5020 SPERRY LN 2024-02-12 - Laserfiche WebLink

• • Intake &Approval Sheet (FOR PERMIT STAFF ONLY) PERMIT# 132 At 1 - 0 5 I BUILDING nn by....`"--: PLANNINI,GG' Intake OK by:1,1W Date: i ZC/ Intake OK by %1 Assign To: ram.{ Date: (2-`3 -2( Intake Comments: Intake Comments: CI Route to Commercial Building ❑Attach to Project No. .Route to Residential Building 0 Route to Historic Reviewer „Make this a"W"Permit 0 OK to Route to Other Departments Bldg/TI/Add Rem ize ❑ Hold in Planning File Drawer Garage/Accessory Struct.Size Zone K•Z Number of Stories t Overlay/Agreement Basement IgNo ❑Yes, Fin/Unfin Nonresidential Use Type of Constructions Residential Use 5ff._.. Occupancy Group S4i4- Proposed No.of Dwelling Units: '! Occupancy Load Total No.of Dwelling Units: 1 Fire Sprinklers: ❑Update Existing ONew System Not Req'd Planning/Landscape Inspection Required before Final? ❑Yes Ilo Reason Sprinklers Required: "In Lieu"Fee:Type: Amount$ Fire Alarm: ❑Update Existing El New System Eittlot Req'd School Impact Fee: Total $ Reason Fire Alarm Required: Calculated: Credit: RCW 64.55 MF worksheet req'd for permit? ❑Yes 51 No ❑Everett School Dist ❑Mukilteo Schoo ist Add'I RCW 64.55 docs required prior to final? ❑Yes filNo Additional Notes: F.SJ 1 ii .DSb VALUATION CALCULATION: Total$ (0423 3 Approved By: y. , Date: 5 ,11,22 BLIC WORKS Intake OK by: . Date: Additional Notes: Intake Comments: iPW Worksheet Needed if: _DSys Dev Eval ❑Traffic Mit Eval =DSite Work or Drainage Proposed Approved By:,I - Date: /l/5720.22 _OBackflow Prevention for high hazard: _(dental,medical,animals,mortuary,hospital, ;supportive housing) FIRE DEPARTMENT ❑Route this folder for PW Review at end ---PW Review Worksheet �N111W..,r 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 0 See PW Review Worksheet and associated attached items Fire Dept.Fees: 0 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: Date: ❑ Public Works has no scope---PW Not Required Additional Notes: ELECTRICAL Additional Notes: Approved By: Date: Approved By: Date: