1504 50TH ST SE 2024-07-05 - Laserfiche WebLink

Intake &Approval Sheet 0(FOR PERMIT STAFF ONLY • PERMIT# 5 2•ZQ(0- 041- j4... ; BUILDING PLANNING Intake OK by: finatrar Date: 17l 30120Z1, Intake OK by: Assign To: Date: Intake Comments: Intake Comments: e3e C522— O(o5S El Route to Commercial Building6,6 ❑ 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 S?G Sf ❑ Hold in Planning File Drawer Garage/Accessory Struct.Size Zone V^1 Number of Stories / Overlay/Agreement Basement WINO DYes, Fin/Unfin Nonresidential Use /� 1i1 ` Type of Construction SOG.. Residential Use /' 4.l\ Font I Occupancy Group i > C. Proposed No.of Dwelling Units: — Occupancy Load Total No.of Dwelling Units: t Fire Sprinklers: ❑update Existing El New System ElNot Req'd Planning/Landscape Inspection Required before Final? ❑Yes;ANo Reason Sprinklers Required: "In Lieu"Fee:Type: Amount$ Fire Alarm: ❑Update Existing El New System ®Not Req'd School Impact Fee: Total $ Reason Fire Alarm Required: Calculated: Credit: RCW 64.55 MF worksheet req'd for permit? ❑Yes 1 No ❑Everett School Dist ❑Mukilteo School Dist Add'I RCW 64.55 dots required prior to final? �r❑Yes EINo Additional Notes: / �_l � v or 101015 VALUATION CALCULATION: Total$ ,!L-1000 d I •`�" r'Yl >q L Q /2 /ezq___- Approved By: Date: '-T I Ld. 7 e- 3 PUBLIC WORKS Intake OK by: 1".3 Date: o�V 4 $u11,01iNG� tiE,S Intake Comments: PW Worksheet Needed if: Additional Notes: Vicetkort •i'i» 749C) SF peti'.iM,tr /Jor I7-£ u.tIR,ED 4,4 0 0 $`6' � 'CIS s Dev Eval ❑Traffic Mit Eval ?'d i- rJ(©S*2 ❑Site Work or Drainage Proposed Approved By: I""t Date:0/7)ot i'j, ❑Backflow Prevention for high hazard: (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: ❑This 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 (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: Date: J Public Works has no scope--- PW Not Required Additional Notes: / ELECTRICAL/PLUMBING 6Q(2)11612- Additional Notes: la/2 2 40 2.•z Approved By: Date: Approved By: Date: