3308 ROCKEFELLER AVE 2023-09-26 - Laserfiche WebLink

Intake &Approval Sheet ,(FOR PERMIT STAFF ONLY) • PERMIT# BUILDING PLANNING- • . ' • Intake OK by: M Date: led 6 17-a--- Intake OK by: Assign To: Date: Intake Comments: Intake Comments: ❑ Route to Commercial Building ❑Attach to Project No. 6 Route to Residential Building 0 Route to Historic Reviewer ❑ Make this a"W"Permit _jj 0 OK to Route to Other Departments Bldg/TI/Addn/Rem Size 'Lf 4. 0 Hold in Planning File Drawer Garage/Accessory Struct.Size // Zone Number of Stories i Overlay/Agreement Basement ❑No , Yes Unfin Nonresidential Use . Type of Construction • "31-C- Residential Use A- kao Occupancy Groups Proposed No.of Dwelling Units: 6. Occupancy Load C. • • Total No.of Dwelling Units: q/ Fire Sprinklers: ❑Update Existing ONew System Swot Req'd Planning/Landscape Inspection Required before Final? ❑Yes Ili No Reason Sprinklers Required: "In Lieu"Fee:Type: Amount$ Fire Alarm: El Update Existing El New System 15 Not Req'd School Impact Fee: Total $ Reason Fire Alarm Required: Calculated: Credit: RCW 64.55 MF worksheet req'd for permit? ❑Yes El No No ❑Everett School Dist ❑Mukilteo SC of Dist Add'I RCW 64.55 docs required prior to final? ❑Yes Ll No Additional Npotes: � Owe'. 5\l�6'�Z VALUATION CALCULATION: Total$ If`Z/SOO 0 Approved By: y_, Date: 06 , -22_, UBLIC WORKS Intake OK by: Date: Additional Notes: Intake Comments: 'PW Worksheet Needed if: w� W OSys Dev Eval OTraffic Mit Eval • OSite Work or Drainage Proposed. Approved By: t QA Date: 10I6127— OBackflow Prevention for high hazard: (dental,medical,animals,mortuary,hospital, isupportive 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) ❑Fire Sprinklers OFire Alarm ❑Other: AND OCreate Green Folder ❑Submitted Previously ❑Deferred Additional Notes: ; . ,This Permit is Approved by Public Works . ? ' ISee PW Review Worksheet and associated attached items Fire Dept.Fees: RSeparate PW Permit is Required(Permit#:PW Zo!!- a 44-0 ❑ Review of As-Built Plans-NO FIRE FEE AND a4s-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) ►-'I Review/Inspection Scope-ADD FIRE FEE ❑Will be issued separately(Separate Green Folder,PW issued ahead of Bldg) Approved By: I -A R( v.,?, Date: 1 - (p-1 Z. 0 Public Works has no scope---PW Not Required Additional Notes: ELECTRICAL Additional Notes: Approved By: Date: Approved By. Date: B 130 /lost 2/Z—