4429 SEAHURST AVE 2024-08-05 - Laserfiche WebLink

Intake &Approval Sheet (FOR PERMIT STAFF ONLY) PERMIT# 2Z-O`'f,e6(71 BUILDING / PLANNING Intake OK by: g.� Date: r9(/ 'f 2Z Z Intake OK by: Assign To: • Date: Intake Comments: 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 5 17 5 F ❑ Hold in Planning File Drawer Garage/Accessory Struct.Size Zone Number of Stories Overlay/Agreement Basement El No ❑Yes, Fin/Unfin Nonresidential Use Type of Construction -16(.- Residential Use Occupancy Group j iC- Proposed No.of Dwelling Units: Occupancy Load .Z. Total No.of Dwelling Units: Fire Sprinklers: ❑Update Existing El New System ❑Not Req'd Planning/Landscape Inspectio equired before Final? ❑Yes ❑No Reason Sprinklers Required: "In Lieu"Fee:Type: Amount$ Fire Alarm: ❑Update Existing ❑New System ❑Not Req'd School Impact Fee: T• .I $ Reason Fire Alarm Required: Calculated: Credit: RCW 64.55 MF worksheet req'd for permit? ❑Yes ❑ No ❑Everett ool Dist ❑Mukilteo School Dist Add'I RCW 64.55 docs required prior to final? ❑Yes El No Ad•"•nal Notes: VALUATION CALCULATION: Total$ /5,000 Approved Date: -S.".\1 lb 2 PUBLIC WORKS Intake OK by: . Date: Additional Notes: Intake Comments: PW Worksheet Needed if: IOSys Dev Eval ['Traffic Mit Eval IDSite Work or Drainage Proposed Approved By: ��K_ Date: 5//3/Zc 2. DBackflow 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 ❑ 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: Eiublic Works has no scope PW Not Required Additional Notes: 4.40 ?...• s.-oP C Fo x, woo »Gc .�- ELECTRICAL Additional Notes: c5/i-8�1"- Approved By: Date: Approved By: Date: