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

Intake &Approval Sheet • (FOR PERMIT STAFF ONLY) PERMIT# 220`S' BUILDING PLANNING • Intake OK by: Date: Intake OK by:'P Assign To: Date: g 116/ZZ Intake Comments: • Intake Comments: ❑ Route to Commercial Building ❑ Attach to Project No. ❑ Route to Residential Building 0 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 LI 2 , 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 ❑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 0 No ❑Everett School Dist ❑Mukilteo School Dist Add'i RCW 64.55 docs required prior to final? ❑Yes ❑No Additional Notes: VALUATION CALCULATION: Total /51 0 O ,(liy elli(1 1 116122 Approved By: Date: PUBLIC WORKS Intake OK by: .(9 Date: 042 t Z 2t 2?/ /Additional Notes: Intake Comments: I PW Worksheet Needed if: I OSys Dev Eval OTraffic Mit Eval 3OSite Work or Drainage Proposed • Approved B Date:,jc//9 ?p7 OBackflow Prevention for high hazard: /' (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: ❑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 0 Is located in this folder ❑ Minimal or No Fire Scope-NO FIRE FEE ❑ Is in a Separate Green Folder(join 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: Date: VI Public Works has no scope---PW Not Required Additional Notes: ELECTRICAL ttX- ID `b�� Additional Notes: Approved By: Date: Approved By:v�i�� ka -., Date: I I2,1 22122"