6025 ROCKEFELLER AVE 2019-04-30 - Laserfiche WebLink

Intake &Approval Sheet (FOR PERMIT STAFF ONL 1) PERMIT# B 1 °8'0%-4 4 BUILDING PLANNING /f9 Intake OK by: _ Date: &/3o Intake OK by: S Date: 3O' M:?-- Intake Comments: Intake Comments: Assign To: Tkce ❑ Route to Commercial Building 0 Attach to Project No. IR-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/ ccesso truct.Size /Z2, ,j fz Zone Number o odes Overlay/Agreement Basement r2 No ❑Yes , Fin/Unfin Nonresidential Use Type of Construction Residential Use S Occupancy Group Proposed No. of Dwelling Units: Occupancy Load fv�.� Total No. of Dwelling Units: t �Q Fire Sprinklers: ❑Update Existing El New System Mot Req'd Planning/Landscape Inspection Required before Final? ❑Yes INo Reason Sprinklers Required: "In Lieu" Fee:Type: Amount$ Fire Alarm: ❑Update Existing Chew System INot Req'd School Impact Fee: Total $ Reason Fire Alarm Required: Calculated: Credit: RCW 64.55 MF worksheet req'd for permit? ❑ rp Yes I,a�No El Everett School Dist ❑Mukilteo School Dist. Add'I RCW 64.55 docs required prior to final? DYes INo Additional Notes: VALUATION CALCULATION: Total$ _'ODS® Approved By: (------_'szcD Date: Cj/3cSCzo1g--- PUBLIC WORKS Intake OK by: Date: Additional Notes: /5 /AC. Intake Comments: PW Worksheet Needed if: ❑Sys Dev Eval ❑Traffic Mit Eval. ''Q`"c' Zd ❑Site Work or Drainage Proposed Approved By: dir Date: /0/2//� p I /t� ' /�. OBackflow Prevention for high hazard: G (dental,medical,animals,mortuary,hospital, supportive housing) FIRE DEPARTMENT DRoute 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 ❑New System 0 Not Req'd AND 0 Is located in this folder Chemical Sup: ❑Update Existing 9❑New System 0 Not Req'd 0 Is in a Separate Green Folder(join with this folder for permit issuance) Additional Notes:( �11P 1,/,� 1:1 Will be issued separately(Separate Green Folder,PW issued ahead of Bldg) Approved By: X11 111"'"` Date: J Public Works has no scope--- PW Not Required .i4 V Additional Notes: ELECTRICAL Additional Notes: Approved By: Date: Approved By: Date: ft/ Ytift