518 51ST ST SW 2023-06-23 - Laserfiche WebLink

• Intake & Approval Sheet (FOR PERMIT STAFF ONLY) PERMIT#)- 4:2 BUILDING PLANNING �q- n Intake OK by: Date: Intake OK by:G(/ Assign To: r I � , Date: I C((2 1i Intake Comments: Intake Comments: Cr,-H C 1 t,reas — J—r wt S s lies .tC}s,-&—/(,4- rfl, rcd ❑ Route to Commercial Building ❑ Attach to Project No. ❑ Route to Residential Building 0 oute 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 114 S Zone Number of Stories / Overlay/Agreement Basement No ❑Yes, Fin/Unfin Nonresidential Use Type of Construction Residential Use Sim Occupancy Group /2.-3 Proposed No.of Dwelling Units: ----- Occupancy Load Total No.of Dwelling Units: I Fire Sprinklers: ❑Update Existing El New System Not Req'd Planning/Landscape Inspection Required before Final? ❑Yes ❑No Reason Sprinklers Required: "In Lieu" Fee:Type: Amount$ Fire Alarm: El Update Existing El New System SNot Req'd School Impact Fee: Total $ Reason Fire Alarm Required: Calculated: Credit: RCW 64.55 MF worksheet req'd for permit? ❑Yes ❑ No ❑Everett School Dist ❑Mukilteo School Dist Add'I RCW 64.55 docs required prior to final? Oyes 3No Additional Notes: VALUATION CALCULATION: Total$ 3,SI/S.0"' Approved By: Date: PUBLIC WORKS Intake OK by: Date: Additional Notes: Intake Comments: I PW Worksheet Needed if: ❑Sys Dev Eval OTraffic Mit Eval r\ ;❑Site Work or Drainage Proposed Approved Bye - j Date: 0V02fiyi ❑Backflow Prevention for high hazard: :(dental,medical,animals,mortuary,hospital, 'supportive housing) FIRE DEPARTMENT 0 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 El Fire Alarm ❑Other: 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 ❑ Minimal or No Fire Scope-NO FIRE FEE 0 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: Date: ��Z