4301 TERRACE DR 2024-02-27 - Laserfiche WebLink

Intake &Approval Sheet I (FOR PERMIT STAFF ONLY) PERMIT# o G4 t e I a- bad BUILDING PLANNING , Intake OK by: dt Date: (�f'!19 Intake OK byl Assign To: `rO i`.J Date: VI..057 kci Intake Comments: Intake Comments: s1 kcIOAk CS --0_ 5 VI- CCsdl Route to Commercial Building ❑Attach to Project No. Route to Residential Building ❑ Route to Historic Reviewer ❑ Make this a"W"Permit El OK to Route to Other Departments Bldg/TI/Addn/Rem Size 171 S,� ❑ Hold in Planning File Drawer Garage/Accessory Struct.-Size Zone Number of Stories Overlay/Agreement Basement 1No ❑Yes , Fin/Unfin Nonresidential Use Type of Construction qL 8 Residential Use Occupancy Group Proposed No.of Dwelling Units: Occupancy Load Total No.of Dwelling Units: Fire Sprinklers: ❑Update Existing ❑New System ❑Not Req'd Planning/Landscape Inspection Required before Final? ❑Yes ❑No Reason Sprinklers Required: "In Lieu"Fee:Type: Amount$ Fire Alarm: ❑Update Existing ❑New System El Not Req'd School Impact Fee: Total $ Reason Fire Alarm Required: Calculated: Credit: RCW 64.55 MF worksheet req'd for permit? ❑Yes ISKNo ❑Everett School Dist ❑Mukilteo School Dist Add'I RCW 64.55 docs required prior to final? ❑Yes ta-No Additional Notes: VALUATION CALCULATION: Total$ CAI 337 Approved Date: � Z2O PUBLIC WORKS Intake OK by: -re- Date: 12-I S I2'6 19 Additional Notes: 'L o(c I Intake Comments: I PW Worksheet Needed if: §NrcEra-se ti V•teF, - ICISys Dev Eval ❑Traffic Mit Eval o 441-.'4 I❑Site Work or Drainage Proposed Approved By: Date: i'f 2 3`Zo I❑Backflow Prevention for high hazard: :(dental,medical,animals,mortuary,hospital, :supportive housing) FIRE DEPARTMENT - El 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) El Fire Sprinklers El Fire Alarm ❑Other: AND ❑Create Green Folder ❑Submitted Previously ❑Deferred Additional Notes: 0 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 0 Will be issued separately(Separate Green Folder,PW issued ahead of Bldg) i Approved By: Date: '°4'•blic Works has no scope---PW Not Required Additional Note /2 IS/Lo lg ELECTRICAL Additional Notes: Approved By: Date: Approved By: Date: