4905 SEAVIEW WAY 2019-04-17 - Laserfiche WebLink

Intake & Approval Sheet (FOR PERMIT STAFF ONLY) PERMIT# bitgitO-®®S/ 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 ❑ 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 a'\C (/ cswAspox- `'J‘,`i\.'y Basement ❑No ❑Yes , Fin/Unfin Nonresidential Use J Type of Construction Residential Use (_JW"\\) Occupancy Group Proposed No. of Dwelling Units: Occupancy Load Total No. of Dwelling Units: CSAR 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 `ist ❑Mukilteo School Dist Add'I RCW 64.55 docs required prior to final? ❑Yes El No Additional Notes: VALUATION CALCULATION: Total $ Approved By: Date: \O[05 1 z-ovd PUBLIC WORKS Intake OK by: Date: Ad.i.�;` �y--,�. (e7-r-G — ��u('�� Intake Comments: PW Worksheet Needed if: - / L / _ ' ❑Sys Dev Eval ❑Traffic Mit Eval A rIe f �r'lf ( �� Mite Work or Drainage Proposed Approved By: Date: ❑Backflow Prevention for high hazard: (dental,medical,animals,mortuary,hospital, AiIsupportive housing) FIRE DEPARTMENT / _+ y ElRoute this folder for PW Review at end ---PW Review Worksheet Intake: (Needed for Townhomes,Alley load SFR,New Commercial)'�i ❑This project also has a separate concurrent PW Review(Green Folder) ❑Route to Fire Drawer---Fire Preliminary Review Notice AND ❑Create Green Folder ❑Submitted Previously ❑Deferred ❑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: ❑Update Existing ❑New System 0 Not Req'd 0 A Separate PW Permit is Required (Permit#: PW ) Fire Alarm: ❑Update Existing ❑New System 0 Not Req'd AND 0 Is located in this folder Chemical Sup: ❑Update Existing ONew 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: 0 Public Works has no scope---PW Not Required Additional Notes: ELECTRICAL Additional Notes: Approved By: Date: Approved By: Date: --' ( / )