8923 EMERSON PL 2023-07-31 - Laserfiche WebLink

• • Intake & Approval Sheet (FOR PERMIT STAFF ONLY) PERMIT# j 25-4 —CO PP BUILDING PLANNING Intake OK by: Date: Intake OK by: Assign To: Date: Intake Comments: Intake Comments: S- c,(--o \f\n J\-kt,\c-e,,A\) \-\owe Q w - - \D2A4 oven ,/kit,t Fa,.,rvky\>j .c -c ❑ Route to Commercial Building ❑ Attach to Project No. ❑ Route to Residential Building 0 Route to Historic Reviewer ❑ Make this a "W" Permit El to Route to Other Departments_ Bldg/TI/Addn/Rem Size 153�--+2- 0 Hold in Planning File Drawer Garage/Accessory Struct. Size — Zone — Number of Stories 2_ Overlay/Agreement 1 Basement 12 No ❑Yes , Fin/Unfin Nonresidential Use Type of Construction V- Residential Use �� A-- P\V ""\ Occupancy Group - Proposed No. of Dwelling Units: Occupancy Load Total No. of Dwelling Units: C34e� M Fire Sprinklers: ❑Update Existing ONew System 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 KiNot Req'd School Impact Fee: Total $ Reason Fire Alarm Required: Calculated: Credit: RCW 64.55 MF worksheet req'd for permit? DYes No ❑Everett School Dist ❑Mukilteo School Dist, Add'ROW 64.55 docs required prior to final? ❑Yes No Additional Notes: Q \.Z\I`Q,\, \(TA-cV-12-\ cp `A-4 - ` VALUATION CALCULATION: Total $ ±(a �. ' ,ps .iAILA , ,n , .0\V`1`,W 'vV LAS 1S 0G\-\we.. IS3C 2 ( Sm _ 1 Approved Bye _— Date: 2. 2�-ZQ_,t PUBLIC WORKS Intake OK by: Date: Additional Notes: Intake Comments: =PW Worksheet Needed if: ❑Sys Dev Eval ❑Traffic Mit Eval ❑Site Work or Drainage Proposed ff ❑Backflow Prevention for high hazard: Approved By: C Date: 21 !2 z 1/// ;(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 El Fire Alarm ❑Other: AND ❑Create Green Folder ❑Submitted Previously ❑Deferred Additional Notes: I<This Permit is Approved by Public Works P D See PW Review Worksheet and associated attached items Oft Fire Dept. Fees: EtA Separate PW Permit is Required (Permit#: PW 2iO (,, ) ❑ Review of As-Built Plans- NO FIRE FEE AND E.Is located in this folder 0 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: 0 Public Works has no scope--- PW Not Required Additional Notes: ELECTRICAL Ve-, ('` -- i d'7 I/O See Additional Notes: vpu(k_ka sQ:,,? \cckoAa Silt 4,,cyk , z LEI kif Approved By: Date: Approved By: ,,AF )L, Date: Q[Z3 • l