2514 51ST ST SW 2023-07-31 - Laserfiche WebLink

• • 2201 - 011 Intake &Approval Sheet •(FOR PERMIT STAFF ONLY) • PERMIT# 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 2- Overlay/Agreement Basement El No LY1Yes, Unfin Nonresidential Use Type of Construction Residential Use Occupancy Group Proposed No.of Dwelling Units: Occupancy Load Total No.of Dwelling Units: Fire Sprinklers: El Update Existing ❑New System RNot Req'd Planning/Landscape inspection Required before Final? ❑Yes ❑No Reason Sprinklers Required: "In Lieu"Fee:Type: Amount$ Fire Alarm: El Update Existing ❑New System Not Req'd School Impact Fee: Total $ Reason Fire Alarm Required: Calculated: Credit: RCW 64.55 MF worksheet req'd for permit? ❑Yes IN No ❑Everett School Dist ❑Mukilteo School Dist Add'I RCW 64.55 docs required prior to final? ❑Yes ®.No Additional Notes: VALUATION CALCULATION: Total$ 100;000 -YL PrQpt.tc►9-+�'` Approved By: aki A\ Date: PUBLIC WORKS Intake OK by: . Date: Additional Notes: ND A-P IQ lT1 Q v,..m- . 5wt,,44-ite Intake Comments: IPW Worksheet Needed if: g_ t,/ g.&— o `OSys Dev Eval OTraffic Mit Eval =DSite Work or Drainage Proposed Approved By: 0- — Date: 21 3/2e/22 °DBackflow Prevention for high hazard: :(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 ❑Fire Alarm ❑O r: AND ❑Create Green Folder ❑Submitted Previously ❑Deferred Additional Notes: ❑This Permit is Approved by Public Works /).J 0 See PW Review Worksheet and associated attached items Fire Dept. Fees: V ❑A Separate PW Permit is Required(Permit#:PW ❑ Review of As-Bui Ian'NO FIRE FEE AND ❑ Is located in this folder 0 Minimal or N ire Scope-NO FIRE FEE ❑ Is in a Separate Green Folder(join with this folder for permit issuance) ❑ Review/ spection Scope-ADD FIRE FEE ❑Will be issued separately(Separate Green Folder,PW issued ahead of Bldg) Approv By: Date: ❑ Public Works has no scope---PW Not Required Additional Notes: ELECTRICAL Additional Notes: Approved By: Date: Approved By: Date: