4514 SEAHURST AVE 2023-10-23 - Laserfiche WebLink

Intake & Approval Sheet • (FOR PERMIT STAFF ONLY) fib PERMIT#3,2202 -( o(p 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 "W"Permit ❑ OK to Route to Other Departments Bldg/TI/Add m Size ❑ Hold in Planning File Drawer Garage/Accessory Struct. Size Zone Number of Stories / ,,�� Overlay/Agreement Basement ❑No affYes nj/ Unfin Nonresidential Use Type of Construction Residential Use S (& Occupancy Group Z1t-- Proposed No. of Dwelling Units: Occupancy Load Total No. of Dwelling Units: dAt_ 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 121Not Req'd School Impact Fee: Total $ Reason Fire Alarm Required: Calculated: edit: RCW 64.55 MF worksheet req'd for permit? ❑Yes ® No ❑Everett School Dist ukilteo School Dist Add'I RCW 64.55 docs required prior to final? ❑Yes n No Additional Notes: VALUATION CALCULATION: Total $/'tf OOc,D,) Approved B Date: 3 PUBLIC WORKS Intake OK by: Date: Additional Notes: Intake Comments: 3PW Worksheet Needed if: ❑Sys Dev Eval ❑Traffic Mit Eval ❑Site Work or Drainage Proposed Approved B Date iOipell(� ❑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 ❑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: Date: ❑ Public Works has no scope--- PW Not Required Additional Notes: ELECTRICAL Additional Notes: Approved By: Date: Approved By: Date: