2114 HOYT AVE 2023-09-26 - Laserfiche WebLink

III) Intake &Approval Sheet (FOR PERMIT STAFF ONL PERMIT# 131O02O? ( 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 ❑ Route 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 sso Struct.Size `0 S,,' Zone 'c<— Number of Stories / Overlay/Agreement C,`Z. Basement Igrra�tt No ❑Yes , Fin/Unfin Nonresidential Use Type of Construction s Residential Use Q�e, Occupancy Group U Proposed No.of Dwelling Units: VV Occupancy Load Total No.of Dwelling Units: FireSprinklers: ['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? ❑Yesj�f1 No ❑Everett School Dist El Mukilteo School Dist Add'I RCW 64.55 docs required prior to final? ❑Yes/� ViNo Additional Notes: VALUATION CALCULATION: Total$ 30'7 0 Approved By: Date: 60, VT/20 S PUBLIC WORKS Intake OK by: Date: Additional Notes: .O/,5 ,/ Intake Comments: PW Worksheet Needed if: • OSys Dev Eval ❑Traffic Mit Eval !Mite Work or Drainage Proposed Approved By: Date 3//6/20 i OBackflow Prevention for high hazard: I(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) CI Fire Sprinklers DFire Alarm ❑Other: AND ❑Create Green Folder ❑Submitted Previously ❑Deferred Additional Notes: L 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 0 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: Date: ❑ Public Works has no scope---PW Not Required Additional Notes:. ELECTRICAL 120.92 5rro¢..sA4A-r6a- ses.-DLv spiv 1,ED . 8o+8-0. Additional Notes: Approved By: Date: Approved By: Date: oL/2fo Jzoz