3427 BELL AVE 2023-06-20 - Laserfiche WebLink

S � (na„ / Intake & Approval Sheet (FOR PERMIT STAFF ONLY) PERMIT#� �--- .-019 BUILDING PLANNING Intake OK b Date: Intake OK Assign To: Ma Date: Intake Comments: Intake Comments: t t e o ❑ Route to Commercial Building 0 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 ❑ Hold in Planning File Drawer Garage/Accessory Struct. Size r Zone Number of Stories X Overlay/Agreement 1,,10►\k ArA Basement A❑No Y , Fin/Unfin vketer �;\\ Type of Construction Residential Use Sf �, Occupancy Group Proposed No.of Dwelling Units: Occupancy Load Total No.of Dwelling Units: Fire Sprinklers: ❑Update Existing ❑New System rsilNot Req'd Planning/Landscape Inspection Required before Final? ❑ ❑No Reason Sprinklers Required: "In Lieu" Fee: Type: A Fire Alarm: ❑Update Existing ❑New System Not Req'd School Impact Fee: Total $ Reason Fire Alarm Required: r� Calculated: Credit: RCW 64.55 MF worksheet req'd for permit? ❑Yes Id No ❑Everett School4itr ❑Mukilteo School Dist Add'I RCW 64.55 docs required prior to final? ❑Yes EiNo Additional Notes: VALUATION CALCULATION: Total i 50/ori ) 57: lam= ?0 Approve Date: `2.`71-.Lo2 PUBLIC WORKS IMMIMMIh I ake OK by: Date: Additional Notes:&rale...C'E— ntake Comments: 1PW Worksheet Needed if: (2b2 i❑Sys Dev Eval ❑Traffic Mit Eval 41L— r•r:_: ;• _AP. IDSite Work or Drainage Proposed Approved Date: =❑Backflow Prevention for high hazard: dental,medical,animals,mortuary,rY,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 ❑Deferred Additional Notes: 0 This Permit is Approved by Public Works EI-See PW Review Worksheet and associated attached items Fire Dept. Fees: EA Separate PW Permit is Required (Permit#: PW 22Q5'O 15- ) ❑ Review of As-Built Plans-NO FIRE FEE AND Ef 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: I Approved By: Date: Approved By: Date: . e• 22-