2130 STATE ST 2024-10-25 - Laserfiche WebLink

• Intake &Approval Sheet 0 (FOR PERMIT STAFF ONLY) PERMIT#/? 'f—°3 7 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 ❑ 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: CI Update Existing El 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 ❑ No El Everett School Dist ❑Mukilteo School Dist Add'i RCW 64.55 docs required prior to final? ❑Yes ❑No Additional Notes: VALUATION CALCULATION: Total$ &‘:11. Approved By:.4X 00' Date: Oehlretl___ PUBLIC WORKS Intake OK by: Date: Additional Notes: Moo 19 rrJ€!E/O ,OI,.i4S Intake Comments: gPWWorksheet Needed if: I❑Sys Dev Eval ❑Traffic Mit Eval ❑Site Work or Drainage Proposed Approved By• _� Date:©�� L Z €❑BBckflow Prevention for high hazard: :(dental,medical,animals,mortuary,hospital, supportive housing) FIRE DEPARTMENT El Route this folder for PW R=view at end --- PW Review Worksheet Separate/Deferred Submittals Required: OThis project also has a separ- e concurrent PW Review (Green Folder) El Fire Sprinklers ❑Fire Alarm ❑Other: AND ❑Create Green Folder ❑ bmitted Previously ❑Deferred •.dditional Notes: ❑This Permit is Approved by Public orks ❑ See PW Review Worksheet and ass. iated attached items Fire Dept.Fee . ❑A Separate PW Permit is Required(Per lit#: PW ) ❑ Review of As-Built ns-NO FIRE FEE AND ❑ Is located in this folder ❑ Minimal or No Fire Scope 0 FIRE FEE ❑ Is in a Separate Green Folder (join with t s folder for permit issuance) ❑ Review/Inspection Scope-A FIRE FEE ❑ Will be issued separately (Separate Green Fo,er,PW issued ahead of Bldg) Approved By: Da • ❑ Public Works has no scope--- PW Not Required Additional Notes: ELECTRICAL/PLUMBING Additional Notes: Approved By: Date: Approved By: Date: