2815 15TH ST BLDG C 2023-12-18 - Laserfiche WebLink

Intake►$ Approval Sheet 0 (FOR PERMIT STAFF ONLI) 10 PERMIT # G 11ccn—LJUIp BUILDING Intake OK by: Date: Intake Comments: ❑ Route to Commercial Building ❑ Route to Residential Building ❑ Make this a "W" Permit Bldg/TI/Addn/Rem Size 18, 83z2 Garage/Accessory Struct. Size — Number of Stories ,3 Basement 53No ❑Yes , Fin / Unfin Type of Construction Occupancy Group Occupancy Load CIS Fire Sprinklers: ❑Update Existing New System ❑Not Req'd Reason Sprinklers Required: Fire Alarm: ❑Update Existing VINewSystern ❑Not Req'd Reason Fire Alarm Required: RCW 64.55 MF worksheet req'd for permit? Yes ❑ No Add'[ RCW 64.55 docs required prior to final? ❑Yes WNo VALUATION CALCULATION: Total $ A OR O 3 6 z- lg Additional Notes: Approved By: Date: 1 b l !2 FIRE DEPARTMENT Separate I Deferred Submittals Required: e Sprinklers 14ire Alarm ❑Other: Additional Notes: Fire Dept. Fees: ❑ Review of As -Built Plans - NO FIRE FEE ❑ Minimal or No Fire Scope - NO FIRE FEE Review / Inspection Scope - ADD FIRE FEE Approved By: Date: ELECTRICAL Additional Notes: Approved By: Date: PLANNING Intake OK by: Assign To: Date: Intake Comments: ❑ Attach to Project No. ❑ Route to Historic Reviewer ❑ OK to Route to Other Departments ❑ Hold in Planning File Drawer Zone Overlay/Agreement Nonresidential Use Residential Use Proposed No. of Dwelling Units: Total No. of Dwelling Units: I � QY1 R %J Planning/Landscape Inspection Required before Final? Yes ❑No "In Lieu" Fee: Type: Amount $ School Impact Fee: Total $ Calculated: Credit: ❑Everett School Dist ❑Mukilteo School Dist Additional Notes: -► T iJ Approved By: Date: PUBLIC WORKS Intake OK by: Date: ..... ...... ........................................._.........._.._.......__._...................._....__............. Intake Comments: DPW Worksheet Needed if: `❑Sys Dev Eval ❑Traffic Mit Eval ❑Site Work or Drainage Proposed ❑Backflow Prevention for high hazard: (dental, medical, animals, mortuary, hospital, supportive housing) ..............-._. ..... ........................................................................_...................................._........... _ ❑ Route this folder for PW Review at end --- PW Review Worksheet ❑This project also has a separate concurrent PW Review (Green Folder) AND ❑Create Green Folder ❑Submitted Previously ❑Deferred TR This Permit is Approved by Public Works e,See PW Review Worksheet and associated attached items A Separate PW Permit is Required (Permit #: PW AND El' Is located in this folder k2l Is in a Separate Green Folder (join with this folder for permit issuance) ❑ Will be Issued separately (Separate Green Folder, PW issued ahead of Bldg) ❑ Public Works has no scope --- PW Not Required Additional Notes: {, `�sil� P�J cih gld� �tim�r Approved By: Date: in#