5613 WEST DR 2024-04-12 - Laserfiche WebLink

Intake & Approval Sheet • (FOR PERMIT STAFF ONLY) 411 PERMIT#(?-)222-d 2 BUILDING PLANNING Intake OK by: Date: v� 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 )ELMake this a"W" Permit ❑ OK to Route to Other Departments Bldg/TI/Addn/Rem Size 0 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 , dk4-1Lk‘d "5PZ- 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 to Reason Sprinklers Required: "In Lieu" Fee:Type: _ Amount$ Fire Alarm: El 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!RCW 64.55 docs required prior to final? ❑Yes ❑No Additional Notes: A l 6fAittL Arta_ an -Ae- VALUATION CALCULATION: Total$ ( A.'tS(kJi Approved By: y_.))6_61Date: ' Z PUBLIC WORKS Intake OK by: Date: Additional Notes: I Intake Comments: I !PW W o1ksheetNeeded if: oi 1Yad- I lXISyls,(JDev Eval ❑Traffic Mit Eval ` I L�AAA lid ❑Site Work or Drainage Proposed Approved By: v� Dater—A 3.-22.- ❑Backflow Prevention for high hazard: - (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 El Fire Alarm ❑Other: AND OCreate Green Folder ❑Submitted Previously El Deferred Additional Notes: CEI.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 ❑ Will be issued separately(Separate Green Folder,PW issued ahead of Bldg) Approved By: Date: ❑ Public Works has no scope--- PW Not Required Additional Notes: ELECTRICAL Additional Notes: Approved By: Date: Approved By:'Weli jr M Date: 3 I It.ii 16