503 51ST ST SW 2023-08-02 - Laserfiche WebLink

Intake &Approval Sheet •(FOR PERMIT STAFF ONLY) • PERMIT# BUILDING PLANNING Intake OK by: {2,21A Date: 1/I3f7_.c(z3 Intake OK P Assign To: Date:4iqf'az Intake Comments: Intake Comments: ❑ Route to Commercial Building ❑ Attach to Project No. pa Route to Residential Building ❑ Route to Historic Reviewer ❑ Make this a"W"Permit ❑ OK to Route to Other Departments Bldg/TI/Addy m Siz 2066 5F ❑ Hold in Planning File Drawer Garage/Accessory Struct.Size Zone Number of Stories ) Overlay/Agreement Basement I o ❑Yes, Fin/Unfin Nonresidential Use Type of Construction Residential Use /Dç }4 Occupancy Group S I Proposed No.of Dwelling Units: Occupancy Load J Total No.of Dwelling Units: Fire Sprinklers: ❑Update Existing ❑New System \lot Req'd Planning/Landscape Inspection Required before Final? ❑Yes ❑No Reason Sprinklers Required: rr��rr "In Lieu"Fee:Type: Amount$ Fire Alarm: El Update Existing Chew System L7Not Req'd School Impact Fee: Total $ Reason Fire Alarm Required: Calculated: Credit: RCW 64.55 MF worksheet req'd for permit? ❑Yes l'No ❑Everett School Dist ❑Mukilteo School Dist Add'I RCW 64.55 docs required prior to final? ❑Yes 13No Additional Notes. 1 at1 Views - rt - revi'ew VALUATION CALCULATION: Total$ 35;' 1.,71itti 1Y1A ? Approved By: Date: PUBLIC WORKS Intake OK by: Date: q\1D12 l 2. Additional Notes: Intake Comments: PW Worksheet Needed if: ?Mt Ct 'f 74i ❑Sys Dev Eval ❑Traffic Mit Eval �n�`,,� ' ',,, 1 °w ❑Site Work or Drainage Proposed Approved By: � n Date: 3 rOV v` U i- ❑Backflow Prevention for high hazard: ppr 1��f 1 1 dental,medical,animals,mortuary,hospital, d�rlr� ( p 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 ❑Deferred Additional Notes: ®This Permit is Approved by Public Works 12 See PW Review Worksheet and associated attached items Fire Dept.Fees: 133 A Separate PW Permit is Required(Permit#: PW (2- -00$ ) ❑ Review of As-Built Plans-NO FIRE FEE AND NI Is located in this folder •aMinimal 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:NtiN;Q;x,(ZJr\ Date: //) ❑ Public Works has no scope--- PW Not Required Additional Notes: ELECTRICAL/PLUMBING Additional Notes: Approved By: Date: Approved By:Alfall ilry vvim ' Date: 06 ico?/. � 33