4514 SEAHURST AVE 2023-10-23 - Laserfiche WebLink

Intake &Approval Sheet 0 (FOR PERMIT STAFF ONLY) 410 PERMIT# IL 1�-*03 I 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/Accessory Struct.Size Zone I. Number of Stories Overlay/Agreement Basement El No E Yes , Fin/Unfin Nonresidential Use Type of Construction Residential Use dQk-tt4%4, 6Tit Occupancy Group Proposed No.of Dwelling Units: -- Occupancy Load Total No.of Dwelling Units: Fire Sprinklers: ❑Upd- e Existing ❑New System ❑Not Req'd Planning/Landscape Inspection Required before Final? ❑Yes 9No Reason Sprinklers 'equired: "In Lieu"Fee:Type: Amount$ Fire Alarm: 4 Update Existing ❑New System El Not Req'd School Impact Fee: Total $ Reason Fir larm Required: Calculated: Credit: RCW 6, • MF worksheet req'd for permit? ❑Yes ❑ No ❑Everett School Dist ❑Mukilteo School Dist Add'I RCW 64.55 docs required prior to final? ❑Yes ❑No Additional Notes: QX � . VALUATION CALCULATION: Total$ O`LS 3? �a,��1Z �e,, o O� itt) �`�"6" Approved By: y, Date: IL.. z UBLIC WORKS Intake OK by: Date: Additional Notes: Intake Comments: PW Worksheet Needed if: 1❑Sys Dev Eval ❑Traffic Mit Eval ❑Site Work or Drainage Proposed Approved By: L Date: ,7lV( 1 ?❑Backflow Prevention for high hazard: (((,,, ;(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) El Fire Sprinklers ❑Fire Alarm ❑Other: AND ❑Create Green Folder ❑Submitted Previously ❑Deferred 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(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: jy Date: 1 --5 21 -ublic Works has no scope---PW Not Required Additional Notes: (kite ELECTRICAL Additional Notes: Approved By: Date: Approved By: Date: 2/_