4920 24TH AVE W 2023-06-22 - Laserfiche WebLink

Intake & Approval Sheet (FOR PERMIT STAFF ONLY) PERMIT#Z2S.00o —o1.CO BUILDING PLANNING Intake OK •r A - Date:OV 711A7d 21 Intake OK by: Assign To: Date: Intake Comments: Intake Comments: ❑ 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 3(8 2 5.F- 0 Hold in Planning File Drawer Garage/Accessory Struct. Size t'o 6,0 5• r, Zone K-— Number of Stories 2- Overlay/Agreement Basement LINo ❑Yes , Fin/Unfin Nonresidential Use Type of Construction.- Residential Use ddhLLJtSf%(L Occupancy Group Proposed No.of Dwelling Units: I Occupancy Load Total No.of Dwelling Units: 1 Fire Sprinklers: ❑Update Existing ❑New System Q of Req'd Planning/Landscape Inspection Required before Final? ❑Yes ii0No Reason Sprinklers Required: �,/ "In Lieu" Fee: Type: Amount$ Fire Alarm: ❑Update Existing ❑New System L�Not Req'd School Impact Fee: Total $ 5QL Reason Fire Alarm Required: 1��/ Calculated: SoI Credit: RCW 64.55 MF worksheet req'd for permit? ❑Yes 1= No ❑Everett School Dist 1,1klukilteo School Dist Add'I RCW 64.55 docs required prior to final? ❑Yes QNo Additional Notes: ck— r� 0 ��Y1- CVN- file-.1 St 1' 1 VALUATION CALCULATION: Total$ '3Ot , 000 ,i(Li Approved By: 'k, Date: ?51 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 Approved By: e„,-- Date: eVic72,�I ❑Backflow Prevention for high hazard. :(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: ['to/This Permit is Approved by Public Works l 61 �oo PW Review Worksheet and associated attached items Fire Dept. Fees: SEA Se arate PW Permit is Re uired Permit#: PW 6 �'� p P q ( /I ) ❑ Review of As-Built Plans-NO FIRE FEE AND ❑y located in this folder 'Minimal or No Fire Scope-NO FIRE FEE Ris in a Separate Green Folder(join with this folder for permit issuance) ❑ Review/Inspection Scope-ADD FIRE FEE 0 Will be issued separately(Separate Green Folder,PW issued ahead of Bldg) Approved By:K. jajw(\ Date: 6 q 2 1 ❑ Public Works has no scope---PW Not Required Additional Notes: ELECTRICAL Additional Notes: Approved By: Date: Approved By: r Date: : 141,