3015 9TH ST BLDG 7 2023-08-02 - Laserfiche WebLink

Intake &Approval Sheet (FOR PERMIT STAFF ONL� PERMIT# Z 16 —655 BUILDING PLANNING • Intake OK by: Date: Intake OK by:1 Assign To: Date: Intake Comments: Intake Comments: • ❑ Route to Commercial Building 0 Attach to Project No. ❑ Route to Residential Building ❑ ute 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 UP3 Number of Stories Overlay/Agreement Basement ❑No ❑Yes, Fin/Unfin Nonresidential Use �i Type of Construction Residential Use 1140f t`1- 911V0011 Occupancy Group 2—Z Proposed No.of Dwelling Units: Occupancy Load Total No.of Dwelling Units: Fire Sprinklers: El Update Existing ONew System ❑Not 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? 4Yes ❑ No ❑Everett School Dist ❑Mukilteo School Dist Add'I RCW 64.55 dots required prior to final? gYes ❑No Additional Notes: VALUATION CALCULATION: Total$ G� Approved By:A4 Date: �. .202.4 • PUBLIC WORKS Intake OK by: . Date: Additional Notes: Intake Comments: PW Worksheet Needed if: - --M =OSys Dev Eval OTraffic Mit Eval ,� IOSite Work or Drainage Proposed Approved By ' w Date:® /j,�� es, OBackFlow 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) El Fire Sprinklers El Fire Alarm ❑Other: AND ❑Create Green Folder ❑Submitted Previously ❑Deferred Additional Notes: ❑This Permit is Approved by Public Works 0 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(join with this folder for permit issuance) ❑-Review-/Inspection Scope ADD_FFIRE_EEE ❑_W__ilLbe-issuerl-separately4Separate Green Folder,PW issued aheadof_Bldg) Approved By: Date: ❑ Public Works has no scope---PW Not Required Additional Notes: ELECTRICAL Additional Notes: Approved By: Date: Approved By: Date: