320 89TH ST SE 2024-04-12 - Laserfiche WebLink

P220- 006 VI- Intake &Approval Sheet • (FOR PERMIT STAFF ONLY) • PERMIT# 2lG 3 oo BUILDING PLANNING Intake OK by: Date: Intake OK by: Assign To: Date: 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/TI/Addn/Rem Size ❑ Hold in Planning File Drawer Garage/Accessory Struct. Size Zone Number of Stories Overlay/Agreement Basement ❑No ❑Yes , Fin/Unfin Nonresidential Use Type of Construction 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 ❑Not Req'd School Impact Fee: Total $ Reason Fire Alarm Required: Calculated: Credit: RCW 64.55 MF worksheet req'd for permit? ❑Yes ❑ No ❑Everett School Dist ❑Mukilteo School Dist Add'I RCW 64.55 docs required prior to final? ❑Yes DI No Additional Notes: VALUATION CALCULATION: Total$ Approved By: Date: PUBLIC WORKS Intake OK by: . Date: Additional Notes: Inttake`CommeDnot�s: 1,1220j, PW Worksheet Needed if: f ,�,f�' a ('-'Yrllt luwiw OSys Dev Eval ❑Traffic Mit Eval tlaemvkx A►�iu )� SQYIYlklerf l Site Work or Drainage Proposed OBackflow Prevention for high hazard: Approved By: Date: l�rt hQ(,{�b a 9p , Srloc ;(dental,medical,animals,mortuary,hospital, m 3 t 6D f t 2_z_. _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 ❑Fire Alarm ❑Other: AND ❑Create Green Folder ❑Submitted Previously ❑Deferred Additional Notes: '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) Approved By:4(ecet,"n Date: g8 0 Public Works has no scope---PW Not Required Additional Notes: A4.4IN►.4. frrag .to 3("11"' ELECTRICAL 4 1)CAA- oc-l-f -t Additional Notes: E'o"~'r Approved By: Date: Approved Byt.----- seDate:3(e 2�2at�t 2��