1700 13TH ST 2023-07-31 - Laserfiche WebLink

Intake &Approval Sheet (FOR PERMIT STAFF ONLY S PERMIT# 5'2-Op S•o1 b • BUILDING • PLANNING • Intake OK by: Date: Intake OK by: Assign To: Date: Intake Comments: Intake Comments: ❑ Route to Commercial Building ❑ Attach to Project No. ❑ Route to Residential Building ❑ Route 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 Zone Number of Stories Overlay/Agreement Basement ❑No ❑Yes, Fin/Unfin Nonresidential Use Type of Construction Residential Use Occupancy Group Proposed No.of Dwelling its: Occupancy Load Total No.of Dwelling U s: Fire Sprinklers: El Update Existing El New System ❑Not Req'd Planning/Landscap: Inspection Required before Final? ❑Yes ❑No Reason Sprinklers Required: "In Lieu"Fee:Typ:. Amount$ Fire Alarm: El Update Existing El New System ❑Not Req'd School Impact F•e: Total $ Reason Fire Alarm Required: Calculated: Credit: RCW 64.55 MF worksheet req'd for permit? DYes ❑ No DEverett Sc ool Dist ❑Mukilteo School Dist Add'I RCW 64.55 dots required prior to final? Oyes 0 No Additional Notes: VALUATION CALCULATION: Total$ ZS Od.00 Approved By �� Date::\\` tt3\ PUBLIC WORKS" Intake OK by: Date: Additional Notes: Intake Comments: 1PWWorksheetNeeded if: 9 I❑Sys Dev Eval DTraffic Mit Eval ❑Site Work or Drainage Proposed. 1©Backflow Prevention for high hazard: Approved By: Date:��/Tere f i(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 ID Fire Alarm ❑Other: AND ❑Create Green Folder ❑Submitted Previously ❑Deferred Additional Notes: z ❑ 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 ❑ 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: