5301 33RD AVE W 2023-08-08 - Laserfiche WebLink

Intake & Approval Sheet 10 (FOR PERMIT STAFF ONL1) • PERMIT # 622*_ O6-7 BUILDING Intake OK by:Okk_ Date: Intake Comments: ❑ Route to Commercial Building RRoute to Residential Building ❑ Make this a "W" Permit Bldg/TI/Addn/Rem Size Garage/Accessory Struct. Size Number of Stories Z Basement ONO ❑Yes , Fin / Unfin Type of ConstructionL Occupancy Group e Occupancy Load— L Fire Sprinklers: ❑Update Existing ❑New System Not Req'd Reason Sprinklers Required: Fire Alarm: ❑Update Existing ❑New System Not Req'd Reason Fire Alarm Required: RCW 64.55 MF worksheet req'd for permit? ❑Yes ❑ No Add] RCW 64.55 docs required prior to final? ❑Yes ❑No VALUATION CALCULATION: Total $ Additional Notes: Approved By: }.` Date: 2W'Z-Z FIRE DEPARTMENT Separate / Deferred Submittals Required: ❑Fire Sprinklers ❑Fire Alarm ❑Other: Additional Notes: Fire Dept. Fees: ❑ Review of As -Built Plans - NO FIRE FEE ❑ Minimal or No Fire Scope - NO FIRE FEE ❑ Review / Inspection Scope - ADD FIRE FEE Approved By: Date: ELECTRICAL/PLUMBING Additional Notes: Approved By: Date: PLANNING Intake OK by: Assign To: Date: Intake Comments: ❑ Attach to Project No. ❑ Route to Historic Reviewer ❑ OK to Route to Other Departments ❑ Hold in Planning File Drawer Zone Overlay/Agreement Nonresidential Use Residential Use S Proposed No. of Dwelling Units: �'— Total No. of Dwelling Units: Planning/Landscape Inspection Required before Final? ❑Yes Wo "In Lieu" Fee: Type: Amount $ School Impact Fee: Total $ Calculated: Credit: ❑Everett School Dist ❑Mukilteo School Dist Additional Notes: (44-A e, c )(A}(il )(, fe, iA," or J WJ 7 Approved By: Y_. Date: 0YJBLIC WORKS Intake OK by: 'T"wJ Date: (0 Z`! ZuL2 Intake Comments: PW Worksheet Needed if.• 3 i hI-CF,a�ua. ❑Sys Dev Eval ❑Traffic Mit Eva[ J..W 4JvJ S 4O P't ❑Site Work or Drainage Proposed ID Backflow Prevention for high hazard: (dental, medical, animals, mortuary, hospital, supportive housing) ...............................................................................-.,,..,.....,,...............,,, _......._. .. ❑Route this folder for PW Review at end --- PW Review Worksheet ❑This project also has a separate concurrent PW Review (Green Folder) AND ❑Create Green Folder ❑Submitted Previously ❑Deferred ❑ This Permit is Approved by Public Works ❑ See PW Review Worksheet and associated attached items ❑ A Separate PW Permit is Required (Permit #: PW ) AND ❑ Is located in this folder ❑ Is in a Separate Green Folder Qoin with this folder for permit issuance) ,,.,/ ❑ Will be Issued separately (Separate Green Folder, PW issued ahead of Bldg) LO-Public Works has no scope --- PW Not Required Additional Notes: 2ilr 1 to Approved By: Date: