2805 19TH ST 2025-04-21 - Laserfiche WebLink

Intake &Approval Sheet 0 (FOR PERMIT STAFF ONLY) lb PERMIT# W° f'O®3 BUILDING PLANNING Intake OK by: Date: I/u( — Intake OK by: —.--k Assign To: 'C. Date: \.0.1.0tO Intake Comments: Intake Comments: ❑ Route to Commercial Building ❑ Attach to Project No. a Route to Residential Building ❑ Route to Historic Reviewer VI Make this a"W"Permit 0 OK to Route to Other Departments Bldg/TI/Adds et ize //018 S*J ❑ Hold in Planning File Drawer Garage/Accessory Struct.SizeSi? s-f, Zone f-1 Number of Stories 2 Overlay/Agreement Basement ❑No jElYes, Fin ailP Nonresidential Use Type of Construction 7. ' Residential Use S-FK Occupancy Group C. Proposed No.of Dwelling Units: Occupancy Load f# - Total No.of Dwelling Units: — — Fire Sprinklers: ❑Update Existing El New System SNot Req'd Planning/Landscape Inspection Required before Final? s ❑No Reason Sprinklers Required: "In Lieu"Fee:Type: Amo Fire Alarm: ❑Update Existing ONew System SNot Req'd School Impact Fee: Total $ Reason Fire Alarm Required: Calculated: dit: RCW 64.55 MF worksheet req'd for permit? ❑Yes a No ❑Everett School Dist ❑Mu ilteo School Dist Add'I RCW 64.55 docs required prior to final? ❑Yes fENo Additional Notes: VALUATION CALCULATION: Total$ ,9 j ('J /608 C°v0 g9,400 Approved B Date: /.i,,Q`,'L,Ct,Q 5g G Zs (32s- 6 - 25 Z'too PUBLIC WORKS Intake OK by: Date: 0//Z - Additional Notes: 20/s Ac $ it/.�'�e— Intake Comments: iPW Worksheet Needed if: `OSys Dev Eval ❑Traffic Mit Eval i ❑Site Work or Drainage Proposed Approved By: Date: 4/6/Z.O ❑Backflow Prevention for high hazard: i(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) El Fire Sprinklers El Fire Alarm ❑Other: AND ❑Create Green Folder ❑Submitted Previously ❑Deferred1 1- Additional Notes: , ❑ This Permit is Approved by Public Works ❑ 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: Date: 'Public Works has no scope---PW Not Required Additional Notes: ELECTRICAL Additional Notes: Approved By: Date: Approved By: Date: