4916 24TH AVE W 2024-08-06 - Laserfiche WebLink

Intake & Approval Sheet (FOR PERMIT STAFF ONLY) PERMIT# O(p -cog BUILDING / PLANNING Intake OK • Date:�d/ -V/z0U Intake OK by: Assign To: Date: Intake Commen s: 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 2,41E 5.i" 0 Hold in Planning File Drawer Garage/Accessory Struct.Size t.t'(O Z 5'1-- Zone -`-) Number of Stories 2- Overlay/Agreement Basement IENo ❑Yes , Fin/Unfin Nonresidential Use Type of Construction T R-C- Residential Use (14. ,0,oy1 e3 e-- Occupancy Group .:1-2 1 _C Proposed No.of Dwelling Units: 1 Occupancy Load �-y� Total No.of Dwelling Units: "Y Fire Sprinklers: ID Update Existing ❑New System L�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 IJNot Req'd School Impact Fee: Total $ 5 ON4, Reason Fire Alarm Required: � / Calculated: tjpil4 Credit: RCW 64.55 MF worksheet req'd for permit? ❑YeS L�-� 0 El Everett School Dist lukilteo School Dist Add'I RCW 64.55 docs required prior to final? ❑Yes rL-JNo Additional Notes: i / (g,i' /� j el l) VALUATION CALCULATION: Total$ ;;C:)O, 00 CJ (if*" , Approved By: V. ,� Date: \\, 11,Zi BLIC WORKS Intake OK by: Date: Additional Notes: Intake Comments: €PW Worksheet Needed if: ❑Sys Dev Eval ❑Traffic Mit Eval site Work or Drainage Proposed 4Approved By: Date: 6//5/2e2 l ❑Backflow Prevention for high hazard: i(dental,medical,animals,mortuary,hospital, ;supportive housing) FIRE DEPARTMENT El Route this folder for PW Review at end ---PW Review Worksheet Separate I 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 El Deferred Additional Notes: Ell' his Permit is Approved by Public Works e PW Review Worksheet and associated attached items y -, Fire Dept. Fees: A Separate PW Permit is Required (Permit#: PW-7 \ (',b `4-�) a ❑ Review of As-Built Plans-NO FIRE FEE AND ❑ I ocated in this folder El-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: ,6 cr,k,,V n Date: 4' _/ ;21 ❑ Public Works has no scope---PW Not Required Additional Notes: ELECTRICAL Additional Notes: �, Approved By: Date: Approved By: ,� U �' Date: I .7..,1