3326 ROCKEFELLER AVE 2025-09-30 - Laserfiche WebLink

Intake & Approval Sheet (FOR PERMIT STAFF ONLY) PERMIT#b 2� -off,l BUILDING PLANNING Intake OK by: Date: 7,7 'ZL Intake OK by(Z)nL_ Assign To: Date:-7 Intake Comments: Intake Comments: 10j.big•020 Pc• (44 NO-DAP-,►n+&for S0gXGk. rer6 41(L ❑ 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 Hold in Planning File Drawer Garage/Accessory Struct. Size 4$0 Zone Number of Stories I Overlay/Agreement Basement ENO ❑Yes , Fin/Unfin Nonresidential Use Type of Construction :T - Residential Use Occupancy Group- Proposed No.of Dwelling Units: Occupancy Load Total No.of Dwelling Units: Fire Sprinklers: ❑Update Existing ❑New System 53Not Req'd Planning/Landscape Inspection Required before Final? ❑Yes []No Reason Sprinklers Required: "In Lieu"Fee:Type: Amount$ Fire Alarm: []Update Existing ❑New System Not Req'd School Impact Fee: Total $ Reason Fire Alarm Required: Calculated: Credit: RCW 64.55 MF worksheet req'd for permit? ❑Yes UNo El Everett School Dist ❑Mukilteo School Dist Add'I RCW 64.55 dots required prior to final? ❑Yes EgNo Additional Notes:'-!Pqd VALUATION CALCULATION: Total $ 21-3 V Approved By: Date: PUBLIC WORKS Intake OK by: r ""� Date: `1 d la l�2Z Intake Comments: t.._.__...."�_�_._...,__...____________._. Additional Notes: �PW Worksheet Needed if.• i Sys Dev Eval ❑Traffic Mit Eval i�6ite Work or Drainage Proposed i� I Approved By: �\ Date: 9 ] ZZ 5 NET -A�, `❑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 I Deferred Submittals Required: ❑This project also has a separate concurrent PW Review(Green Folder) ❑Fire Sprinklers ❑Fire Alarm []Other: AND ❑Create Green Folder []Submitted Previously ❑Deferred 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 22-o1` �1 ) ❑ 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 aoin 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: (b .(\ Date: —(p a ❑ Public Works has no scope--- PW Not Required Additional Notes: ELECTRICAL lv1\e,�,, . Additional Notes: Approved By: Date: Approved By: Date: ZL