10030 DAKOTA WAY 2023-12-07 - Laserfiche WebLink

Intake &Approval Sheet .(FOR PERMIT STAFF ONLY) 0 PERMIT# SiS 2.,2.0 —off BUILDING PLANNING Intake OK by: F,CY Date: t\/./2O2-2- Intake OK by: Assign To: Date: Intake Comments: Intake Comments: ❑ 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/Ad /Rem sj i37-c> li . ❑ Hold in Planning File Drawer Garage/Accessory Struct.Size Zone 4f---1-- Number of Stories I Overlay/Agreement Basement 2No ❑Yes, Fin/Unfin Nonresidential Use Type of Construction .3)2.-L Residential Use ( J 5ZZ- Occupancy Group Te.-L Proposed No.of Dwelling Units: Occupancy Load P2_C Total No.of Dwelling Units: 1 Fire Sprinklers: ❑Update Existing El New System Olot Req'd Planning/Landscape Inspection Required before Final? ❑Yes 36No 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 ' No El Everett School Dist ❑Mukilteo School Dist ',, Add'I RCW 64.55 docs required prior to final? ❑Yes ErNo Additional Notes: ( q ",4) . ' a7� rued VALUATION CALCULATION: Total $ 3 000 (\ �iy 4 , )e y wi - 'a) Approved By: l�. J Date: j K.,7_;Z UBLIC WORKS Intake OK by: Date: Additional Notes: Intake Comments: IPWWorksheet Needed if: ❑Sys Dev Eval ❑Traffic Mit Eval ❑Site Work or Drainage Proposed Approved By: e P C Date: l\(7-tsoZ Z ❑Backflow 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) El 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 (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: .Public Works has no scope--- PW Not Required Additional Notes: ELECTRICAUPLUMBING Additional Notes: iy 5q OSAR124 Z7 — Approved By: Date: Approved By: 1J Date: