8811 9TH PL W 2023-07-28 - Laserfiche WebLink

Intake &Approval Sheet • (FOR PERMIT STAFF ONLY) • PERMIT# ��tot—0 t3 BUILDING PLANNING .' Intake OK by: Date: Intake OK by:Of Assign To dg . Date: ()/I 1P-4924 Intake Comments: Intake Comments: ❑ Route to Commercial Building ❑ Attach to Project No. ❑ Route to Residential Building ❑ ute to Historic Reviewer ElMake this a"W"Permit K to Route to Other Departments BldgrigOKIRem Size yZ7 F ❑ Hold in Planning File Drawer Garage/Accessory Struct.Size / S Zone g_—1 Number of Stories q�-- Overlay/Agreement Basement li-stNo ❑Yes,r�Fiinn/Unfin Nonresidential Use Type of Construction 'y,. y '/J"a 2/LC Residential Use Occupancy Group ,1 ' CiLC Proposed No.of Dwelling Units: Occupancy Load /Z- Total No.of Dwelling Units: Fire Sprinklers'' pdate Existing ❑New System 1,g Not Req'd Planning/Landscape Inspection Required before Final? ❑Yes ❑No Reason Sprinklers Required: "In Lieu"Fee:Type: Amount$ Fire Alarm: Update Existing ❑New System PNot Req'd School Impact Fee: Total $ Reason Fire Alarm Required: Calculated: Credit: RCW 64.55 MF worksheet req'd for permit? DYes F; No DEverett School Dist ❑Mukilteo School Dist Add'I RCW 64.55 docs required prior to final? ❑Yes EtNo Additional Notes: VALUATION CALCULATION: Total$ i7W ' 3A`Co x in 7--- q7 Z s-1 300,00 i p v 30 11i/0 0 Approved By: ele Date: s/f tatall PUBLIC WORKS'' Intake OK by: Date: Additional Notes: Intake Comments: -PW Worksheet Needed if: i /V �j _1� IOSys Dev Eval ❑Traffic Mit Eval V//`_ !Chile Work or Drainage Proposed Approved By: Date: ;❑Backflow Prevention for high hazard: (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) El Fire Sprinklers ❑Fire Alarm ❑Other: AND ❑Create Green Folder ❑Submitted Previously El Deferred Additional Notes: I, . ElThis Permit is Approved by Public Works 'y 151 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(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 6`y /5t y Date: 0V/ S/ZoZ/