407 ROSE WAY 2025-01-27 - Laserfiche WebLink

Intake & Approval Sheet (FOR PERMIT STAFF ONLY) PERMIT# 1?) 11 oat —DO I BUILDING PLANNING Intake OK by: V ( I ' Date: CV/ 1//'1 Intake OK by: C� Date: CA,CY-\•n'\0\ Intake Comments: Intake Comments: Assign To: �, a.)\\OAS ❑ Route to Commercial Building ❑Attach to Project No. 521 Route to Residential Building 0 Route to Historic Reviewer ❑ Make this a"W" Permit ❑ OK to Route to Other Departments Bldg/TI/Addnee ize S45/ ..', ❑ Hold in Planning File Drawer Garage/Accessory Struct. Size —0— Zone - - Number of Stories i Overlay/Agreement Basement igNo ❑Yes , Fin/Unfin Nonresidential Use Type of Construction a'fj Residential Use N(Ii \\ ()\\AV y 'Q Occupancy Group Proposed No. of Dwelling Units: Occupancy Load Total No. of Dwelling Units: C)J\� Fire Sprinklers: ❑Update Existing ❑New System ❑Not Req'd Planning/Landscape Inspection Required before Final? ❑Yes ❑No Reason Sprinklers Required: "In Lieu" Fee:Type: Amount$ Fire Alarm: ❑Update Existing ONew System ❑Not Req'd School Impact Fee: Total $ Reason Fire Alarm Required: Calculated: Credit: RCW 64.55 MF worksheet req'd for permit? DYes gt No ❑Everett School Dist ❑Mukilteo School Dist Add'I RCW 64.55 docs required prior to final? ❑Yes NNo Additional Notes: VALUATION CALCULATION: Total$ / /, 3° Approved By:(---- Date: 9 0_,.\,2CACi PUBLIC WORKS Intake OK by:_,A Date: q/'J1?OIq Additional Notes: Zo,S /4.0 T u.L.r c Intake Comments: PW Worksheet Needed if: .-e ACttLY ❑Sys Dev Eval ❑Traffic Mit Eval ❑Site Work or Drainage Proposed Approved By: dtt' Date: u/e /1 oil • ❑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 I 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: 0 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 �{ El Will be issued separately(Separate Green Folder,PW issued ahead of Bldg) Approved By: Date: LPL Public Works has no scope---PW Not Required Additional Notes: ELECTRICAL Additional Notes: Approved By: Date: Approved By: 4 Date: 9 % 24 /