2414 VIRGINIA AVE 2023-06-23 - Laserfiche WebLink

J-6 Intake & Approval Sheet • (FOR PERMIT STAFF ONLY) PERMIT# 13\,"l �0(-0 I BUILDING PLANNING Intake OK by: Date: 3/ h 7 Intake OK by:(_Q� Date:__ L" C\ Intake Comments: Intake Comments: Assign To: �, AC X COd\ JV\' \A \N OC C ❑ Route to Commercial Building ❑Attach to Project No. Er 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 ccessorj Struct. Size 3 r3/ 5'F Zone 'c - 1 Number of Stories �. Overlay/Agreement &\VVTSk ��S- C_IC %of Basement EMNo ❑Yes , Fin/Unfin Nonresidential Use Type of Construction ( Residential Use �4 Occupancy Group 0 Proposed No. of Dwelling Units: Occupancy Load Total No. of Dwelling Units: C.`Y\e. Fire Sprinklers: ❑Update Existing ❑New System ❑Not 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? ❑Yes „f4 No ❑Everett School Dist ❑Mukilteo School Dist Add'1 RCW 64.55 docs required prior to final? ❑Yes No Additional Notes: VALUATION CALCULATION: Total$ 101 3 - /7? e3,-) 5160 Approved By: Kra 6 oav-\-- Date: AL \ f I� �j 1�1 PUBLIC WORKS Intake OK by: ,it �—t ' Date:_ 8198/20l1 0/5 /2G PW Worksheet Needed if: E Additional Notes: Intake Comments: Na le -f'pp//pr 3S Es, J OSys Dev Eval ❑Traffic Mit Eval Ylo Ski .sys dEv"i.ES. Site Work or Drainage Proposed Approved By: Date: ��`�,�r/fNo, """' C c c� ❑Backflow Prevention for high hazard: dH-7 y2a9 (dental,medical,animals,mortuary,hospital, VV 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 ODeferred Additional Notes: ❑ 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 0 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: AEA— Date: 3/;28/ 1 1 Z