3218 LOMBARD AVE 2025-07-14 - Laserfiche WebLink

‘2 Intake & Approval Sheet • (FOR PERMIT STAFF ONLY) 0 PERMIT# ( O ` O2 BUILDING G� PLANNING Intake OK by: Date: 114 le Intake OK by: Date: � Z I )Zc) tY- Intake Comments. -t .—-'� ,,•/ .. Intake Comments: Assign To: ❑ Route to Commercial Building .. Attach to Project No. C\&\ 1\ Cr) Sa ❑ Route to Residential Building ❑ Route to Historic Reviewer ❑ Make this a"W"Permit ottOK to Route to Other Departments Bldg/TI/Addn/Rem Size 4 c7-. 44.) ❑ Hold in Planning File Drawer n ^ {j Garage/Accessory Struct. Size — Zone yF � -."5.i cq.A� CU"\ Number of Stories 2 � t(*eC c • ` s Lyed cn G w , r) Basement IZINo Oyes , Fin/, Nonresidential Use Type of Construction V - 'hi' Residential Use Occupancy Group g-2. Proposed No. of Dwelling Units: IM AQ Occupancy Load ,2. Total No.of Dwelling Units: \ v d-O k SN-e_ Fire Sprinklers: ❑Update Existing ❑New System 01Not Req'd Planning/Landscape Inspection Required before Final? ❑Yes 1:3No Reason Sprinklers Required: "In Lieu"Fee:Type: Amount$ Fire Alarm: El Update Existing ❑New System INot Req'd School Impact Fee: Total $ Reason Fire Alarm Required: Calculated: Credit: RCW 64.55 MF worksheet req'd for permit? Yes ❑ No ❑Everett School Dist ❑Mukilteo School Dist. Add'I RCW 64.55 docs required prior to final? LYes ❑No Additional Notes: VALUATION CALCULATION: Total$ '0;4'129 Approved : . Date: .y'S\ 'Zo`� A PUBLIC WORKS Intake OK by: T 1s..) Date: $/21/4 a Additional Notes: Intake Comments: PW Worksheet Needed if. ❑Sys Dev Eval ❑Traffic Mit Eval rl o S co�‘ ❑Site Work or Drainage Proposed Approved By: qj Date: 47/2.b GR ❑Backflow Prevention for high hazard: (dental,medical,animals,mortuary,hospital, err M4,1 19 supportive housing) FIRE DEPARTMENT DRoute this folder for PW Review at end ---PW Review Worksheet Intake: (Needed for Townhomes,Alley load SFR,N:, Commercial) ❑This project also has a separate concurrent PW Review(Green Folder) DRoute to Fire Drawer---Fire Preli ' ary Review Notice AND ❑Create Green Folder ❑Submitted Previously ❑Deferred ❑Sending Fire Notes to Project T-am ❑This Permit is Approved by Public Works Date: (OK t• 'oute to Other Departments) ❑ See PW Review Worksheet and associated attached items Fire Sprinklers: ❑Update •xisting ❑New System ❑ Not Req'd ❑A Separate PW Permit is Required(Permit#: PW ) Fire Alarm: ❑U.:ate Existing ❑New System ❑ Not Req'd AND 0 Is located in this folder Chemical Sup: r pdate Existing ❑New System ❑ Not Req'd ❑ Is in a Separate Green Folder(join with this folder for permit issuance) Additional No s: ❑ Will be issued separately(Separate Green Folder,PW issued ahead of Bldg) Approve• :y: Date: ❑ Public Works has no scope--- PW Not Required Additional Notes: ELECTRICAL Additional Notes: Approved By: Date: Approved By: Date: