4845 GLENHAVEN DR 2019-07-08 - Laserfiche WebLink

Intake & Approval Sheet (FOR PERMIT STAFF ONLY) PERMIT# Oki)03)1.0 '60( BUILDING PLANNING Intake OK by: �r� Date: I l0' //$ Intake OK‘... Date: /O/mei /1 7 _ Intake Comments: Intake Comments: Assign To: / ` w&i ®rb ❑ Route to Commercial Building 0 Attach to Project No. ❑ Route to Residential Building 0 Route to Historic Reviewer tiLmake this a"W'Permit ❑OK to Route to Other Departments Bldg/TI/Add 11 em Siz / 7018 4 0 Hold in Planning File Drawer Garage/Accessory Struct. Size ,Vj (s-r/14-x'' Zone Number of Stories f Overlay/Agreement Basement 16No ❑Yes , Fin/Unfin Nonresidential Use Type of Construction V " 13 Residential Use Occupancy Group Z-3 Proposed No. of Dwelling Units: Occupancy Load 1 Total No. of Dwelling Units: Fire Sprinklers: ❑Update Existing ❑New System tjNot Req'd Planning/Landscape Inspection Required before Final? ❑Yes 0 N Reason Sprinklers Required: "In Lieu" Fee:Type: Amount$ Fire Alarm: ❑Update Existing ❑New System "lot 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$ i? 6 C gg Approved r Date: l o f s—lig PUBLIC WORKS Intake OK by: Date: f D/ 7 /20/1 f Additional Notes: Intake Comments: PW Worksheet Needed if: �� ❑Sys Dev Eval 01 raffle Mit Eval ,4€€ ❑Site Wo. .r Drainage Proposed Approved By: —14-B Date: /leer 1 8 ( g i 46- DB-' flow Prevention for high hazard: .ental,medical,animals,mortuary,hospital, ,,,,°,1"-----y supportive housing) FIRE DEPARTMENT DRoute this folder for I Review at end ---PW Review Worksheet Intake: (Needed for Townhomes,Alley load SFR,New Commercial) ❑This project . :. has a separate concurrent PW Review(Green Folder) ❑Route to Fire Drawer---Fire Preliminary Review Notice AND ❑C --te Green Folder ❑Submitted Previously ❑Deferred ❑Sending Fire Notes to Project Team ❑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 ❑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: 0 Public Works has no scope---PW Not Required Additional Notes: ELECTRICAL Additional Notes: (;) Approved By: Date: Approved By: Date: k.& 1 — oR. 1 « l0 - ot- cl / (Amyl -03(oP1$l0 OD-1