908 GRAND AVE 2023-06-22 - Laserfiche WebLink

Intake &Approval Sheet 0 (FOR PERMIT STAFF ONLY) • PERMIT#B206(0 01-0 BUILDING PLANNING Intake OK by: Date: Intake OK by: Assign To: Date: Intake Comments: Intake Comments: El Route to Commercial Building ❑ 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 Lrf er ❑ Hold in Planning File Drawer Garage/Accessory Struct.Size fU Zone Number of Stories 2- Overlay/Agreement Basement ❑No Yes, Fin/Unfin Nonresidential Use Type of Construction t113 Residential Use Occupancy Group 2`3 Proposed No.of Dwellin. nits: Occupancy Load Total No.of Dwelling its: Fire Sprinklers: El Update Existing El New System 21Not Req'd Planning/Landsca•e Inspection Required before Final? ❑Yes ❑No Reason Sprinklers Required: "In Lieu"Fee:Ty.-: Amount$ Fire Alarm: ❑Update Existing ❑New System lot Req'd School Impac ee: Total $ Reason Fire Alarm Required: Calculated: Credit: RCW 64.55 MF worksheet req'd for permit? ❑Yes ® No ❑Evere 'School Dist ❑Mukilteo School Dist Add!RCW 64.55 docs required prior to final? ❑Yes I No Additional otes: VALUATION CA�L^CULATION: Total$ /,7OO.00 cO `\4.A`i\N‘'c SccQQ. I241-° 2 y0 X'7/ — 1,70 Approved By: Date: PUBLIC WORKS Intake OK by: Date: Additional Notes: Intake Comments: €PW Worksh-et Needed if: 1DSys Dcr, Eval ❑Traffic Mit Eval 1 OSite , ork or Drainage Proposed Approved B - Date: 0�/20z/ ❑B•ckflow Prevention for high hazard: l(d= tal,medical,animals,mortuary,hospital, 1- pportive housing) FIRE DEPARTMENT El Route this folder for PW Revie 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 ❑Deferred Additional Notes: El This Permit is Approve by Public Works ❑ See PW Review W. sheet and associated attached items Fire Dept.Fees: 0 A Separate PW P•rmit is Required(Permit#: PW ) ❑ Review of As-Built Plans-NO FIRE FEE AND ❑ Is locato i in this folder ❑ Minimal or No Fire Scope-NO FIRE FEE ❑ Is in eparate Green Folder coin with this folder for permit issuance) ❑ Review/Inspection Scope-ADD FIRE FEE ❑ Will se issued separately(Separate Green Folder,PW issued ahead of Bldg) Approved By: Date: �'Rublic W'rks has no scope---PW No Required Additional Note ELECTRICAL ��tf o r�zo� Additional Notes: Approved By: Date: Approved By: Date: