2126 124TH ST SE 2023-07-03 - Laserfiche WebLink

Intake &Approval Sheet 110 (FOR PERMIT STAFF ONLY) il PERMIT# SI/e0 I —o A/ BUILDING � PLANNING' Intake OK by: -P/�-' Date: ('S/O(P124X, Intake OK by: Assign To: Date: Intake Comments: Intake Comments: % ❑ Route to Commercial Building 0 Attach to Project No. ❑ Route to Residential Building ❑ Route to Historic Reviewer ❑ Make this a"W"Permit 0 OK to Route to Other Departments Bldg/TI/Addn/Rem Size 3 143,9r ❑ Hold in Planning File Drawer Garage/Accessory Struct.Size Zone CL Number of Stories I Overlay/Agreement Basement RINo ❑Yes, Fin/Unfin Nonresidential Use . Type of Construction • IS Residential Use obj1-bLeel '5? i_"' . Occupancy Group Proposed No.of Dwelling Units: Occupancy Load Z946 • • Total No.of Dwelling Units: Fire Sprinklers: ❑Update Existing ❑New System igjNot Req'd Planning/Landscape Inspection Required before Final? ❑Yes [lo Reason Sprinklers Required: "In Lieu"Fee:Type: Amount$ Fire Alarm: ❑Update Existing ❑New System INot Req'd School Impact Fee: Total $ Reason Fire Alarm Required: Calculated: Credit: RCW 64.55 MF worksheet req'd for permit? ❑Yes l No DEverett School Dist ❑Mukilteo School Dist Add'I RCW 64.55 dots required prior to final? ❑lYness El No Additional Notes: VALUATION CALCULATION: Total$ lvnv/UVU Approved By: y4 Date: 1.).zb.Z- UBLIC WORKS'` Intake OK by: Date: Additional Notes: Intake Comments: PW Worksheet Needed if: IDSys Dev Eval ❑Traffic Mit Eval • . iDsite Work or Drainage Proposed Approved By: (?- Date:Co/6712o2Z ;DBackflow 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 I 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: This Permit is Approved by Public Works lessee 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 Additional Notes: Approved By: Date: Approved B e Date: S/i c)-zus-L