1818 HOLBROOK AVE B 2023-07-31 - Laserfiche WebLink

• Intake &Approval Sheet (FOR PERMIT STAFF ONLY) • PERMIT# gzi06 - 064 BUILDING PLANNING Intake OK Date:O/Zr 2-DZ/ Intake OK by:_ab Assign To:e/sG f I.. Dater.13 •26Zq Intake Comments: Intake Comments: CoritG-hori Fr -f- i, Is.242-1 . ❑ Route to Commercial Building 14t Attach to Project No. C.,0•1 » 2.1 011 pit Route to Residential Building 0 Route to Historic Reviewer ❑ Make this a"W"Permit jErOK 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 ❑No ®Yes, in Unfin Nonresidential Use Type of Construction Residential Use 2--I- -P DO Occupancy Group Proposed No.of Dwelling Units: Occupancy Load Total No.of Dwelling Units: 2. Fire Sprinklers: ❑Update Existing ❑New System Not Req'd Planning/Landscape Inspection Required before Final? ❑Yes Ilo Reason Sprinklers Required: "In Lieu"Fee:Type: Amount$ Fire Alarm: ❑Update Existing CI New System ElNot Req'd School Impact Fee: Total $ Reason Fire Alarm Required: Calculated: Credit: RCW 64.55 MF worksheet req'd for permit? ❑Yes rr J No ❑Everett School Dist ❑ kilteo School Dist Add'I RCW 64.55 docs required prior to final? ❑Yes CINo Additional Notes: v VALUATION CALCULATION: Total$ O c, 53 2 Approved By: Date: ( 7. 3, z/ UBLIC WORKS Intake OK by: Date: Additional Notes: ,0Vt e,� ' tw•'Zvlt�& l� Intake Comments: PW Worksheet Needed if: ❑Sys Dev Eval ❑Traffic Mit Eval ❑Site Work or Drainage Proposed ❑Backflow Prevention for high hazard: Approved By: _ Date: / (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) ❑Fire Sprinklers ❑Fire Alarm ❑Other: AND ❑Create Green Folder ❑Submitted Previously ❑Deferred • Additional Notes: gl This Permit is Approved by Public Works ❑ See PW Review Worksheet and associated attached items Fire Dept. Fees: 3f A Separate PW Permit is Required (Permit#: PW1-1 dR -OCi3) ❑ Review of As-Built Plans-NO FIRE FEE AND 0 Is located in this folder Rminimal or No Fire Scope-NO FIRE FEE Cti Is in a Separate Green Folder(join with this folder for permit Issuance) ❑ Review/Inspection Scope-ADD FIRE FEE 0 Will be issued separately(Separate Green Folder,PW issued ahead of Bldg) Approved By:kierv(Ain Date: 6 .:229,2/ � Public Works has no scope—PW Not Required iditional Notes: ELECTRICAL �� 14) P� i afp rO ,ire a Additional Notes: Approved By: Date: APPIRMied B ---- Date //' V V 5