3015 9TH ST BLDG 4 2023-08-02 - Laserfiche WebLink

Intake &Approval Sheet (FOR PERMIT STAFF ONLY) PERMIT# 2) I I - O 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 0 ute to Historic Reviewer ❑ Make this a"W"Permit to Route to Other Departments BI I/ do/Rem Size ❑ Hold in Planning File Drawer Garage/Accessory Struct.Size Zone 640 Number of Stories Overlay/Agreement Basement ❑No ❑Yes , Fin/Unfin Nonresidential Use Type of Construction Residential Use M.e- Occupancy Group /2.7i 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 ❑No Reason Sprinklers Required: "In Lieu"Fee:Type: Amount$ Fire Alarm: ❑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? klYes ❑ No ❑Everett School Dist ❑Mukilteo School Dist Add'I RCW 64.55 docs required prior to final? ❑Yes "'I! No Additional Notes: VALUATION CALCULATION: Total$ 3- 0 O!) Approved Date: / 1. /'Z • Z/ PUBLIC WORKS Intake OK by: . Date: Additional Notes: Intake Comments: PW Worksheet Needed if: DSys Dev Eval OTraffic Mit Eval 4 !Mite Work or Drainage Proposed Approved By Date'L%� �ZL _OBackflow Prevention for high hazard: ;(dental,medical,animals,mortuary,hospital, ;supportive housing) s,_..., .._........,._...,.. .. ...mow.,.,.,.,...,.,.,.,.,.:....._,..._.,. FIRE DEPARTMENT 0 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 ❑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 ❑ Is in a Separate Green Folder(join 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:y �� (A)1 Date: 1`— 142-2\ 5/Public Works has no scope---PW Not Required Additional Notes: ELECTRICAL Additional Notes: t�12 _1?_ 2 � Approved By: Date: Approved By: Ill) Date: