5228 EAST DR 2023-06-30 - Laserfiche WebLink

• • Intake &Approval Sheet (FOR PERMIT STAFF ONLY) PERMIT# )2-1 t t - 015 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 ❑ Route to Historic Reviewer ❑ Make t ' rmit ❑ OK to Route to Other Departments Bldg/TI/Ad em ' e 3 SO0 0 Hold in Planning File Drawer Garage/Accessory Struct.Size yo Zone Number of Stories Overlay/Agreement Basement MNo DYes, Fin/Unfin Nonresidential Use Type of Construction -.4f—C Residential Use V 1'A" cam k li Occupancy Group .G Proposed No.of Dwelling Units: -- Occupancy Load Total No.of Dwelling Units: I Fire Sprinklers: ❑Update Existing ❑New System Iliqot Req'd Planning/Landscape Inspection Required before Final? ❑Yes gNo Reason Sprinklers Required: "In Lieu"Fee:Type: Amount$ Fire Alarm: ❑Update Existing ❑New SystenriNot Req'd School Impact Fee: Total $ - Reason Fire Alarm Required: ICI Calculated: Credit: RCW 64.55 MF worksheet req'd for permit? ❑Yes rs No ❑Everett School Dist ❑Mukilteo School Dist Add!RCW 64.55 docs required prior to final? ❑Yes [ 1.No Additional Notes: ��,p� CV VALUATION CALCULATION: Total$ /� „�C ��--iv! - 7 Approved By: V . Date: i1�l�,"�� PUBLIC WORKS Intake OK by: . Date: Additional Notes: Intake Comments: !:pWWorksheet Needed if: 4PP ed "C `OSys Dev Eval DTraffic Mit Eval IOSite Work or Drainage Proposed Approved B Date^per/D/ ;Z` _OBackflow 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) El 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: ❑ Public Works has no scope---PW Not Required Additional Notes: ELECTRICAL Additional Notes: Approved By: Date: Approved By: Date: