701 75TH ST SE BLDG 2 SHORESIDE VILLAGE 2025-04-23

Intake & Approval Sheet S (FOR PERMIT STAFF ONL19 • PERMIT# —O� BUILDING PLANNING Intake OK by: Date: Intake OK by: Assign To: Date: Intake Comments: Intake Comments: \[\'C \ e NZ O-N\Nj Jvo> v s-Q C\k_QAkq Q o Route to Commercial Building ❑ Attach to Project No. ❑ Route to Residential Building ❑ Route to Historic Reviewer ❑ Make this a "W"Permit ❑ OK to Route to Other Departments Bldg/TI/Addn/Rem Size e'�(js4-c J) ElHold in Planning File Drawer Garage/Accessory Struct. Size — Zone U\CS Number of Stories Z Overlay/Agreement Basement No ❑Yes , Fin/Unfin Nonresidential Use Type of Construction -'e7 Residential Use Occupancy Group Proposed No. of Dwelling Units: t\v c�►�gJv� 1 Occupancy Load `a Total No. of Dwelling Units: 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 El New System El Not 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 ❑Mu School Dist Add'l RCW 64.55 docs required prior to final? ❑Yes ®No Additional Notes: VALUATION CALCULATION: Total $ SD oOO, °O Approved By:� _(_ Date: ' \S, ?_Ott PUBLIC WORKS Intake OK by: Date: Additional Notes: Intake Comments: PWWorksheet Needed if: ❑Sys Dev Eval ❑Traffic Mit Eval I❑Site Work or Drainage Proposed Approved By: '�, e Date: Li I 11 I -v +❑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 I3Fire 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: 0 A Separate PW Permit is Required (Permit#: PW ❑ Review of As-Built Plans-NO FIRE FEE AND 0 Is located in this folder 171 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 ❑ Will be issued separately(Separate Green Folder,PW issued ahead of Bldg) r. ��j Approved By:'r.�/. {t/(' -�� (t/Date: Hitt Z'J 5:1 Public Works has no scope--- PW Not Required 61-4 Additional Notes: ELECTRICAL Additional Notes: Approved By: Date: Approved By: Date: