3632 BROADWAY 2019-07-12 - Laserfiche WebLink

Intake &Approval Sheet (FOR PERMIT STAFF ONLY) PERMIT# fA1)'-6'3 BUILDING PLANNING 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 Bld l I Addn/Rem Size S/20 S.F 0 Hold in Planning File Drawer Garage/Accessory Struct. Size N/„Q Zone t4-A0 Number of Stories / Overlay/Agreement Basement to ❑Yes , Fin/Unfin Nonresidential Use -t6-O,,A- s<lo,aa,/ Type of Construction VB Residential Use7 Occupancy.Group a Proposed No.of Dwelling Units: Occupancy Load S/ Total No. of Dwelling Units: Fire Sprinklers:0Update Existing ❑New System ❑Not Req'd Planning/Landscape Inspection Required before Final? ❑Yes 12No Reason Sprinklers Required: "In Lieu”Fee:Type: A unt$ Fire Alarm: AtUpdate Existing ❑New System ❑Not Req'd School Impact Fee: Total $ Reason Fire Alarm Required: Calculated: Cr dit: RCW 64.55 MF worksheet req'd for permit? ❑Yes w No ❑Everett School Dist ❑Muki eo School Dist Add'I RCW 64.55 docs required prior to final? ��s❑Yes INo Additional Notes: \y\.ei\' '( cpory-- Oi1u..— O O 2)C#Q, o— VALUATION CALCULATION: Total$ &Arty- fe.iv I o 01 -k,.).5 f - ) ro cl%t" -1-0 q I LK) kb ° , 5 («tii �Se.. i Approved By: V., .4 Date: \VP-icc PUBLIC WORKS 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. Date: /I/7�/ZO/ ❑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) C3 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: jia Update Existing ❑New System 0❑ Not Req'd AND 0 Is located in this folder Chemical Sup: ❑Update Existing ❑New System Not Req'd 0 Is in a Separate Green Folder(join with this folder for permit issuance) Additional Not ❑Will be issued separately(Separate Green Folder,PW issued ahead of Bldg) Approved By Date: // / ,'f Public Works has no scope---PW Not Required Additional Notes: ELECTRICAL Additional Notes: CV Approved By: Date: Approved By: Date: