3200 CEDAR ST 2019-07-16 - Laserfiche WebLink

Intake &Approval Sheet (FOR PERMIT STAFF ONLY PERMIT# 1, t 9 O 1 — t9 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 Bldg/TI/Addn/Rem Size 0 Hold in Planning File Drawer Garage/Accessory Struct. Size Zone tA M Number of Stories Overlay/Agreement Basement ❑No ❑Yes , Fin/Unfin Nonresidential Use Type of Construction Residential Use Occupancy Group Proposed No. of Dwelling Units: Occupancy Load Total No. of Dwelling Units: Fire Sprinklers: ❑Update Existing ❑New System ❑Not Req'd Planning/Landscape Inspection quired before Final? ❑Yes EZINo Reason Sprinklers Required: "In Lieu" Fee:Type: Amount$ Fire Alarm: ❑Update Existing ❑New System ❑Not Req'd School Impact Fee: Tot. $ 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$ Approved By: Date: l \L\ ze\$ PUBLIC WORKS Intake OK by: Date: Additional Notes: Intake Comments: PW Worksheet Needed if: ❑Sys Dev Eval ❑Traf ii• it Eval ❑Site Work or Draina.• Proposed ❑Backflow Preve '•n for high hazard: Approved By: Date: i 41119 q (dental,medical,- mals,mortuary,hospital, supportive hou ' g) 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 con d rrent PW Review(Green Folder) ❑Route to Fire Drawer---Fire Preliminary Review Notice AND ❑Create Green Folder OS •mitted Previously ❑Deferred ❑Sending Fire Notes to Project Team 0 This Permit is Approved by P blic Works Date: (OK to Route to Other Departments) 0 See PW Review Works -et and associated attached items Fire Sprinklers: Update Existing ❑New System 0 Not Req'd 0 A Separate PW Per is Required(Permit#: PW Fire Alarm: El Update Existing ❑New System 0 Not Req'd AND 0 Is located' this folder Chemical Sup: ❑Update Existing ❑New System 0 Not Req'd 0 Is in a :eparate Green Folder(join with this folder for permit issuance) Additional Notes: ? 'Fi 'V ❑ W. .e issued separately(Separate Green Folder,PW issued ahead of Bldg) Approved By: Date: I l z\-/163 Publi► orks has no scope---PW Not Required Additi• al Npteb ELECTRICAL 3 Additional Notes: Approved By: Date: Approved By: Date: