:Type: Amount$ Fire Alarm: El Update Existing El New System IYAot Req'd School Impact Fee: Total $ __ Reason Fire Alarm Required: r� Calculated: Credit: RCW 64.55 MF worksheet req'd for permit? ❑Yes -�C7No ❑Everett School Dist ❑Mukilteo School Dist Add'I RCW 64.55 does required prior to final? ❑Yes EtNo Additional Notes: VALUATION CALCULATION: Total $ 5,C`7Ci C Approved By: 1L.1 Date: BLIC WORKS, Intake OK by: aP-1 Date: 4 12._`t Additional Notes: Intake Comments: IPW Worksheet Needed if: CCI"`' A �'• ~ I I, ys Dev Eval ❑Traffic Mit Eval S�A•ts• € ❑Site Work or Drainage Proposed Approved By: il— Date: iLI��/7Z �W p� S co s❑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 ❑Other: AND ❑Create Green Folder ❑Submitted Previously ODeferred 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: LL' 'ublic Works has no scope--- PW Not Required Additional Notes: ELECTRICAL/PLUMBING Additional Notes: . Cs/z_y ice,z Approved By: Date: Approved By: Date: