2031 ROCKEFELLER AVE 2019-04-29 - Laserfiche WebLink

Intake & Approval Sheet (FOR PERMIT STAFF ONL19 PERMIT# ll% 180g-02S BUILDING PLANNING Intake OK by: Date: Intake OK by: Date: Intake Comments: Intake Comments: Assign To: -,.)-\c-,--0 1(1 requ\red— QrYlat'W '1`1.1i Cave-- on /ZZ ❑ Route to Commercial Building 0 Attach to Project No. ❑ Route to Residential Building 0 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 PN.-1— Number of Stories Overlay/Agreement Basement ❑No ❑Yes, Fin/Unfin Nonresidential Use Type of Construction Residential Use l ` 5 Occupancy Group Proposed No. of Dwelling Units: --- Occupancy Load Total No. of Dwelling Units: I Fire Sprinklers: ['Update Existing ❑New System ❑Not Req'd Planning/Landscape Inspection Required before Final? ❑Yes kiNo 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 ❑Mukilte chool Dist. Add'I RCW 64.55 docs required prior to final? ❑Yes ❑No Additional Notes: �� y � VALUATION CALCULATION: Total$ Approved By: \) Date: I/24-- PUBLIC WORKS Intake OK by: Date: Additional Notes: Intake Comments: PW Worksheet Needed if: ❑Sys Dev Eval ❑Traffic Mit Eval DSite Work or Drainage Proposed 41/7 Approved By: `'1r/ Date: ,b UU�il I t g7 ❑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) ❑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 ONew System 0 Not Req'd AND 0 Is located in this folder Chemical Sup: ❑Update 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: Date: Igl Public Works has no scope---PW Not Required Additional Notes: ELECTRICAL Additional Notes: Approved By: Date: Approved By: - y�,/� Date: 0P>2 y 2.9.1 2---� J