7130 HIGHLAND DR 2023-06-22 - Laserfiche WebLink

Intake &Approval Sheet •(FOR PERMIT STAFF ONLY) • PERMIT# Y- 'v�`:;1*d 8 'OW BUILDING . PLANNING . Intake OK by: K/16- Date: 1 I/Li l2'B111 Intake OK by: Assign To: Date: Intake Comments: Intake Comments: Af t a COWySIZbl,ea) ❑ Route to Commercial Building ❑Attach to Project No. ❑ Route to Residential Building ❑ Route to Historic Reviewer ❑ Make this a"W"Permit 0 OK to Route to Other Departments Bldg/TI/Addn/Rem Size ❑ Hold in Planning File Drawer , Garage/Accessory Struct.Size Zone Number of Stories Overlay/Agreement Basement RNo ❑Yes, Fin/Unfin Nonresidential Use Type of Construction ..-� Residential Use j Occupancy Group -C Proposed No.of Dwelling Units: Occupancy Load 4/46 . Total No.of Dwelling Units: Fire Sprinklers: ❑Update Existing ❑New System Not Req'd Planning/Landscape Inspection Required before Final? ❑Yes ❑No Reason Sprinklers Required: "In Lieu"Fee:Type: Amount$ Fire Alarm: El Update Existing El New System INot Req'd School Impact Fee: Total $ Reason Fire Alarm Required: Calculated: Credit: RCW 64.55 MF worksheet req'd for permit? ❑Yes No ❑Everett School Dist ❑Mukilteo School Dist Add'I RCW 64.55 docs required prior to final? ❑Yes No Additional Notes: VALUATION CALCULATION: Total$ if COO Approved By: 4, Date: 0/11202 2 PUBLIC WORKS " Intake OK by: V 14 Date: E(Z4-I2.csi i Intake Comments: = Additional Notes: PW Worksheet Needed if: i 5r Z -ro AC a !( Sys Dev Eval ❑Traffic Mit Eval e.►o nao tur-Ss a.�-C-rtRt. =l]Site Work or Drainage Proposed• - 0,J .`4 k TE.n..oif- "..1.1:,ILAL1 1 S 1=-a0.4.n Div C.GL E,N s-c OBackflow Prevention for high hazard: Approved By: 12,v, Date: I/l t` LZ Co.+c_ii.L-r�. (dental,medical,animals,mortuary,hospital, N. ' 4-1 Sus isupportive 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 ❑Deferred Additional Notes: ElThis Permit is Approved by Public Works w ❑ 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: VI-Public Works has no scope---PW Not Required Additional Notes: ELECTRICAL Additional Notes: 4Z¢(liO�'Z" Approved By: Date: Approved By: Date: 21