2611 ROCKEFELLER AVE ROCKEFELLER SQUARE 2 2024-08-12

Intake & Approval Sheet (FOR PERMIT STAFF ONLY) PERMIT# L,,2-11/4.0c 334 BUILDING PLANNING Intake OK by: Date: Intake OK by: Assign To: Date: Intake Comments: Intake Comments: ❑ Route to Commercial Building 0 Attach to Project No. ❑ Route to Residential Building ❑ Route to Historic Reviewer ❑ Make this a"W"Permit 0 OK to Route to Other Departments Bld)/TI/Addn/Rem Size 3/, /7 J ,t�"f J 0 Hold in Planning File Drawer Garage/Accessory Struct. Size ZC r, xcif Zone Number of Stories C-f Overlay/Agreement Basement ' No ❑Yes , Fin/Unfin Nonresidential Use Type of Construction I/4 Residential Use Occupancy Group - 7 , 'L. Proposed No.of Dwelling Units: Occupancy Load /- Total No.of Dwelling Units: Fire Sprinklers: ❑Update Existing, New System El Not Req'd Planning/Landscape Inspection Required before Final? ❑Yes ❑No Reason Sprinklers Required: "In Lieu" Fee:Type: Amount$ Fire Alarm: ❑Update Existing,®New System ❑Not Req'd School Impact Fee: Total $ Reason Fire Alarm Required: Calculated: edit: RCW 64.55 MF worksheet req'd for permit? DYes 0 No ❑Everett School Dist ❑Mukilteo School Dist\ Add'I RCW 64.55 docs required prior to final? DYes ❑No Additional Notes: VALUATION CALCULATION: Total$ 3. /e 7 R-Z_, Z-.7,`107 k /1 S-Z,6 3`/t11 _ . 7 r D ZK/X KZ �_ aSY6 Nf Approved By: IQ C LA \Z 202-1 PUBLIC WO Intake OK by: Date: Additional Notes: Intake Comments: PW Worksheet Needed if: AlffEr..4Vr &lirzz V oN /7/74/-eArLi ❑Sys Dev Eval ❑Traffic Mit Eval ,' 5r,4-4 2'7-- R_c",t//(I,.SS /4Zr'/2 r'o S5-/44.2/e . IDSite Work or Drainage Proposed r Approved Bjt 1 s Jr J' 10Backflow Prevention for high hazard: 2-:,•'- `_, Date: > 7 ' rG rt ;(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) I[JFlre Sprinklers Ei'Ptre Alarm ❑Other: AND ❑Create Green Folder ❑Submitted Previously ❑Deferred Additional Notes: 0 This Permit is Approved by Public Works 0 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 O Minimal or No Fire Scope-NO FIRE FEE 0 Is in a Separate Green Folder(join with this folder for permit issuance) ® Review/Inspection Scope-ADD FIRE FEE 0 Will be issued separately(Separate Green Folder,PW issued ahead of Bldg) Approved By: ;c6c0 WA\ Date: 1 El Public Works has no scope---PW Not Required \\ski-' \ Additional Notes: ELECTRICAL Additional Notes: Approved By: Date: Approved By: Date: (...7.A