3308 ROCKEFELLER AVE 2023-09-26 - Laserfiche WebLink

Intake &Approval Sheet (FOR PERMIT STAFF ONLY) 411 PERMIT#'.c3 .-(31 BUILDING PLANNING Intake OK by: Date: Intake OK by: Assign To: Date: Intake Comments: Intake Comments: ,��1�,, 1►�41.112)4\ ' CJt <A kX-- ❑ Route to Commercial Building ❑ Attach to Project No. ❑ Route to Residential Building 0 Route to Historic Reviewer ❑ Make this a"W" Permit ❑ OK to Route to Other Departments Bldg/TI/Addn6 ize 3 40 s-S,/` ® Hold in Planning File Drawer Garage/Accessory Struct..Size Zone Number of Stories Z Overlay/Agreement Basement ❑No g Yes at Unfin Nonresidential Use Type of Construction 1/ - ('H>a, Residential Use Occupancy Group Proposed No.of Dwelling Units: C7- Occupancy Load Total No.of Dwelling Units: '\ace_ (' ) Fire Sprinklers: ❑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: El Update Existing El New System El Not Req'd School Impact Fee: Total $ C� Reason Fire Alarm Required: Calculated: Credit: RCW 64.55 MF worksheet req'd for permit? ❑Yes No ,Everett School Dist ❑Mukilteo School Dist Add!RCW 64.55 docs required prior to final? ❑Yes No Additional Notes: VALUATION CALCULATION: Total$ Bt O®O Aassti Approved B • Date: _ DOtO PUBLIC WORKS Intake OK by: Date: Additional Notes: 2 0 is- //Z c Ws- Intake Comments: =PW Worksheet Needed if: DSys Dev Eval ['Traffic Mit Eval ['Site Work or Drainage Proposed Approved By: Date: IDBackflow Prevention for high hazard: :(dental,medical,animals,mortuary,hospital, isupportive housing) FIRE DEPARTMENT El 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 rr 'See PW Review Worksheet and associated attached items Fire Dept.Fees: IAA Separate� 0 PW Permit is Required(Permit#: PW 2 tl- 04 ° ) El Review of As-Built Plans-NO FIRE FEE AND IJ 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 0 Will be issued separately(Separate Green Folder,PW issued ahead of Bldg) Approved By: Kern Date: 5 , 0 Public Works has no scope---PW Not Required q—(„_ate Additional Notes: ELECTRICAL Additional Notes: Approved By: Date: Approved B Date: ® 2 f Z( Ji.a Z[.