4600 BAKER DR 2025-03-28 - Laserfiche WebLink

Intake & Approval Sheet (FOR PERMIT STAFF ONLY) PERMIT# �__�J O2 —W2_....-, 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 0 Route to Historic Reviewer ❑ Make this a"W" Permit ElOK to Route to Other Departments Bldg/TI/Addn/Rem Size c /'1 q /'., ci_(J 0 Hold in Planning File Drawer Garage/Accessory Struct.Size Zone ,--`- Number of Stories Overlay/Agreement Basement ❑No gYes Fi /Unfin Nonresidential Use Type of Construction 1/?� Residential Use Occupancy Group /' L. Proposed No.of Dwelling Units: Occupancy Load /4/A Total No.of Dwelling Units: Fire Sprinklers: ❑Update Existing ❑New System of Req'd Planning/Landscape Inspection Required before Final? ❑Yes clNo Reason Sprinklers Required: "In Lieu"Fee:Type: Amount$ Fire Alarm: ❑Update Existing ❑New SystemNot Req'd School Impact Fee: Total $ Reason Fire Alarm Required: -- Calculated: Credit: RCW 64.55 MF worksheet req'd for permit? ❑ zit— El Everett School Dist ❑Mukllteo School Dist Add'i RCW 64.55 docs required prior to final? ❑Yes � Jo 1 Additional Notes: C ,p'Y CAC 05? ( ore ) VALUATION CALCULATION: Total$ of c'c"y Irnb,/- kc) fir ty,...V �fp`0dV\-CIC._ Approved By: )-' 1 Date: .. 1`j - 2_I PUBLIC WORKS Intake OK by: r Date: Additional Notes: Intake Comments: PW Worksheet Needed if: ��/L//� AA-Jr> �� E❑Sys Dev Eval ❑Traffic Mit Eval �/ / €❑Site Work or Drainage Proposed Approved By: l_ _ Date: cx' /' /, ❑Backflow Prevention for high hazard: ;(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 El Fire Alarm ❑Other: AND ❑Create Green Folder ❑Submitted Previously ❑Deferred Additional Notes: ❑ 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 ❑ 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: Date: `Public Works has no scope---PW Not Required Additional Notes: f r� , ELECTRICAL 6 �w�{r ' -ice, LI� ali°Y l kui Additional Notes: Approved By: Date: Approved By: l_e Date: a//,i#7(