11127 EVERGREEN WAY 2019-03-21 - Laserfiche WebLink

Intake &Approval Sheet (FOR PERMIT STAFF ONLY) PERMIT# Yj\gk 0- 022 BUILDING PLANNING Intake OK by: Date: '(3 12_1 I g Intake OK by: Date: Intake Commen Intake Comments: Assign To: ❑ 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 0 Hold in Planning File Drawer Garage/Accessory Struct.Size — Zone Number of Stories Overlay/Agreement Basement ONo ❑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: ❑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 ❑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 0 No ❑Everett School Dist ❑Mukilteo School Dist Add'I RCW 64.55 docs required prior to final? ❑Yes ❑No Additional Notes: VALUATION CALCULATION: Total$ Approve By: Date: /0/451/2" PUBLIC WORKS Intake OK by: JC. Date: O /6 Additional Notes: Intake Comments: PW Worksheet Needed if:ApAie aP/0 Sn,f6` ❑Sys Dev Eval ❑Traffic Mit Eval `tel' ❑Site Work or Drainage Proposed ❑Backflow Prevention for high hazard: Approved By: ��! Date: tc7J(8/i8 (dental,medical,animals,mortuary,hospital, / / supportive housing) FIRE DEPARTME ❑Route this folder for PW Review at end ---PW Review Worksheet Intake: (Needed for Townhomes,Alley load• R,New Commercial) ❑This project also has a separate concurrent PW Review(Green Folder) ❑Route to Fire Drawer---Fire Pr. minary Review Notice AND ❑Create Green Folder ❑Submitted Previously ❑Deferred ❑Sending Fire Notes to Project earn 0 This Permit is Approved by Public Works Date: (OK to 'oute to Oth Departments) 0 See PW Review Worksheet and associated attached items Fire Sprinklers: ❑Update Ex'.ting ❑Ne tem 0 Not Req'd 0 A Separate PW Permit is Required (Permit#: PW ) Fire Alarm: ❑Update ,xistingGt Ne S stem 0 Not Req'd AND 0 Is located in this folder Chemical Sup: ❑Upda - Existing ❑Ne 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: Date: Public Works has no scope---PW Not Required Additional Notes: ELECTRICAL Additional Note I Approved By: Date: Approved By: dE:1--- Date: /06/7