6930 CARSON RD 2024-02-09 - Laserfiche WebLink

• •Intake & Approval Sheet (FOR PERMIT STAFF ONLY) PERMIT#R`J 2A62- ---- BUILDING PLANNING Intake OK by: L nL Date: 0. /;--C ," Intake OK by:/a e Assign To: 4 . Date: 2-/y5ZOL1 Intake Comments: Intake Comments: ` ❑ Route to Commercial Building ❑ Attach to Project No. 151sRoute to Residential Building ❑ Route to Historic Reviewer ❑ Make this a"W"Permit ❑ OK to Route to Other Departments Bldg/TI/Addn/Rem Size ❑ Hold in Planning File Drawer Garage/Accessory Struct. Size Zone— Number of Stories 1. Overlay/Agreement Basement No ❑Yes , Fin/Unfin Nonresidential Use Type of Construction (R,aL Residential Use J F F- Occupancy Group It-C. Proposed No.of Dwelling Units: Occupancy Load 1 R.C.- Total No.of Dwelling Units: Fire Sprinklers: ❑Update Existing ❑New System igNot Req'd Planning/Landscape Inspection Required before Final? ❑Yes ❑No Reason Sprinklers Required: "In Lieu" Fee:Type: Amount$ Fire Alarm: ❑Update Existing ❑ I New System Sallot Req'd School Impact Fee: Total $ Reason Fire Alarm Required: Calculated: Credit: RCW 64.55 MF worksheet req'd for permit? Oyes IN No ❑Everett School Dist ❑Mukilteo School Dist Add'I RCW 64.55 docs required prior to final? ❑Yes No Additional Notes: VALUATION CALCULATION: Total$ 34 000 Approved By: AS S Date: 10111 7 fi PUBLIC WORKS Intake OK by: Date: Additional Notes: Intake Comments: €PW Worksheet Needed if: ❑Sys Dev Eval OTraffic Mit Eval ❑Site Work or Drainage Proposed Approved By: et. Date: iaos4 €❑Backflow Prevention for high hazard: :(dental,medical,animals,mortuary,hospital, isupportive housing) FIRE DEPARTMENT DRoute 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: 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: J<13rbc„..,n Date: 5 30 2/ ❑ Public Works has no scope---PW Not Required Additional Notes: ELECTRICAL Additional Notes: Approved By: Date: Approved By: '- Date: 5 7 r_, 1 2J r