1023 100TH ST SW 2024-08-07 - Laserfiche WebLink

z IIZ-c> o, P zci z — 7i- •Intake & Approval Sheet (FOR PERMIT STAFF ONLY) PERMIT# t 1'c3.3 BUILDING • s PLANNING Intake OK by: Date: qpiizor2. Intake OK by: Assign To: Date: _ Intake Comments: Intake Comments: ❑ Route to Commercial Building ❑ Attach to Project No. Od Route to Residential Building ❑ Route to Historic Reviewer ❑ Make this a"W"Permit 0 OK to Route to Other Departments Bldg/TI/Addn/Rem Size '7..Z 32- S 0 Hold in Planning File Drawer ragicessory Struct.Size 5-94 S r Zone Number of Stories 2— Overlay/Agreement _ Basement IDNo ❑Yes, Fin/Unfin Nonresidential Use Type of ConstructionC Residential Use _ Occupancy Group rA2C— Proposed No. of Dwelling Units: Occupancy Load .t -C._ • Total No.of Dwelling Units: Fire Sprinklers: ❑Update Existing ❑New System IKINot Req'd Planning/Landscape Inspection Required before Final? ❑Yes ❑No Reason Sprinklers Required: "In Lieu"Fee:Type: Amount$ Fire Alarm: El Update Existing El New System lallot Req'd School Impact Fee: Total $ , Reason Fire Alarm Required: Calculated: Credit: RCW 64.55 MF worksheet req'd for permit? ❑Yes tt No DEverett School Dist ❑Mukilteo School Dist Add'I RCW 64.55 docs required prior to final? ❑Yes EiNo Additional Notes: VALUATION CALCULATION: Total$ 31% 8(2C0 f : 2231 sF A 30r5f VIC)iWO idyll.zo U Approved By: Date: �n h � -E s Ll SF x itCD/SF :i_— ` Il,$fv(? PUBLIC WORKS-- Intake OK by: Date: Additional Notes: Intake Comments: PW Worksheet Needed if: I OSys Dev Eval OTraffic Mit Eval OSite Work or Drainage Proposed Approved By: 1, ,-,' - Date: 3/2-2/70Z2.. IOBackflow 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 OCreate Green Folder OSubmitted Previously ❑Deferred Additional Notes: ,f . p This Permit is Approved by Public Works a' SSee PW Review Worksheet and associated attached items Fire Dept. Fees: A Separate PW Permit is Required (Permit#: PW L le 4 " t Ly ❑ Review of As-Built Plans-NO FIRE FEE AND ala located in this folder 0 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:\A,\j'6-0(A_In Date: f2. 8 / ❑ Public Works has no scope---PW Not Required Additional Notes: ELECTRICAL Additional Notes: Approved By: Date: Approved Byf " G- ( L_ -1 Date: 44z..4 e'ZG,22 771.