2410 38TH ST 2019-08-22 - Laserfiche WebLink

Intake & Approval Sheet (FOR PERMIT STAFF ONLY) PERMIT# M.'1,VMS t Vt BUILDING PLANNING Intake OK by: *t.17 Date ?,1 l' Intake OK by: Date: I ke Comments: Assign Intake Comments. nta 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 ZNumbGarage/Accessory Struct.Size Zone C.:7— Number er of Stories Overlay/Agreement Basement ❑No ❑Yes , Fin/Unfin Nonresidential Use (A)04,0iAtii Va-) eea Q,,. 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 Required before Final? ❑Yes 'lo Reason Sprinklers Required: - "In Lieu" Fee:Type: Amount$ Fire Alarm: ❑Update Existing ❑New System ❑Not Req'd School Impact Fee: Total $ Reason Fire Alarm Required: Calculated: Cre ' . RCW 64.55 MF worksheet req'd for permit? DYes 0 No DEverett School Dist ❑Mukl o School Dist Add'I RCW 64.55 docs required prior to final? Ekes ❑No Additional Notes: VALUATION CALCULATION: Total $ 124 (1)4-0 Approved By: 411-c Date: 1.4_72.0, ) 9 PUBLIC WORKS Intake OK by:---r-...-% Date: 4/22' t I Additional Notes: Intake Comments: PW Worksheet Needed if: 4L.12c•-diczo• Cr7P4ctive. ❑Sys Dev Eval ❑Traffic Mit Eval 'VW "P1E44.4.-r ❑Site Work or Drainage Proposed Approved By: Date: (, vJ (g "T'4'►`S?£ci-w�•T is ❑Backflow Prevention for high hazard: / n{acc-Ng04.c..A.4..... O N+s_.t (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) 0 Review/Inspection Scope-ADD FIRE FEE 0 Will be issued separately(Separate Green Folder,PW issued ahead of Bldg) Approved By: Date: frrublic Works has no scope--- W Not Req fired Additional Notes: .off �4-122it1i ELECTRICAL Additional Notes: Approved By: Date: Approved By: Date: