1415 75TH ST SW HELION ENERGY 2023-12-11

Intake &Approval Sheet S (FOR PERMIT STAFF ONLY) I PERMIT# BZ-(08 —0c33 BUILDING PLANNING . Intake OK by: Date: Intake OK by: Assign To: Date: Intake Comments: Intake Comments: El Route to Commercial Building ❑Attach to Project No. ❑ Route to Residential Building ❑ Route to Historic Reviewer ❑ Make this a"W"Permit ❑ OK to Route to Other Departments Bldg/TI/Addn/Rem Size ❑ Hold in Planning File Drawer Garage/Accessory Struct.Size Zone LLZ Number of Stories Overlay/Agreement Basement ❑No ❑Yes, Fin/Unfin Nonresidential Use Type of Construction Residential Use Occupancy Group Proposed No.of Dwelling Units: Occupancy Load • Total No.of Dwelling Units: 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: ❑Update Existing CI New System ❑Not Req'd School Impact Fee: Total $ Reason Fire Alarm Required: Calculated: Credit: RCW 64.55 MF worksheet req'd for permit? ❑Yes ❑ No El Everett School Dist ❑Mukilteo School Dist Add'I RCW 64.55 docs required prior to final? ❑Yes ❑No Additional Notes: ferxii*Id ( J y L I fA 1(1 Hai VALUATION CALCULATION: Total$ �J3 G'd ' Approved By: IL. Date: L,—6 UBLIC WORKS,. • Intake OK by: Date: Additional Notes: � cY -raw �' -`.tea Intake Comments: IPW Worksheet Needed if: I0Sys Dev Eval ❑Traffic Mit Eval • iDSite Work or Drainage Proposed r' Date: 1 2_cQ, ❑Backflow Prevention for high hazard: Approved By: ( l (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 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(loin 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: K,�j (Yjrj h Date: R-9-,2/ •= 'ublic Works has no scope---PW Not Required Additional Notes: / ELECTRICAL .602, Additional Notes: Approved By: Date: Approved By: Date: