4811 S 3RD AVE 2024-08-07 - Laserfiche WebLink

Intake &Approval Sheet •(FOR PERMIT STAFF ONLY) 0 PERMIT# 8 211'l —021 BUILDING PLANNING • ' .h Intake OK by: 1.' Date: 'IfL6.I2 Z Intake OK by: Assign To: Date: Intake Comments: "�YlQlt��Or 1 Intake Comments: . thea4. ea I i nil he* io totcattAtu ❑ Route to Commercial Building ❑Attach to Project No. liA Route to Residential Building 0 Route to Historic Reviewer ❑ Make this a"W"Permit 0 OK to Route to Other Departments Bldg/Tl/Addn/Rem Size fee 0 Hold in Planning File Drawer Garage/Accessory Struct.Size Zone —Z Number of Stories / Overlay/Agreement Basement ❑No O'Yes,410 Unfin Nonresidential Use . Type of Construction • 2—K Residential Use .'� Occupancy Group Z� Proposed No.of Dwelling Units: ---- Occupancy Load 2724. Total No.of Dwelling Units: QI(,e_ Fire Sprinklers: ❑Update Existing ❑New System firNot Req'd Planning/Landscape Inspection Required before Final? ❑Yes ❑No Reason Sprinklers Required: "In Lieu"Fee:Type: Amount$ Fire Alarm: El Update Existing ❑New System allot Req'd School Impact Fee: Total $ Reason Fire Alarm Required: Calculated: dit: RCW 64.55 MF worksheet req'd for permit? ❑Yes l No ❑Everett School Dist ukilteo School Dist Add'I RCW 64.55 docs required prior to final? ❑Yes ONo Additional Notes: VALUATION CALCCUULATION: Total$ oi0)d04 � Approved y: --"� Date: 3.�y. 2ZZt (...7-1-.) . PUBLIC 1NOR}CS- Intake OK by: Date: Additional Notes: Intake Comments: !PW Worksheet Needed if: 1OSys Dev Eval DTraffic'Mlt Eval . I OSite Work or Drainage Proposed. Approved By: /j Date'• y I / (]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 ❑Fire Alarm ❑Other: AND❑Create Green Folder ❑Submitted Previously ❑Deferred Additional Notes: .1 ❑This Permit is Approved by Public Works 0 See PW Review Worksheet and associated attached items Fire Dept. Fees: 0 A Separate PW Permit is Required(Permit#: PW ) ❑ Review of As-Built Plans-NO FIRE FEE AND 0 Is located in this folder ❑ Minimal 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 ❑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: Date: