8411 E XAVIER WAY 2023-10-16 - Laserfiche WebLink

• i `' . \ Intake & Approval Sheet (FOR PERMIT STAFF ONLY) PERMIT#6.0 Z 3 OO' BUILDING PLANNINGTgr, Intake OK by:I,-l _ Date: 02/11/202 2— Intake OK by: og Assign To: i r k2'tc, Date: Intake Comments: Intake Comments: ❑ Route to Commercial Building ❑ Attach to Project No. Route to Residential Building ❑ Route to Historic Reviewer Et Make this a"W"Permit tm'•K to Route to Other Departments Bldg/TI/Addn/Rem Size affirPg 2 I 30 •- Z ❑ Hold in Planning File Drawer Garage/Accessory Struct. Size —!g0 Ft-Z Zone - . Number of Stories Z Overlay/Agreement Basement ❑No IYes, In Unfin Nonresidential Use Type of Construction Residential Use Occupancy Group J 2c-- Proposed No.of Dwelling Units: Occupancy Load Total No.of Dwelling Units: Fire Sprinklers: El Update Existing ❑New System RINot Req'd Planning/Landscape Inspection Required before Final? ❑Yes ❑No Reason Sprinklers Required: "In Lieu" Fee:Type: Amount$ Fire Alarm: ❑Update Existing ❑New System PNot Req'd School Impact Fee: Total $ Reason Fire Alarm Required: ICI Calculated: Credit: RCW 64.55 MF worksheet req'd for permit? ❑Yes I No ❑Everett School Dist ❑Mukilteo School Dist Add'I RCW 64.55 docs required prior to final? ❑Yes No Additional Notes: VALUATION CALCULATION: Total$ C atiALt 5Cce Approved By: ,a1.3 Date: 3/L/z0 ZL PUBLIC WORKS • Intake OK by: Date: Additional Notes: 1015 TAIL & W S Intake Comments: €PW Worksheet Needed If: ❑Sys Dev Eval ❑Traffic Mit Eval ID Site Work or Drainage Proposed Approved By: !OBackflow Prevention for high hazard: pp �/f Date: ©�t / i(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) ❑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: ❑ A Separate PW Permit is Required (Permit#: PW ❑ Review of As-Built Plans-NO FIRE FEE AND ❑ Is located in this folder O Minimal or No Fire Scope-NO FIRE FEE ❑ Is in a Separate Green Folder(loin with this folder for permit issuance) O Review/Inspection Scope-ADD FIRE FEE ❑ Will be issued separately(Separate Green Folder,PW issued ahead of Bldg) Approved By: Date: ❑ Public Works has n o -- Not Required Additional Notes: ELECTRICAL7"—^) Additional Notes: Approved By: Date: Approved By Date: