1321 GRAND AVE 2023-12-07 - Laserfiche WebLink

(3 Intake &Approval Sheet •(FOR PERMIT STAFF ONLY) 0 PERMIT# —61(5 BUILDING . . . • PLANNING' • . • • • e . • Intake OK by: egilltkDate: q vd-t" - Intake OK by: Assign To: Date: Intake Comments: Intake Comments: ❑ Route to Commercial Building ❑Attach to Project No. eoute to Residential Building 0 Route to Historic Reviewer ❑ Make this a"W"Permit 0 OK to Route to Other Departments Bldg/TI/Addn/ 0 Hold in Planning File Drawer Garage/A cessory Struct. Se�(ME'OJII' 5� Zone —ZNumber of Stories Overlay/Agreement p( .)G�e{1-wArial jifcsl n c. Basement ❑No ❑Yes, Fin I Unfin Nonresidential Use . •GGt r &Jr fClart Type of Construction - C. Residential Use Occupancy Group C. Proposed No.of Dwelling Units: • Occupancy Load 5:0-C . • Total No.of Dwelling Units: Fire Sprinklers: ❑Update Existing ONew System Jiot Req'd Planning/Lands-cape Inspection Required before Final? ❑Yes ❑No Reason Sprinklers Required: "In Lieu"Fee:Type: Amount$ Fire Alarm: ❑Update Existing El New System Sot Req'd School Impact Fee: Total $ Reason Fire Alarm Required: �t Calculated: Credit: RCW 64.55 MF worksheet req'd for permit? ❑Yes T rlo ❑Everett School Dist ❑Mukifteo School Dist Add'I RCW 64.55 docs required prior to final? ❑Yes MN° Additional Notes: VALUATION CALCULATION: Total$ 35,000 Approved By: 4 Date: 2/1L2//24 PUBLIC WORKS, I �j Intake**by: tit) Date:„•,.0,.4..I.•,1•.411 ..,.••.w•...•._..W,,,,,,•,W Additional Notes: Intake Comments: PW Worksheet Needed if:: IOU 1 tb •th h l4 t✓ hASys Dev Eval ❑Traffic•Mit Eval W• vim I�Site Work or Drainage Proposed. tillA ?,(4) A.{'�_ Pia h(- J 10Backflow Prevention for high hazard: Approved By: ,�,, j.k Date: *9120/3 ptp,,,,,,,nt p r[� :(dental,medical,animals,mortuary,hospital, 'supportive housing) . FIRE DEPARTMENT DARoute this folder for PW Review at end ---PW Review Worksheet Separate I Deferred Submittals Required: OThis project also has a separate concurrent PW Review(Green Folder) ❑Fire Sprinklers OFire Alarm DOther: AND ❑Create Green Folder ❑Submitted Previously ODeferred Additional Notes: , This Permit is Approved by Public Works • a . ❑See PW Review Worksheet and associated attached items Fire Dept.Fees: 0 A Separate PW Permit is Required (Permit#: PW ) 0 Review of As-Built Plans-NO FIRE FEE AND ❑ Is located in this folder tg Minimal or No Fire Scope-NO FIRE FEE 0 Is in a Separate Green Folder(loin with this folder for permit issuance) ❑ Review/Inspection Scope-ADD FIRE FEE 0 Will be issued separately(Separate Green Folder,PW issued ahead of Bldg) Approved By: y, ��(,,1n Date: 10 —/1-Z_2 0 Public Works has no scope---PW Not Required Additionall__Notes: ELECTRICAL N-I 6h Atolt L u vov .yA''o'i7'/Li t I Ow- Additional Notes: at) \-CW W/L • Approved By: Date: Approved By: -1— 44( 6 Date: 4j ?A 11024