505 WOOD PL 2019-05-22 - Laserfiche WebLink

Intake &Approval Sheet _E(FOR PERMIT STAFF ONLY) PERMIT# M V9102=0 501 .BUILDING. .. .. . PL,ANNIN0... . . • . 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 BldgITl/Addn/Rem Size 0 Hold in Planning File Drawer Garage/Accessory Struct. Size Zone, 2 Number of Stories Overlay/Agreement Basement ❑No ❑Yes, Fin/Unfin Nonresidential Use Type of Construction Residential Use M 1— Nov` Occupancy Group Proposed No. of Dwelling Units: Occupancy Load Total No. of Dwelling Units: Fire Sprinklers: ❑Update Existing Chew System ❑Not Req'd Planning/Landscape Inspection Required before Final? ❑Yes 9No Reason Sprinklers Required: "In Lieu"Fee:Type: Amount$ Fire Alarm: ❑Update Existing El 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 CI No Additional Notes: jQ VALUATION CALCULATION: Total �� ` ` "" �C0.0-- COQ1��f (om th� CMC111,7A1'O Approved By: f p,,i Date: Z_25--- PUBUC WO KS . ... . ... Intake OK by: Date: Additional Notes: Intake Comments: PW Worksheet Needed if: ❑Sys Dev Eval ❑Traffic Mit Eval ❑Site Work or Drainage Proposed Approved By: *7 Date: L125/Iq ❑Backflow Prevention for high hazard: (dental,medical,animals,mortuary,hospital, ..:.ti 6.r.; .a RI ,=;- FI )EPAI AiIEIT _-i El 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) E l Route to Fire Drawer---Fire Preliminary Review Notice AND ❑Create Green Folder ❑Submitted Previously El 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: El Update Existing ❑New 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: 0 Will be issued separately(Separate Green Folder,PW issued ahead of Bldg) ❑ ADD FIRE FEE 0 NO FIRE FEE 0 Public Works has no scope---PW Not Required Approved By: Date: Additional Notes: 5.. ELECTRICAL Additional Notes: Approved By: Date: Approved By: Date: l�,