8810 EMERSON PL 2023-09-26 - Laserfiche WebLink

Intake &Approval Sheet 0 (FOR PERMIT STAFF ONLY) • PERMIT# 2003 —0 BUILDING PLANNING Intake OK by: \/(C'' Date: 3/ /20 Intake OK by: Assign To: Date: Intake Comments: Intake Comments: El Route to Commercial Building ❑ Attach to Project No. k Route to Residential Building ❑ Route to Historic Reviewer ❑ Make this a"W"Permit ❑ OK to Route to Other Departments Bldg/TI/Addn/Rem Size Z$,3 S A ❑ Hold in Planning File Drawer Garage/Accessory Struct. Size 3 Z S,K Zone 2.-1— Number of Stories Overlay/Agreement Basement jallo ❑Yes, Fin/Unfin Nonresidential Use Type of Construction Ye Residential Use c Q6cA. 61 Sfi-2— Occupancy Group Q/A Proposed No.of Dwelling Units: Occupancy Load Total No.of Dwelling Units: Fire Sprinklers: ❑Update Existing ❑New System Shot Req'd Planning/Landscape Inspection Required before Final? ❑Yes Wlo Reason Sprinklers Required: "In Lieu"Fee: Type: Amount$ Fire Alarm: ❑Update Existing El 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 ra No ❑Everett School Dist ❑Mukilteo Sc of Dist Add'I RCW 64.55 does required prior to final? ❑Yes ®No Additionaln Notes: Area)a) `"' 06 _ , t VALUATION CALCULATION: Total$ 3S,790 1_ _f 1 I� �(t?�}� CYO Z g8 @ IL( 3' 8'f P 3$e 25 r S'D Approved By: F, Q1 Date: 3-lo--7,07,0 PUBLIC WORKS Intake OK • Date: Additional Notes: 2 is- /2G.s kisac._ Intake Co en s: PW Worksheet Needed if: N D 3 ❑Sys Dev Eval ❑Traffic Mit Eval 1 ^ _ ,i,cgce...... ❑Site Work or Drainage Proposed Approved By: diiiDate:51ZO/Z4. =❑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) El Fire Sprinklers El Fire Alarm ❑Other: AND ❑Create Green Folder ❑Submitted Previously ODeferred 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: Date: Public Works has no scope---PW Not Required Additional Notes:--- o3//o dzot43 ELECTRICAL Additional Notes: Approved By: Date: Approved By: Date: