5117 SEAVIEW WAY 2023-06-22 - Laserfiche WebLink

Intake &Approval Sheet • (FOR PERMIT STAFF ONLY I PERMIT# Aol--D30 BUILDING. PLANNING ! Intake OK by: cif!" Date: -7/221 d 1 Intake OK by: � te—" Date: - 2.L..1.0\\ \'Intake Comments: Intake Comments: Assign To: e\Sey \-1eiliki ❑ Route to Commercial Building ®Attach to Project No. VE\ \C\ c\S la Route to Residential Building ❑ Route to Historic Reviewer ❑ Make this a"W"Permit OK to Route to Other Departments K.1} `d•-LA• ly Bldg/TI/Addn/Rem Size Hold in Planning File Drawer Garage/Accessory Struct.Size C,6,0 V Zone E. —5 Number of Stories 1 Overlay/Agreement Basement 9 No ❑Yes, Fin/Unfin Nonresidential Use j Type of Construction V 73 Residential Use d44am, el Occupancy Group u Proposed No. of Dwelling Units: Occupancy Load Total No.of Dwelling Units: Fire Sprinklers: ❑Update Existing ❑New System ❑Not Req'd Planning/Landscape Inspection Required before Final? iYes El No Reason Sprinklers Required: "In Lieu"Fee:Type: mount$ Fire Alarm: ❑Update Existing ❑New System ❑Not Req'd School Impact Fee: Total $ Reason Fire Alarm Required: Calculated: Credit: RCW 64.55 MF worksheet req'd for permit? ❑Yes C4 No ❑Everett School Dist ❑Mukilte School Dist Add!RCW 64.55 docs required prior to final? ❑Yes INo Additional Notes: he as ,n_' VALUATION CALCULATION: Total$ 141.O%O �Q[ Approved By: �, Date: 10 2 y /g Y � UBLIC WORKS Intake OK by: 101-1 Date: 1 12 2- l 2a l c Additional Notes: 2,0 I5' /4 C Intake Comments: PW Worksheet Needed if: nVE,r t G-1�cLA t o Srrib c O Eval i f m46'�� S f i Ci edit. AI .Pr k-i,c.a�r7: ,- ?(®o id #4Ew FISite WorkDev Evalr ❑Tra Pr poMi ed Site or Drainage Proposed Approved By: 447 Date:1 "1"`� S"" 'etc-4" ❑Backflow Prevention for high hazard: /��/g W,a,cs r�+ r (dental,medical,animals,mortuary,hospital, *w SPc.4.5.w .'.a c.v... supportive housing) 106 n44.)-(C.% -ro "P¢ciw+►,"T FIRE DEPARTMENT oute 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: This Permit is Approved by Public Works �0I 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 0 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 Br a Date: /a // /d y