1005 PACIFIC AVE 2019-07-08 - Laserfiche WebLink

Intake & Approval Sheet (FOR PERMIT STAFF ONLY) PERMIT# 6f R03-8Z•D BUILDING P ANNING Intake OK by: Date: /I-'/I�1 Intake OKyam- ='" ., 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 12I OK to Route to Other Departments "( ( e VI Bldg/Tl/Addn/Rem Size boa 0 Hold in Planning File Drawer ( )2- C- Garage/Accessory Struct.Size '- Zone UR. Number of Stories 2 Overlay/Agreement / l'( " Basement �No ❑Yes, Fin/Unfin Nonresidential Use G6(nl•'�i/ D & /CI!( Type of Construction V'i� Residential Use ---Ill Occupancy Group ' Proposed No. of Dwelling Units: Occupancy Load — Total No.of Dwelling Units: Fire Sprinklers:�l, Update Existing ❑New System ❑Not Req'd Planning/Landscape Inspection Required before Final? ❑Yes No Reason Sprinkl rs Required: "In Lieu"Fee:Type: Amount$ Fire Alarm: 41 Update Existing ❑New System El Not Req'd School Impact Fee: Total $ Reason Fire Alarm Required: Calculated: Credit: RCW 64.55 MF worksheet req'd for permit? ❑YesNo El Everett School Dist ❑Mukilteo School Dist Add'i RCW 64.55 docs required prior to final? ❑Yes JNo Additional Notes: VALUATION CALCULATION: Total $ lc',vee Approved Date: 10 9 PUBLIC WORKS Intake OK by: 4 '? Date: '9//3— Additional Notes: Intake Comments: PW Worksheet Needed if: ❑Sys Dev Eval ❑Traffic Mit Eval ❑Site Work or Drainage Proposed Date: ❑Backflow Prevention for high hazard: Approved By: �/11�� (dental,medical,animals,mortuary,hospital, supportive housing) FIRE',DEPARTMENT ❑Route this folder for PW Review at end ---PW Review Worksheet Separate/Deferred Submittals Required: ❑This project also has a separate concurrent PW Review(Green Folder) ❑Fire Sprinklers ❑Fire Alarm ❑Other: AND ❑Create Green Folder ❑Submitted Previously ❑Deferred Additional Notes: 0 This Permit is Approved by Public Works 0 See PW Review Worksheet and associated attached items Fire Dept. Fees: 0 A Separate PW Permit is Required (Permit#: PW ) ❑ Review of As-Built Plans-NO FIRE FEE AND 0 Is located in this folder Minimal or No Fire Scope-NO FIRE FEE 0 Is in a Separate Green Folder(loin with this folder for permit issuance) O Review/Inspection Scope-ADD FIRE FEE 0 Will be issued separately(Separate Green Folder,PW issued ahead of Bldg) Approved By:14.?")02(A.).(\ Date: 41—I—/—f 1 12 -ublic Works has no scope---PW Not Required dditional Notes: ELECTRICAL Additional Notes: Approved By: Date: Approved By: Date: