1502 100TH ST SW 2023-12-11 - Laserfiche WebLink

• i 2261 — 65� Intake &Approval Sheet (FOR PERMIT STAFF ONLY) PERMIT# p BUILDING //yy // PLANNING Intake OK by:L Date: Intake OK by:(/"tn Assign To: Date: Intake Comments: Intake Comments: ❑ Route to Commercial Building 0 Attach to Project No. ❑ Route to Residential Building ❑ R e to Historic Reviewer lirMake this a"W"Permit OK to Route to Other Departments Bldg/TI/Ad em Si 7S'O / 0 Hold in Planning File Drawer Garage/Accessory Struct.Size A ° Zone ;.'"Z Number of Stories Z- Overlay/Agreement Basement KNo ❑Yes , Fin/Unfin Nonresidential Use Type of Construction *> Residential Use ft Occupancy Group Proposed No.of Dwelling Units: , Occupancy Load 1 Total No.of Dwelling Units: Fire Sprinklers: ❑Update Existing ❑New System INot Req'd Planning/Landscape Inspection Required before Final? ❑Yes ❑No Reason Sprinklers Required: "In Lieu"Fee:Type: Amount$ Fire Alarm: ❑Update Existing ❑New System Its1Not Req'd School Impact Fee: Total $ - Reason Fire Alarm Required: Calculated: Credit: RCW 64.55 MF worksheet req'd for permit? oyes IN No ❑Everett School Dist ❑Mukilteo School Dist Add'I RCW 64.55 docs required prior to final? ❑Yes FNo Additional Notes: VALUATION CALCULATION: Total$.0 060.0 0D Approved By: Date: 2,3-2 _ PUBLIC WORKS Intake OK by: . Date: Additional Notes: Intake Comments: €PW Worksheet Needed if: ❑Syss Dev Eval ❑Traffic Mit Eval ❑Site Work or Drainage Proposed ❑Backflow Prevention for high hazard: Approved B Date: ��/� �� I(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: ❑This Permit is Approved by Public Works 0 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 0 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: aPublic Works has no scope---PW Not Required Additional Notes: // /� ELECTRICAL (Aic,r-7__ w�d ,,,..,I'3 r;1 45`11. Additional Notes: ' " L Approved By: Date: Approved By->� Date: '¢/!I /2..2.''- 42---