2713 MAPLE ST A & B 2024-01-08 - Laserfiche WebLink

Intake & Approval Sheet (FOR PERMIT STAFF ONLY) PERMIT# 2.\ 6 1,±-116.1___ BUILDING PLANNING Intake OK by: Date: Intake OK by: Assign To: Date: _ Intake Comments: Intake Comments: 14-\ C Q y ❑ Route to Commercial Building ❑ Attach to Project o. ❑ Route to Residential Building ❑ Route to Historic Reviewer ❑ Make this . ' '-milt ElOK to Route to Other Departments Bldg/TI/Addn '� �,/JD ti, ❑ Hold in Planning File Drawer Garage/Accessory Struct.Size -4'0 Zone --- Number of Stories Z GiviertaiyiAgreermentirceMks. C aAec or Basement BZINo ❑Yes , Fin/Unfin Nonresidential Use Type of Construction -C Residential Use i'—t t „ €_, \,k( Occupancy Group L//t= Proposed No. of Dwelling Units: Occupancy Load /c) Total No. of Dwelling Units: 4\CP CIS) Fire Sprinklers: ❑Update Existing ❑New System Ti3Not Req'd Planning/Landscape Inspection Required before Final? EYes ❑No Reason Sprinklers Required: "In Lieu"Fee: Type: Amount$_i_S ..33 Fire Alarm: ❑Update Existing ❑New System reilNot Req'd School Impact Fee: Total $ ,02O. Reason Fire Alarm Required: Calculated:SP\Q°a X Z.O A. Credit: RCW 64.55 MF worksheet req'd for permit? oyes h No IglEverett School Dist ❑Mukilteo School Dist Add'l RCW 64.55 docs required prior to final? ❑Yes ANNo Additional Notes: VALUATION CALCULATION: Total$ /-0OX'.OG Approved Date: s iz,c6vzort PUBLIC WORKS Intake OK by: Date: Additional Notes: Intake Comments: FPW Worksheet Needed if: I❑Sys Dev Eval ❑Traffic Mit Eval i ❑Site Work or Drainage Proposed Approved B Date:C , "7/tJ 1❑Backflow Prevention for high hazard: / I(dental,medical,animals,mortuary,hospital, (supportive housing) FIRE DEPARTMENT ❑Route this folder for PW Review at end ---PW Review Worksheet Sep rate/Deferred Submittals Required: ❑This project also has a separate concurrent PW Review(Green Folder) ire Sprinklers PiFirp Alarm ❑Other: AND ❑Create Green Folder ❑Submitted Previously ❑Deferred Additional Notes: LL L'�hAThis Permit is Approved by Public Works Rim_ Nt7►1kn-- rem,;Ted 4.0 ff,,e (A"t'1 75-6-y $ee PW Review Worksheet and associated attached items Fire Dept.7t. Fees: 04" Separate PW Permit is Required (Permit#: PW '2-2-o 2 ) ID Review of As-Built Plans-NO FIRE FEE AND Ills located in this folder ❑ Minimal or No Fire Scope-NO FIRE FEE ❑ Is in a Separate Green Folder(join with this folder for permit 121—Review/Inspection Scope-ADD FIRE FEE ❑ Will be issued separately(Separate Green Folder,PW issued ahead of Bldg) Approved By:,'fi.(,v,-) Date:S`/3,TW 0 Public Works has no scope--- PW Not Required Additional Notes: ELECTRICAL Additional Notes: Approved By: Date: Approved By" = �/' '`lam Date: 2 vg r/Z ! - o 2 z