5306 ROCKEFELLER AVE 2024-08-02 - Laserfiche WebLink

Intake &Approval Sheet (FOR PERMIT STAFF ONLY) PERMIT#°J Z2-0S —40g BUILDING p�� / f PLANNING Intake OK by: f_�L Date:VV �(/ ZADZ�J 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 ❑ Hold in Planning File Drawer Ga .A/Accessory Struct. Size 57(0'ft z Zone i� Number of Stories Overlay/Agreement 1 Basement ®No ❑Yes, Fin/Unfin Nonresidential Use Type of Construction .Lmft Residential Use zo Occupancy Group Proposed No. of Dwelling Units: _ Occupancy Load Total No.of Dwelling Units: ( Fire Sprinklers: El Update Existing El New System 10Not 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 Not Req'd School Impact Fee: Total $ Reason Fire Alarm Required: Calculated: C it:_ RCW 64.55 MF worksheet req'd for permit? ❑Yes No El Everett School Dist ❑M teo School Dist Add'I RCW 64.55 docs required prior to final? ❑Yes No Additional Notes: 131), f_, k._ VALUATION CALCULATION: Total $ ��I 37(�, '�-C1 ` S�7(o X 5,/5F Z 1�37� r il,elne.ArefeA Approved By: IC'/ - 1 Date: '0, � UBLIC WORKS Intake OK by: Date: Additional Notes: Intake Comments: IPW Worksheet Needed if: IOSys Dev Eval ❑Traffic Mit Eval ❑Site Work or Drainage Proposed ❑Backflow Prevention for high hazard: Approved By: Date:O►/C9/2pz3 (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) ❑Fire Sprinklers ❑Fire Alarm ❑Other: AND ❑Create Green Folder ❑Submitted Previously ❑Deferred Additional Notes: JE1 This Permit is Approved by Public Works El See PW Review Worksheet and associated attached items Fire Dept. Fees: 10 A Separate PW Permit is Required (Permit#: PWJZ 11— Po 2___) ❑ Review of As-Built Plans-NO FIRE FEE AND ❑ Is located in this folder 1FL EC.1 0AJL L ❑ Minimal or No Fire Scope-NO FIRE FEE ® Is in a Separate GrsEiaf lder (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: ❑ Public Works has no scope--- PW Not Required Additional Notes: ELECTRICAL/PLUMBING Additional Notes: Approved By: Date: Approved ByV4 t 17 T � Date: !i_ — �- 2I