1929 VIRGINIA AVE 2023-10-23 - Laserfiche WebLink

Intake &Approval Sheet • (FOR PERMIT STAFF ONLY) • PERMIT# �rw 2,01 t- t BUILDING PLANNING Intake OK b Date:/Z-Z Z/ / Intake OK by: Assign To: Date: Intake Comments. A Intake Comments: ❑ Route to Commercial Building 0 Attach to Project No. ❑ Route to Residential Building 0 Route to Historic Reviewer ❑ Make th' a"W"Permit 0 OK to Route to Other Departments Bldg/TI/Addn Siz 0 Hold in Planning File Drawer Garage/Accessory Struct. Size 4/0 Zone • -' Number of Stories Z ICL Arr'LCC) Overlay/Agreement '\\‘Q,N. ,,Q `VA-Q,c C Basement ❑No 1511Yes, Fin of Nonresidential Use Type of Construction FRS Residential Use Occupancy Group - Proposed No.of Dwelling Units: Occupancy Load 4 Total No. of Dwelling Units: Q\NQ. Fire Sprinklers: ❑Update Existing ONew System Not Req'd Planning/Landscape Inspection Required before Final? ❑Yes ❑No Reason Sprinklers Required: "In Lieu"Fee:Type: Amount$ Fire Alarm: ❑Update Existing Chew System Not Req'd School Impact Fee: Total $ Reason Fire Alarm Required: Calculated: ' . RCW 64.55 MF worksheet req'd for permit? ❑Yes I No ❑Everett School Dist E/0111,Cre eo School Dist Add!RCW 64.55 docs required prior to final? ❑Yes No Additional Notes: VALUATION CALCULATION: Total$ J70Oa•00 Approved ' Date: 1\_Q5^C12,tl PUBLIC WORKS Intake OK by: Date: Additional Notes: Intake Comments: PW Worksheet Needed if: OSys Dev Eval ❑Traffic Mit Eval ❑Site Work or Drainage Proposed ��{ jj OBackflow Prevention for high hazard: Approved By rn `� Date:02//#02.t_ :(dental,medical,animals,mortuary,hospital, :supportive 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) ❑Fire Sprinklers ❑Fire Alarm ❑Other: AND ❑Create Green Folder ❑Submitted Previously ❑Deferred Additional Notes: 0 This Permit is Approved by Public Works ❑ See PW Review Worksheet and associated attached items Fire Dept.Fees: 0 A Separate PW Permit is Required(Permit#: PW ) ❑ Review of As-Built Plans-NO FIRE FEE AND 0 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) O Review/Inspection Scope-ADD FIRE FEE 0 Will be issued separately(separate Green Folder,PW issued ahead of Bldg) Approved By: Date: IA Public Works has no scope---PW Not Required Additional Notes f-v`ery 1 ' ally - Mo 5'1e.. ELECTRICAL B'' d T Additional Notes: gN art< pro pp fe Approved By: Date: Approved By Date: (2.01.5 L Zb 4._