3003 W CASINO RD BLDG 45-03 2019-01-28

Intake &Approval Sheet (FOR PERMIT STAFF ONLY) PERMIT# 1,€0- d\ J BUILDING PLANNING Intake OK by: Date: Intake OK by: Date: Intake Comments: Intake Comments: Assign To: ❑ Route to Commercial Building 0 Attach to Project No. ❑ Route to Residential Building 0 Route to Historic Reviewer O Make this a"W"Permit 0 OK to Route to Other Departments Bldg/TI/Addn/Rem Size 0 Hold in Planning File Drawer Garage/Accessory Struct..Size Zone Number of Stories Overlay/Agreement Basement ❑No Yes , Fin/Unfin Nonresidential Use Type of Construction Residential Use Occupancy Group Proposed No.of Dwelling Units: Occupancy Load Total No. of Dwelling Units: Fire Sprinklers: ❑U. ate Existing Chew System ❑Not Req'd Planning/Landscape Inspection Required before Final? ❑Yes ❑No Reason Sprinkle : Required: "In Lieu"Fee:Type: Amount$ Fire Alarm: DUpdate Existing ONew System ❑Not Req'd School Impact Fee: Total $ Reason F' e Alarm Required: Calculated: Credit: RCW. .55 MF worksheet req'd for permit? DYes 0 No DEverett School Dist ❑Mukilteo School Dist A.• I RCW 64.55 docs required prior to final? ❑Y s ❑No Additional Notes: VALUATION CALCULATION: Total$ ,, yl b')/fl4 M c2;2 F y.c7 Approved By: Date: l4?—it-�f cAt12 THLS PUBLIC WORKS Intake OK by: Date: Additional Notes: Intake Comments: PW Worksheet Needed if: UV A Ltz?? /4 �! /414 epac „ ❑ ffi Sys Dev Eval ❑Trac Mit Eval �C Fl � ❑Site Work or Drainage Proposed Approved By: / Date: i ❑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 Intake: (Needed for Townhomes,Alley load SFR,New Commercial) ❑This project also has a separate concurrent PW Review(Green Folder) El Route to Fire Drawer---Fire Preliminary Review Notice AND ❑Create Green Folder ❑Submitted Previously ❑Deferred CI Sending Fire Notes to Project Team 0 This Permit is Approved by Public Works Date: (OK to Route to Other Departments) 0 See PW Review Worksheet and associated attached items Fire Sprinklers: DUpdate Existing [hew System 0 Not Req'd 0 A Separate PW Permit is Required(Permit#: PW Fire Alarm: DUpdate Existing Chew System 0 Not Req'd AND 0 Is located in this folder Chemical Sup: DUpdate Existing ❑New System 0 Not Req'd 0 Is in a Separate Green Folder(join with this folder for permit issuance) Additional Notes: ❑ Will be issued separately(Separate Green Folder,PW issued ahead of Bldg) Approved By: L , S-' Date: P-^"ttf''ti 0 Public Works has no scope---PW Not Required Additional Notes: ELECTRICAL G f( Additional Notes: Approved By: Date: Approved By: Date: