3217 54TH ST SW 2023-07-31 - Laserfiche WebLink

ir16 iniidlimiti-cell.' 12A 0 1 t toti • 8 - 0-1 0 Intake &Approval Sheet (FOR PERMIT STAFF ONLY) PERMIT# -13 21 O BUILDING PLANNING • Intake OK by: Date: Intake OK by: Assign To: Date: Intake Comments: Intake Comments: ❑ Route to Commercial Building 0 Attach to Project No. ❑ Route to Residential Building 0 Route to Historic Reviewer ❑ Make this a"W"Permit 0 OK to Route to Other Departments Bldg/TI/Addn m_§.1,1,4 2SU ,o-fE ❑ Hold in Planning File Drawer Garage/Accessory Struct.Size MC Zone Number of Stories Z- Overlay/Agreement Basement No ❑Yes, Fin/Unfin Nonresidential Use Type of Construction rite Residential Use Occupancy Group r/lc Proposed No.of Dwelling Units: Occupancy Load 8 Total No.of Dwelling Units: Fire Sprinklers: ❑Update Existing ❑New SystemtNot Req'd Planning/Landscape Inspection Required before Final? ❑Yes ❑No Reason Sprinklers Required: "In Lieu"Fee:Type: Amount$ Fire Alarm: ❑Update Existing ONew System-NNot Req'd School Impact Fee: Total $ Reason Fire Alarm Required: Calculated: Credit: RCW 64.55 MF worksheet req'd for permit? ❑Yes ® No ❑Everett School Dist ❑Mukilteo School Dist Add'I RCW 64.55 does required prior to final? ❑Yes No Additional Notes: VALUATION CALCULATION: Total$ZS DO�D.00 ,2' .to 'j21 Approved By: Date: - : 'a), PUBLIC WORKS Intake OK by: . Date: Additional Notes: Intake Comments: IPW Worksheet Needed if: ❑Sys Dev Eval ❑Traffic Mit Eval ❑Site Work or Drainage Proposed Approved By Date(j2,/'/ j Z _❑Backflow 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) OFire Sprinklers ❑Fire Alarm ❑Other: AND ❑Create Green Folder ❑Submitted Previously ❑Deferred Additional Notes: ❑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 0 Is located in this folder ❑ Minimal or No Fire Scope-NO FIRE FEE 0 Is in a Separate Green Folder(loin 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: 21Z