2110 HEWITT AVE 2024-02-12 - Laserfiche WebLink

Intake &Approval Sheet • (FOR PERMIT STAFF ONLY) . PERMIT# rib, ``�62: BUILDING • PLANNING Intake OK by: Date: Intake OK by:AP. Assign To A(i . Date: I1/420 Intake Comments: Intake Comments: ❑ Route to Commercial Building Attach to Project No. v ) 24-10-l 61 ❑ Route to Residential Building 0 Route to Historic Reviewer ❑ Make this a"W"Permit y"KOK to Route to Other Departments Bldg/TI/Addn/Rem Size 0 Hold in Planning File Drawer Garage/Accessory Struct.Size Zone Number of Stories 1 Overlay/Agreement Basement ❑No (es, Fin/Unfin Nonresidential Use Type of Construction i V -13 Residential Use Occupancy Group )3/ Pvt Proposed No. of Dwelling Units: Occupancy Load 0/ Total No.of Dwelling Units: Fire Sprinklers: IgUpdate Existing CI New System ❑Not Req'd Planning/Landscape Inspection Required before Final? ❑Yes ❑No Reason Sprinklers Required: d 6 .(92-7 "In Lieu"Fee:Type: Amount$ Fire Alarm: ❑Update Existing CI New System EgNot Req'd S'hool I pac e: Tot Reason Fire Alarm Required: y� C cu ate : Cre ' RCW 64.55 MF worksheet req'd for permit? DYes LI No ❑ erett chool kilteo Sc of Dist Add'I RCW 64.55 docs required prior to final? ❑Yes LJ No Additional Notes: VALUATION CALCULATION: Total$ ,5 Gcci Approved By: Z Date: -]/i r/zoo / PUBLIC WORKS Intake OK by: Date: Additional Notes: Intake Comments: PW Worksheet Needed if:: f•-• Lp�G ` r 7I4 IDSys Dev Eval ❑Traffic Mit Eval _, r?s /7 I DSite Work or Drainage Proposed i Approved By: Date' /t/ ❑Backflow Prevention for high hazard: �/` ( (dental,medical,animals,mortuary,hospital, ` ! supportive 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 OCreate Green Folder OSubmitted Previously ODeferred 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 RMinimal 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 0 Will be issued separately(Separate Green Folder,PW issued ahead of Bldg) Approved By:\(Zee,u ) n Date:12- I 2020 ❑ Public Works has no scope PW Not Required Additional Notes: SQe 17 /+ GDrteti' ,'UPI vof-eJ ; i ELECTRICAL Additional Notes: SC V�' pvl 5-F /lO f e Approved By: Date: Approved By: ' I Date: (Z/j�7.1 2,()