2405 MAPLE ST B 2023-06-21 - Laserfiche WebLink

0411 Intake & Approval Sheet (FOR PERMIT STAFF ONLY) PERMIT# 73W 3 G1d f BUILDING , PLANNING Intake OK by: Date: Z/2.S^!2U Intake OK by:6t 1� Assign To: Date: 212-6-12O Intake Comments: Intake Comments: B1/44,31 ❑ Route to Commercial Building EiAttach to Project No. N C 13 Iq -0 2-6 , 2- i V I 20 El Route to Residential Building ❑ -oute to Historic Reviewer ❑ Make this a"W"Permit • 2 OK to Route to Other Departments Bldg/TI/Addn/Rem Size /56 $/ ❑ Hold in Planning File Drawer Garage/Accessory Struct. Size 1 313 S, Zone f..-2- Number of Stories 2 Overlay/Agreement Basement ONo ❑Yes, Fin/Unfin Nonresidential Use Type of Construction *VI Residential Use SP12- -4—-KI-O U Occupancy Group lqu Proposed No.of Dwelling Units: 1 Occupancy Load Total No. of Dwelling Units: 2. Fire Sprinklers: ❑Update Existing ❑New System ❑Not Req'd Planning/Landscape Inspection Required before Final? ❑Yes,o Reason Sprinklers Required: "Fee:Type: Am Fire Alarm: ❑Update Existing ❑New System ❑Not Req'd School Impact e . tal $ Reason Fire Alarm Required: Calculated: it: RCW 64.55 MF worksheet req'd for permit? ❑Yes al No ❑ t School Dist ❑Mukilteo School is Add'I RCW 64.55 docs required prior to final? Dyes ®No Additional Notes: 0?F I(t"S'tt1-L(__WI 'B. 05v D PIE VALUATION CALCULATION: Total$ 13O!526 $ R-001 stwith (h N N ttft � 756: P 12( .. 5'q i, 2 Cis DQo P I I P6� cPCNI�> - Approved By: Date: `"1 I U pe 8l 30 2,13° PUBLIC WORKS 4 4 e° 2. 1 i p° Intake OK by: rye Date: 2,s Additional Notes: 2,45 /1 4 �15e - Intake Comments: jPW Worksheet eded if: / e::: 26ys Dev Eval ❑Traffic Mit Eval ti l/ ( 1 0 �� F r J Site Work or Drainage Proposed I❑Backflow Prevention for high hazard: Approved By: Date: ��9/ZD =(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 ❑Deferred Additional Notes: This Permit is Approved by Public Works ; We r' See PW Review Worksheet and associated attached items Fire Dept. Fees: OA Separate PW Permit is Required(Permit#: PW 2008-d 65f ❑ Review of As-Built Plans-NO FIRE FEE AND aIs 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: d.0 3 JZ4 Ly 2./�i