4404 TERRACE DR 2023-06-23 - Laserfiche WebLink

Intake & Approval Sheet (FOR PERMIT STAFF ONLY) • PERMIT# (3�-2a(o ' 0 41 BUILDING PLANNING Intake OK by: Date: Intake OK birpir Assign To: Date:/e p. Intake Comments: Intake Comments: ❑ 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 0 Hold in Planning File Drawer Garage/Accessory Struct. Size Zone Number of Stories Overlay/Agreement Basement ❑No ❑Yes , Fin/Unfin Nonresidential Use Type of Construction Residential Use (f I 41 Q)((1,(1 Occupancy Group pDwelling Proposed No.of Units: Occupancy Load Total No.of Dwelling Units: Fire Sprinklers: ❑Update Existing ❑New System (Mot Req'd Planning/Landscape Inspection Required before Final? ❑Yes ❑No Reason Sprinklers Required: "In Lieu"Fee:Type: Amount$ 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? El Yes No ❑Everett School Dist ❑Mukilteo School Dist Add'I RCW 64.55 docs required prior to final? ❑Yes ,INo Additional Notesie'//1.,._ j_l/' ,/t v41_ /N► 5(13/02— VALUATION CALCULATION: Total $7 eock: 069 r,(y>,nt.(X�lt1 y'�, K�C l^c�C /G (//22&/__ Approved By: Date: PUBLIC WORKS Intake OK by: Date: Additional Notes: Intake Comments: iPW Worksheet Needed if: ❑Sys Dev Eval ❑Traffic Mit Eval ❑Site Work or Drainage Proposed ❑Backflow Prevention for high hazard: Approved B,a, Date:08/4 7f to ;(dental,medical,animals,mortuary,hospital, isupportive housing) FIRE DEPARTMENT DRoute 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: ❑This Permit is Approved by Public Works 0 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: 6.„ 4_,n Date: _II ❑ Public Works has no scope--- PW Not Required Additional Notes: ELECTRICAL/PLUMBING Additional Notes: Approved By: Date: Approved By: Date: