1502 WALNUT ST A B 2024-05-03 - Laserfiche WebLink

Intake &Approval Sheet •(FOR PERMIT STAFF ONLY) • PERMIT# 5?'i 01 - 041 BUILDING PLANNING Intake OK by: �Q+1 Date: I j21 11 Z 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 ❑ OK to Route to Other Departments Bldg/TI/Add Rem Size! ij1,1 0 Hold in Planning File Drawer Garage/Accessory Struct. Size Zone Number of Stories 1— Overlay/Agreement Basement .No ❑Yes, Fin/Unfin Nonresidential Use Type of Construction s Residential Use _GIA.VA �X C.2.-,,wt,— tin) Occupancy Group - Proposed No.of Dwelling Units: 1. Occupancy Load _170G Total No.of Dwelling Units: '1 Fire Sprinklers: ❑Update Existing El New System RI Not Req'd Planning/Landscape Inspection Required before Final? �: . No Reason Sprinklers Required: "In Lieu"Fee:Type: .. Amount$ Fire Alarm: ❑Update Existing ❑New System ®Not Req'd School Impact Fee: T tal $ 0 03$2,(2.73 Reason Fire Alarm Required: Calculated:_ _ � Credit: A0•3) RCW 64.55 MF worksheet req'd for permit? ❑Yes 13 No ritlEverett School Dist ❑Mukilteo School Dist Add'I RCW 64.55 docs required prior to final? ❑Yes 1No Additional Notes: 7_,01 Z ?o.Y- r� Rct. • VALUATION CALCULATION: Total$ L! bO0 " F r \ ?C Y— key ` 1� '�(-3 j _C sZ (ern OA; 2-v5t5 ' _„ ,r2. cii1 '1'S;- Approved By: '/ AeN..4 Date: 2 .\1.23 I PUBLIC WORKS Intake OK by: 0 Date: Di ill1,W22 low Additional Notes: Intake�Comments: J `PW Worksheet Needed if: ��'"""�^'r° , pe/� itu"'i"`"'iSys Dev Eval Traffic Mit Eval \k`- \ 1 Ai ) .t 11i/It X= Site Work or Drainage Proposed Approved By: Q ' rk Date: k.1hg/Z7 0� h-�.rrjoM t 6) 2i I4•064'1 OBackflow Prevention for high hazard: (dental,medical,animals,mortuary,hospital, a,' �I �y (in4, 'I,/ (�(U, 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: lEtThis Permit is Approved by Public Works 2,See PW Review Worksheet and associated attached items Fire Dept. Fees: -A Separate PW Permit is Required (Permit#: PW Z3o2•Cob ) ❑ Review of As-Built Plans-NO FIRE FEE AND ®-Is located in this folder yy❑ Minimal or No Fire Scope-NO FIRE FEE El Is in a Separate Green Folder (join with this folder for permit issuance) A-�.Review/Inspection Scope-ADD FIRE FEE ❑ Will be issued separately (Separate Green Folder,PW issued ahead of Bldg) Approved By:Y.kJ ro('a m Date: ! o29-272 ❑ Public Works has no scope--- PW Not Required Additional Notes: ELECTRICAL/PLUMBING Additional Notes: Approved By: Date: Approved By" Date: Z fit i2oz.3 4