1028 13TH ST 2023-06-23 - Laserfiche WebLink

iik Intake &Approval Sheet • (FOR PERMIT STAFF ONLY PERMIT# 132103— 011 BUILDING PLANNING Intake OK by: Date: Intake OK by: Assign To: Date: Intake Comments: Intake Comments: ❑ Route to Commercial Building 0 Attach to Project No. ❑ Route to Residential Building 0 Route to Historic Reviewer ❑ Make this a"W"Permit ❑ OK to Route to Other Departments Bldg/TI/Addn/Rem Size J41O`a1. 4 0 Hold in Planning File Drawer Garage/Accessory Struct.Size Zone ) Number of Stories I Overlay/Agreement Basement DNo ❑Yes , Fin/Unfin Nonresidential Use Type of Construction f — A Residential Use Occupancy Group A 7 Proposed No.of Dwelling Units: , Occupancy Load 6 Total No.of Dwelling Units: Fire Sprinklers: ❑Update Existing ONew System ®Not Req'd Planning/Landscape Inspection Required before Final? ❑Yes o Reason Sprinklers Required: YLTTip - S? -K'Gin "In Lieu"Fee:Type: Amount$ t/ " 4, Fire Alarm: El Update Existing ❑New System lot Req'd School Impact Fee: Total $ Reason Fire Alarm Required: Z lir Kw f>S -'ham Calculated: Credit: RCW 64.55 MF worksheet req'd for permit? ❑Yes -cil No DEverett School Dist ❑Mukilteo School Dist Add'I RCW 64.55 docs required prior to final? oyes toNo Additional Notes: VALUATION CALCULATION: Total$ '14 )4l1" Approved By: Ake Kam,l Date: y �e V PUBLIC WORKS Intake OK by: Date: Additional Notes: Di . )Lbl i'1/� `u f AIntake Comments: PW Worksheet Needed if: OSys Dev Eval ❑Traffic Mit Eval Vern ALLm ' Z °L CA !❑Site Work or Drainage Proposed Approved By: Date: /�. )1)Z-/ ackflow 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 OFire Alarm DOther: AND ❑Create Green Folder ❑Submitted Previously ❑Deferred Additional Notes: , 0 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 IN 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: 1..t Date: Public Works has no scope---PW Not Required Additional Notes: ELECTRICAL Additional Notes: Approved By: Date: Approved By: Li Date: