3000 ROCKEFELLER AVE COURTHOUSE 2025-06-23

Intake & Approval Sheet 0 (FOR PERMIT STAFF ON09 0 PERMIT# or ` np( rCR9, BUILDING Intake OK by: Date: Intake Comment : ❑ Route to Commercial Building ❑ Route to Residential Building ❑ Make this a "W" Permit Bldg/TI/Addn/Rem Size Garage/Accessory Struct. Size Number of Stories Basement ❑No ❑Yes , Fin / Unfin Type of Construction Occupancy Group Occupancy Load Fire Sprinklers: ❑Update Existing ❑New System ❑Not Req'd Reason Sprinklers Required: Fire Alarm: ❑Update Existing ❑New System ❑Not Req'd Reason Fire Alarm Required: RCW 64.55 MF worksheet req'd for permit? ❑Yes ❑ No Add'I RCW 64.55 docs required prior to final? ❑Yes ❑No VALUATION CALCULATION: Total $ Additional Notes: Approved By: Date: f) 1 FIRE DEPARTMENT Intake: (Needed for Townhomes, Alley load SFR, New Commercial) ❑Route to Fire Drawer--- Fire Preliminary Review Notice ❑Sending Fire Notes to Project Team Date: (OK to Route to Other Departments) Fire Sprinklers: ❑Update Existing ❑New System ❑ Not Req'd Fire Alarm: ❑Update Existing El New System ❑ Not Req'd Chemical Sup: El Update Existing El New System ❑ Not Req'd Additional Notes: Approved By: Date: ELECTRICAL Additional Notes: Approved By: Date: PLANNING Intake OK by: Date: Intake Comments: Assign To: El Attach to Project No. ❑ Route to Historic Reviewer ❑ OK to Route to Other Departm is El Hold in Planning File Draw Zone Overlay/Agreement Nonresidential Use Residential Use Proposed No. of welling Units: Total No. of Dw,411ing Units: Planning/La dscape Inspection Required before Final? ❑Yes ❑No "In Lieu" F : Type: Amount $ School I pact Fee: Total $ Calc ted: Credit: ❑Everett School Dist ❑Mukilteo School Dist Additional Notes: Approved By: Date: _ 2 -1, to,% PUBLIC WORKS Intake OK by: Date: ------------- - ----- ------ ------------ Intake Comments: ;PW Worksheet Needed if.• ❑Sys Dev Eval ❑Traffic Mit Eva[ []Site Work or Drainage Proposed ❑Backflow Prevention for high hazard: :(dental, medical, animals, mortuary, hospital, :supportive housing) ------------------ El Route this folder for PW Review at end --- PW Review Worksheet ❑This project also has a separate concurrent PW Review (Green Folder) AND ❑Create Green Folder ❑Submitted Previously ❑Deferred ❑ This Permit is Approved by Public Works ❑ See PW Review Worksheet and associated attached items ❑ A Separate PW Permit is Required (Permit #: PW ) AND ❑ Is located in this folder ❑ Is in a Separate Green Folder (join with this folder for permit issuance) �,,(( ❑ Will be issued separately (separate Green Folder, PW issued ahead of Bldg) 1�Public Works has no scope --- PW Not Required Additional Notes: Approved By: Date: