2228 127TH PL SE 2024-02-26 - Laserfiche WebLink

Intake &Approval Sheet 0 (FOR PERMIT STAFF ONLY) • PERMIT#V., I -6 [ . BUILDING PLANNING Intake OK by: Date: Intake OK by: Alb Assign To:rettA Date: I f ic/ _i Intake Comments: Intake Comments: ❑ Route to Commercial Building ❑Attach to Project No. ❑ Route to Residential Building ❑ oute to Historic Reviewer ElMake this a"W"Permit OK to Route to Other Departments Bldg/TI/Addn/Rem Size ---' ❑ Hold in Planning File Drawer Garage/Accessory Struct.Size 3,2.4 Zone 1— I Number of Stories / Overlay/Agreement Basement 13No ❑Yes, Fin/Unfin Nonresidential Use _ Type of Construction '/2LC, Residential Use 5 ?. Occupancy Group U Proposed No.of Dwelling Units: Occupancy Load / Total No.of Dwelling Units: Fire Sprinklers: ❑Update Existing ONew System Mot Req'd Planning/Landscape Inspection Required before Final? ❑Yes)No Reason Sprinklers Required: "I Lieu"F :Type: Amount$ ! Fire Alarm: ❑Update Existing El New System OrNot Req'd S hoot I pa Fee: To I $ Reason Fire Alarm Required: C cul ted: Credit: RCW 64.55 MF worksheet req'd for permit? ❑Yes teJ No ❑ erett Scho Dist kilteo School st Add'I RCW 64.55 docs required prior to final? ❑lY�es 'No Additional Notes: VALUATION CALCULATION: Total$ I [l 7.2 d r > Approved By: 0 Date: 4,13. 2421 PUBLIC WORKS •=9 / V L j 7,7_v Intake OK by: Date: Additional Notes: Intake Comments: iPW Worksheet Needed if: DSys Dev Eval DTraffic Mit Eval I❑Site Work or Drainage Proposed Approved By: 2-2... Date: /)J/ ) l]Backflow Prevention for high hazard: J ;(dental,medical,animals,mortuary,hospital, ;supportive housing) L.._.._..,.............. ...»...._._........................................................._.............. 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) El Fire Sprinklers ❑Fire Alarm ❑Other: AND�❑Create Green Folder ❑Submitted Previously El Deferred Additional Notes: 18—this Permit is Approved by Public Works '' ee 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 Qoin 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: ❑ Public Works has no scope---PW Not Required Additional Notes: ELECTRICAL Additional Notes: Approved By: Date: Approved Eil,7 Date: 02It p tic,21 Z/Z--