11030 7TH AVE SE 2024-02-16 - Laserfiche WebLink

• Intake &Approval Sheet (FOR PERMIT STAFF ONLY) PERMIT# aaO'- O°ot BUILDING . . . PLANNING • . • ` Intake OK by: Date: Intake OK by a► ' Assign To: Date:q/7 1. Intake Comments: Intake Comments: ❑ Route to Commercial Building ❑Attach to Project No. ❑ Route to Residential Building ❑ Route to Historic Reviewer ❑ Make this a"W"Permit 0 OK to Route to Other Departments Bldg/Tl/Addn/Rem Size ElHold in Planning File Drawer Garage/Accessory Struct.Size / ?c' '1 Zone - _3 Number of Stories j Overlay/Agreement Basement igNo DYes, Fin/Unfin Nonresidential Use . Type of Construction 1— Residential Use MYlB 1+iretilata, Occupancy Group Y`" . . Proposed No.of Dwelling Units: Occupancy Load Total No.of Dwelling Units: _ Fire Sprinklers: ❑Update Existing ONew System Not 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 Not Req'd School Impact Fee: Total $ Reason Fire Alarm Required: �,( Calculated: Credit: RCW 64.55 MF worksheet req'd for permit? ❑Yes No DEverett School Dist ❑Mukilteo School Dist Add!RCW 64.55 docs required prior to final? ❑Yeso Additional Notes: VALUATION CALCULATION: Total$ /CO 0011 . Tapia W0 r5 qii/72, . Approved By: Date: PUBLIC WORT S ' Intake OK by:T04 Date: 1 I&1-4o 2 2 Additional Notes: Intake Comments: 'PW WorksheetNeededif.1W .,.....,...,W,..,,..W, "JO 'F 4 s CLa— `❑Sys Dev Eval ❑TrafficMit Eval • . ` CDSite Work or Drainage Proposed. Approved By: L�' Date:777, . 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 Separate/Deferred Submittals Required: ❑This project also has a separate concurrent PW Review(Green Folder) El 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: ❑A Separate PW Permit is Required (Permit#:PW ) ❑ Review of As-Built Plans-NO FIRE FEE AND 0 Is located in this folder XMinimal or No Fire Scope-NO FIRE FEE ❑ Is in a Separate Green Folder(loin with this folder for permit issuance) ❑ Review/Inspection Scope-ADD FIRE FEE 0 Will be issued separately(Separate Green Folder,PW issued ahead of Bfdg) Approved By: Date: JFublic Works has no scope---PW Not Required Additional Notes: ELECTRICAL / Additional Notes: fiLe Zak Approved By: Date: Approved By: Date: