2725 15TH ST BLDG B 2024-01-04 - Laserfiche WebLink

Intake & Approval Sheet • (FOR PERMIT STAFF ONLr PERMIT #(, �Wl —005- 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 p�,� ` Garage/Accessory Struct. Size ` Number of Stories Basement No []Yes, Fin / Unfin Type of Construction Occupancy Group ` Occupancy Load `�[p Fire Sprinklers: ❑Update Existing INNewSystern ❑Not Req'd Reason Sprinklers Required: Fire Alarm: ❑Update Existing INNewSystern ❑Not Req'd Reason Fire Alarm Required: RCW 64.55 MF worksheet req'd for permit? Yes ❑ No Add'I RCW 64.55 docs required prior to final? ❑Yes ®No VALUATION CALCULATION: Total $ 2. I t Z19 Additional Notes: Approved By: Date: [o (3 Zo2o FIRE DEPARTMENT Separate / Deferred Submittals Required: fire Sprinklers SiwireAlarm ❑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: ( won Planning/Landscape Inspection Required before Final? Yes ❑No "In Lieu" Fee: Type: Amount $ School Impact Fee: Total $ Calculated: Credit: El Everett School Dist ❑Mukilteo School Dist Additional Notes: "PYWV4 i1\ Twil— --Nr zox Approved By: Date: PUBLIC WORKS Intake OK by: Date: :.... ..... ............ .... ....................... _...... ,...................................... _... ................. _....... - .......... _.. Intake Comments: I PW Worksheet Needed if.• i ❑Sys Dev Eval ❑Traffic Mit Eval j ❑Site Work or Drainage Proposed ❑Backflow Prevention for high hazard: ;(dental, medical, animals, mortuary, hospital, (supportive housing) t............................................................................................................................................................. ❑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 This Permit is Approved by Public Works RSee PW Review Worksheet and associated attached items `LJJ RA Separate PW Permit is Required (Permit #: PW209'V—N I ) AND ❑ Is located in this folder ERIs in a Separate Green Folder Qoin 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: jt �h Bldg Q Approved By: Date: 4 W-7—L