7411 UPPER RIDGE RD 2023-06-23 - Laserfiche WebLink

Intake &Approval Sheet • (FOR PERMIT STAFF ONLY) • PERMIT# j 0r3 BUILDING PLANNING )n Intake OK by: PIP,' Date: 2/Mon Intake OK I Assign To: Date:7 j01Gz . Intake Comments: Intake Comments: 5F-e- CVNVC-12-TINCn Ta A 1-\ ❑ 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 ❑ Hold in Planning File Drawer Garage/Accessory Struct.Size Zone 1'I Number of Stories k Overlay/Agreement Basement El,No ❑Yes, Fin/Unfin Nonresidential Use Type of Construction Sit Residential Use Occupancy Group Proposed No.of Dwelling Units: Occupancy Load 4(' Total No.of Dwelling Units: Fire Sprinklers: ❑Update Existing ❑New System ,RINot Req'd Planning/Landscape Inspection Required before Final? ❑Yes ❑No Reason Sprinklers Required: "In Lieu"Fee:Type:- Amount$ Fire Alarm: El Update Existing CI New System J2tivot Req'd School Impact Fee: Total $ Reason Fire Alarm Required: Calculated: Credit: RCW 64.55 MF worksheet req'd for permit? ❑Yes No DEverett School Dist ❑Mukilteo School Dist Add'I RCW 64.55 does required prior to final? ❑Yes 15tNo Additional Notes: VALUATION CALCULATION: Total$ ls) COOI 9)10 ilta_W"-/QC 1 fi 9127 Approved By: Date: PUBLIC WORKS Intake OK by: I ""J Date: "7 (Z 1-24) Z Additional Notes: Intake Comments: PW Worksheet Needed if: ifGJz5 • pSys Dev Eval ❑Traffic Mit Eval ,A•7 r) 5!s .-0 6.r+ DSite Work or Drainage Proposed Approved By: t- Date: 3/Z/z021, lDBackflow 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: *his Permit is Approved by Public Works Ekee 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/PLUMBING Additional Notes: Approved By: Date: Approved B Date: 0 7(D _)'.2Z