1015 100TH ST SW 2024-08-06 - Laserfiche WebLink

,uzct, z—C.cc„ P21\2. —cA.. Intake & Approval Sheet (FOR PERMIT STAFF ONLY) PERMIT# $2-112--029 BUILDING PLANNING Intake OK by: Date: 2_/ t J Intake OK by: Assign To: Date: _ Intake Comment I f Intake Comments: ❑ Route to Commercial Building ❑.Attach to Project No. J c-:'1- ( \ l 2 Route to Residential Building ❑ Route to Historic Reviewer ❑ Make this a"W" Permit ❑ OK to Route to Other Departments •r I/Addn/Rem Size 2232_ 5F 0 Hold in Planning File Drawer arAccessory Struct.Size ,5')N $F Zone Number of Stories 2- Overlay/Agreement _ Basement -❑No ❑Yes , Fin/Unfin Nonresidential Use Type of Construction l e-C Residential Use , i�,� . ;J ` ,, Occupancy Group 12-e Proposed No. of Dwelling Units: Occupancy Load 2 1G Total No.of Dwelling Units: r�--�+ _ Fire Sprinklers: ❑Update Existing ONew System 13Not Req'd Planning/Landscape Inspection Required before Final? Dyes ❑No Reason Sprinklers Required: "In Lieu"Fee:Type: Amount$ Fire Alarm: ❑Update Existing ❑New System EINot Req'd School Impact Fee: Total $ `i Reason Fire Alarm Required: Calculated: 7'i'IS Credit: c ' _ RCW 64.55 MF worksheet req'd for permit? ❑Yes p No DEverett School Dist 'Mukilteo School Dist Add'I RCW 64.55 docs required prior to final? ❑Yes ®No Additional Notes: VALUATION CALCULATION: Total$ 31 c1, 3 6 O rtt -5E; 22 32_415, 130AF -_-_if 2mo, ?coo C otiftel t SCl t-l), 115 V/5 F =ft 2 Approved By: L,ti.„A 4,l Date: r-, - 31c1,15l00 _ , . PUBLIC WORKS Intake OK by: Date: Additional Notes: Intake Comments: IPW Worksheet Needed if. 0sys Dev Eval ❑Traffic Mit Eval • IOsite Work or Drainage Proposed Approved By: �� Date: V12./202:2 ❑Backflow Prevention far high hazard: '(dental,medical,animals,mortuary,hospital, supportive housing) - FIRE DEPARTMENT El 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 CI Fire Alarm CI Other: AND OCreate Green Folder ❑Submitted Previously ❑Deferred Additional Notes: ; LY-This Permit is Approved by Public Works . '? l-See PW Review Worksheet and associated attached items Fire Dept. Fees: Ul A Separate PW Permit is Required (Permit#: PW 2 20 4•-oo t ❑ Review of As-Built Plans-NO FIRE FEE AND Is located in this folder fa 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: %.(1)(A `(1 Date:\L'n -g..,1 0 Public Works has no scope--- PW Not Required Additional Notes: ELECTRICAL Additional Notes: Approved By: Date: Approved Bye7i, Z( Date: G41u 4.(1,) Lt.- 7i