881 OLYMPIC BLVD 2023-06-22 - Laserfiche WebLink

Intake &Approval Sheet (FOR PERMIT STAFF ONL� PERMIT# 2 ° °SS 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 0 Route to Historic Reviewer ❑ Make this a"W"Permit ❑ OK to Route to Other Departments Bldg/TI/ dnl�-t-e / e 0 Hold in Planning File Drawer Garage/Accessory Struct.Size f/�� Zone Number of Stories Overlay/Agreement Basement KINo ❑Yes, Fin/Unfin Nonresidential Use Type of Construction Residential Use 4 J Occupancy Group eitc Proposed No.of Dwelling Units: Occupancy Load Total No.of Dwelling Units: Fire Sprinklers: CI Update Existing ❑New System In Not Req'd Planning/Landscape Inspection Required before Final? ❑Yes ViNo Reason Sprinklers Required: "In Lieu"Fee:Type: Amount$ Fire Alarm: ❑Update Existing ❑New System tiNot Req'd School Impact Fee: Total $ Reason Fire Alarm Required: Calculated: Credit: RCW 64.55 MF worksheet req'd for permit? ❑Yes El No ❑Everett School Dist ❑Mukilteo School Dist Add'I RCW 64.55 docs required prior to final? ❑Yes Additional Note : �� / t P.,.• • VALUATION CALCULATION: Total$ (O/ t% - ‘_ 1V �('� 001 f pJ-�qaX'� dl� Approved By: L. Date: ,Vi ZT PUBLIC WORKS Intake OK by: . Date: Additional Notes: Intake Comments: `PW Worksheet Needed if: ❑Sys Dev Eval ❑Traffic Mit Eval ❑Site Work or Drainage Proposed Z ❑Backflow Prevention for high pos haard: #,Approved - � � Date• a/ = (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: 0 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: