3015 9TH ST BLDG 1 2023-08-02 - Laserfiche WebLink

• Intake &Approval Sheet (FOR PERMIT STAFF ONLY) PERMIT# 12-I -D Z 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 ❑ R ute to Historic Reviewer ❑ Make this a"W"Permit K to Route to Other Departments BId(r 1/ ddn/Rem Size ❑ Hold in Planning File Drawer Garage/Accessory Struct.Size Zone (/JZ3 Number of Stories Overlay/Agreement Basement El No ❑Yes, Fin/Unfin Nonresidential Use Type of Construction Residential Use Occupancy Group AZ Proposed No.of Dwelling Units: Occupancy Load Total No.of Dwelling Units: Fire Sprinklers: El Update Existing ❑New System ❑Not Req'd Planning/Landscape Inspection Required before Final? ❑Yes o Reason Sprinklers Required: "In Lieu"Fee:Type: Amount$ ` \\ Fire Alarm: El Update Existing ❑New System El Not Req'd School Impact Fee: Total $ Reason Fire Alarm Required: Calculated: Credit: RCW 64.55 MF worksheet req'd for permit? ,Yes ❑ No El Everett School Dist ❑Mukilteo School Dist Add'I RCW 64.55 does required prior to final? ❑Yes INo Additional Notes: VALUATION CALCULATION: Total$ 670'ia0 Approved By: Date: // . f ,t.• Z_, PUBLIC WORKS Intake OK by: . Date: Additional Notes: Intake Comments: PW Worksheet Needed if: I❑Sys Dev Eval ❑Traffic Mit Eval ❑Site Work or Drainage Proposed Approved 8 ,� Date:tint a�1A' ❑Backflow Prevention for high hazard: j :(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) El Fire 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 ❑ Is located in this folder Minimal or No Fire Scope-NO FIRE FEE ❑ 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: 02){`oiky{\ Date: \\" 1(0-�,,` Public Works has no scope---PW Not Required Additional Notes: ELECTRICAL Additional Notes: otrr Approved By: Date: Approved By: Date: LL' 7p7•1