3314 ROCKEFELLER AVE 2025-04-01 - Laserfiche WebLink

Intake &Approval Sheet (. R PERMIT STAFF ONLY _RMIT#.j/?,/O0S —Od(k° BUILDING PLANNING Intake OK by: Date: 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 ' " ermit ElOK to Route to Other Departments BISig/Tl/Ad 7-RemSi a f/dam 3'F ❑ Hold in Planning File Drawer CGarage ccessory Struct..Size V,'_,5 Zone Number of Stories / Overlay/Agreement Basement nNo ❑Yes , Fin/Unfin Nonresidential Use _ �` ` Type of Construction G�� Residential Use __ Y�1 �T (�,&. Occupancy Group ,�c'"..1 Proposed No. of Dwelling Units: ‘. Occupancy Load Total No. of Dwelling Units: (:-Y) reR. Fire Sprinklers: ❑Update Existing ❑New System pINot Req'd Planning/Landscape Inspection Required before Final? ❑Yes ❑No Reason Sprinklers Required: "In Lieu"Fee:Type: Amount$(, -- Fire Alarm: El Update Existing ❑New System- Not Req'd School Impact Fee: Total $-c, Od Reason Fire Alarm Required: Calculated: ' Credit: RCW 64.55 MF worksheet req'd for permit? ❑Yes P.No Everett School Dist ❑Mukilteo School Dist Add!RCW 64.55 docs required prior to final? ❑ SO No,�C No Additional Notes: VALUATION CALCULATION: Total$yo 060 '' a� X)60 `ye)oar i Approved By. Date: \\, 2 � „A., a:nu: PUBLIC WORKS Intake OK by: Date: Additional Notes: Intake Comments: PW Worksheet Needed if. 3❑Sys Dev Eval ❑Traffic Mit Eval j❑Site Work or Drainage Proposed Approved B Date:&yrvcozi I 0Backflow 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) El Fire Sprinklers ❑Fire Alarm ❑Other: AND ❑Create Green Folder ❑Submitted Previously ❑Deferred -rt Additional Notes: This Permit is Approved by Public Works 1:11-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: c;'1L (\ Date: T32,/i)r7;24126 ❑ Public Works has no scope--- PW Not Required Additional Notes: ELECTRICAL Additional Notes: Approved By: Date: Approved Bry L.J'z- Date: if I za, z .2-c