2317 VIRGINIA AVE 2024-02-12 - Laserfiche WebLink

• Intake &Approval Sheet (FOR PERMIT STAFF ONLY) PERMIT# 132- 2-ai °(4°z BUILDING PLANNING Intake OK by: 1-- Date: 1j 1a0/2- i2- Intake OK by: 46 Assign To:MIe)(s. Date:4/Z0/ZQ2-Z Intake Comments: Intake Comments: ❑ Route to Commercial Building 0 Attach to Project No. ❑ Route to Residential Building ❑ Route to Historic Reviewer ❑ Make this a"W"Permit OK to Route to Other Departments Bldg I/Addn/Rem Size ❑ Hold in Planning File Drawer hR• Accessory Struct.Size tt 396, 5F Zone Number of Stories '1 Overlay/Agreement t2-N&S;at-- -W (IC (lakt Basement No ❑Yes, Fin/Unfin Nonresidential Use Type of Construction L- Residential Use SPIZ Occupancy Group di - Proposed No.of Dwelling Units: Occupancy Load X4eL Total No.of Dwelling Units: Fire Sprinklers: ❑Update Existing El New System allot Req'd Planning/Landscape Inspection Required before Final? ❑Yes ❑No Reason Sprinklers Required: "In Lieu"Fee:Type: Amount$ Fire Alarm: ❑Update Existing El New System INot Req'd School Impact Fee: Total $ - Reason Fire Alarm Required: Calculated: Credit: RCW 64.55 MF worksheet req'd for permit? oyes Ej No ❑Everett School Dist ❑Mukllteo School Dist Add'I RCW 64.55 dots required prior to final? ❑Yes ®No Additional Notes: VALUATION CALCULATION: Total$ 1149 ‘/sf x 9qK25F�ffTo/ma Approved By: " 1 Date: 1/24/2.6/2.Z. PUBLIC WORKS Intake OK by: . Date: Additional Notes: Intake Comments: PW Worksheet Needed if:--.,- -- ❑Sys Dev Eval ❑Traffic Mit Eval ❑Site Work or Drainage Proposed Approved By: /Ate Date: LifzeZe22., IDBackflow 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 OFire Alarm ❑Other: AND ❑Create Green Folder ❑Submitted Previously ❑Deferred Additional Notes: laThis 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 Gain 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: Date: ❑ Public Works has no scope---PW Not Required Additional Notes: ELECTRICAL Additional Notes: Approved By: Date: Approved Bye— Date6/1-15 s-z.