3202 51ST PL SW 2023-12-08 - Laserfiche WebLink

Intake &Approval Sheet 0 (FOR PERMIT STAFF ONLY) • PERMIT# p 27-0 7-o1l BUILDING . _ • PLANNING . . • ' . Intake OK by: ri Date: 1 ct'1,0rll Intake OK by: Assign To: Date: Intake Comments: Intake Comments: a ❑ Route to Commercial Building ❑Attach to Project No. 53 Route to Residential Building 0 Route to Historic Reviewer ❑ Make this a"W"Permit 0 OK to Route to Other Departments Bldg/T Add Rem Size 10.3 S F 0 Hold in Planning File Drawer Garage/Accessory Struct.Size o rA Zone Number of Stories I— Overlay/Agreement Basement No ❑Yes, Fin/Unfin Nonresidential Use . Type of ConstructionSe-C- Residential Use 5 C'K Occupancy GroupC- Proposed No.of Dwelling Units: -- Occupancy Load 'ice . Total No.of Dwelling Units: Q•NQ, Fire Sprinklers: ❑Update Existing ❑New System erNot Req'd Planning/Landscape Inspection Required before Final? Yes ❑No Reason Sprinklers Required: "In Lieu"Fee:Type: A Fire Alarm: ❑Update Existing ❑New System 4 Not Req'd School Impact Fee: Total $ Reason Fire Alarm Required: Calculated: Credit: RCW 64.55 MF worksheet req'd for permit? ❑Yes lNo ❑Everett Schoo 1st ❑Mukilteo School Dist Add'i RCW 64.55 docs required prior to final? ❑Yes INo Additional tes: VALUATION CALCULATION: Total$ 30,o00 Approved B Date: tS.cX, �1J PUBLIC WORKS Intake OK by: Date: Additional Notes: Intake Comments: IPWWorksheetNeededif:: �,�.th�` m,, ($t -- f I OSys Dev Eval ❑Traffic'Mit Eval ❑Site Work or Drainage Proposed Approved By Date: 3`q 1+� []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) ❑Fire Sprinklers ❑Fire Alarm ❑Other: AND ❑Create Green Folder ❑Submitted Previously ❑Deferred Additional Notes: J °= This Permit is Approved by Public Works ' ►4 See PW Review Worksheet and associated attached items Fire Dept.Fees: 0 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 0 Is in a Separate Green Folder(join with this folder for permit Issuance) ❑ Review/Inspection Scope-ADD FIRE FEE Cl Will be issued separately(Separate Green Folder,PW issued ahead of Bldg) Approved By: Date: 0 Public Works has no scope---PW Not Required Additional Notes: ELECTRICAL *Mr1, , � � -� Zq). Additional Notes: Y� � Approved By: Date: Approved By: 17AiL4 \ . Date: 3 e\I r2,627i 3is