9113 9TH AVE SE 2023-06-23 - Laserfiche WebLink

Intake &Approval Sheet '(FOR PERMIT STAFF ONLY) •PERMIT# ?' 2O\_O \ BUILDING PLANNING Intake OK by: [� � Date: /��/ ' Intake O Assign To: •cekQk_ Date: \'-S_ Intake Comments: ` Intake Comments: ❑ Route to Commercial Building ❑Attach to Project No. Route to Residential BuildingNi6C El Route to Historic Reviewer Make this a"W"Permit ❑ OK to Route to Other Departments Bldg/TI/Ad /im Si e , El Hold in Planning File Drawer Garage/Accessory Struct.Size N/b Zone 'q- Number of Stories I Overlay/Agreement Basement 11No ❑Yes, Fin/Unfin Nonresidential Use _ Type of Construction . /L� Residential Use '� )'‘-V A Occupancy Group ti2.0 Proposed No.of Dwelling Units: Occupancy Load Total No.of Dwelling Units: Fire Sprinklers: El Update Existing ❑New System l Not Req'd Planning/Landscape Inspection Required before F .• . •Yes ❑No Reason Sprinklers Required: "In Lieu"Fee:Type: -:unt$ Fire Alarm: El Update Existing ONew System C_INot 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 r ukilteo School Dist Add'I RCW 64.55 docs required prior to final? ❑Yes ❑No Additional Notes: VALUATION CALCULATION: Total$/ZOJvi CIO Approved Date: (9, `Q:3,tZ PUBLIC WORKS Intake OK by: . Date: Additional Notes: Intake Comments: IPW Worksheet Needed if:: IDSys Dev Eval OTraffic Mit Eval =OSite Work or Drainage Proposed Approved By Date:©�f®TiatZ -❑Backflow Prevention for high hazard: I(dental,medical,animals,mortuary,hospital, ;supportive 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) DFire Sprinklers ❑Fire Alarm ❑Other: AND ❑Create Green Folder ❑Submitted Previously ❑Deferred 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 ❑ Is located in this folder Minimal or No Fire Scope-NO FIRE FEE ❑ Is in a Separate Green Folder(loin 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:i ,`t-ow IN Date: 1-ie_,2 2. El-Public Works has no scope---PW Not Required Additional Notes: ELECTRICAL % — 3I T ie°22 Additional Notes: Approved By: Date: Approved By: Date: