5801 S 2ND AVE B 2024-11-07 - Laserfiche WebLink

Intake &Approval Sheet •(FOR PERMIT STAFF ONLY) • PERMIT# I�2 2-O 1 024 BUILDING PLANNING Intake OK by: I--1L- Date: 3/f(13 /20 2 2 Intake OK by: Assign To: Date: Intake Comments: Intake Comments: • ❑ Route to Commercial Building ❑Attach to Project No. Route to Residential Building 0 Route to Historic Reviewer ❑ Make this a"W"Permit ❑ OK to Route to Other Departments Bldg/TI/Addn/Rem Size jq? St- ❑ Hold in Planning File Drawer Garage/Accessory Struct.Size Zone A 6-" Number of Stories ' Overlay/Agreement Basement ❑No l=�Yes, Fin/ CIP, Nonresidential Use Type of Construction s Residential Use - 7 R A- Occupancy Group SAO-C Proposed No.of Dwelling Units: '1 ]DA' Occupancy Load S'12C, Total No.of Dwelling Units: 5V— A- '- Fire Sprinklers: ❑Update Existing ❑New System allot Req'd Planning/Landscape Inspection Required before Final? ❑YesZiNo Reason Sprinklers Required: "In Lieu"Fee:Type: Amount$ Fire Alarm: ❑Update Existing ❑New System INot Req'd School Impact Fee: Total $ - Reason Fire Alarm Required: Calculated: Credit: rr RCW 64.55 MF worksheet req'd for permit? DYes IS No DEverett School Dist Mukilteo School Dist Addl RCW 64.55 does required prior to final? ❑Yes RNo Additional Notes: CA VALUATION CALCULATION: Total$ /30, Co 0-7 �� (� ^ Y� ei �?q 7 '- I l3 i/SF =.11 I3 O1 6 07 •SU., CovvaCel .C-r( ?ce.f S •ce.$ - Foca $0 41 . !1b Approved By: )(„ . Date: —7, v.. Z2 .0,BLIC WORKS Intake OK by: . Date: Additional Notes: Intake Comments: IPW Worksheet Needed if: =OSys Dev Eval ❑Traffic Mit Eval ❑Site Work or Drainage Proposed Approved By: / - Date: 7l7L v _DBackflow Prevention for high hazard: I(dental,medical,animals,mortuary,hospital, ;supportive housing) • FIRE DEPARTMENT DRoute this folder for PW Review at end -- PW Review Worksheet Separate/Deferred Submittals Required: ❑This project also has a separate concurrent PW Review(Green Folder) ❑Fire Sprinklers ❑Fire Alarm ❑Other: AND ❑Create Green Folder ❑Submitted Previously ❑Deferred Additional Notes: his Permit is Approved by Public Works see PW Review Worksheet and associated attached items Fire Dept. Fees: . ❑A Separate PW Permit is Required(Permit#:PW ) ❑ Review of As-Built Plans-NO FIRE FEE AND 0 Is located in this folder ❑ Minimal or No Fire Scope-NO FIRE FEE ❑ Is in a Separate Green Folder(loin with this folder for permit issuance) -Review/Inspection Scope ADD FIRE FEE ElWill be issued separately(Separate Green Folder,PW issued ahead of Bldg) Approved By:KV$t,1.5 3c/9(pt: 1 -(e-‘2_,7 ❑ Public Works has no scope PW Not Required Additional Notes: ELECTRICAL Additional Notes: Approved By: Date: Approved By: -- Date: 4-'36/24,Z,z