1505 112TH ST SW APPLUS TECHNOLOGIES 2019-08-14

Intake &Approval Sheet (FOR PERMIT STAFF ONLY) PERMIT# 1(6I(-07#'� BUILDING PLANNING Intake OK by: Date: (I1 14(t$ Intake OK by: Date: Intake Comment . 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 l31dg/TI/Addn/Rem Size -- 0 Hold in Planning File Drawer Garage/Accessory Struct. Size — Zone F-1 + &U V Number of Stories 1 Overlay/Agreement Basement Gallo ❑Yes , Fin/Unfin Nonresidential Use Type of Construction Yg Residential Use Occupancy Group ij Proposed No.of Dwelling Units: Occupancy Load *V Total No. of Dwelling Units: Fire Sprinklers: ❑Update Existing ❑New System ❑Not Req'd Planning/Landscape Inspe 'on Required before Final? ❑Yes ❑No Reason Sprinklers Required: W l us'r- "6•"4"120"'0'4* "In Lieu" Fee:Type: Amount$ Fire Alarm: Update Existing ❑New System ❑Not Req'd School Impact Fee. Total $ Reason Fire Alarm Required: Extor L.cai Calculated: Credit: RCW 64.55 MF worksheet req'd for permit? ❑Yes to ❑Everett 'chool Dist ❑Mukilteo School Dist Add'I RCW 64.55 docs required prior to final? ❑Yes OK/No Additional Notes: VALUATION CALCULATION: Total$ (O we) s Approved By: C"-----� Date: \\ 'I-R, t \ PUBLIC WORKS Intake OK by:"T )' Date: it 11412OI 46 Additional Notes: Intake Comments: PW Worksheet Needed if: I".t'«g`c•ct- ‘1.4°11-4411"1‘":1# ❑Sys Dev Eval ❑Traffic Mit Eval ❑Site Work or Drainage Proposed Approved By: Date: ilit 'J lei ❑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) ❑Route to Fire Drawer---Fire Preliminary Review Notice AND ❑Create Green Folder El 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 El New System p Not Req'd 0 A Separate PW Permit is Required (Permit#: PW ) Fire Alarm: ❑Update Existing ONew System El Not Req'd AND 0 Is located in this folder Chemical Sup: 0 Update Existing ❑New System Not Req'd 0 Is in a Separate Green Folder(join with this folder for permit issuance) Additional Notes: & Co e-A-.1-t-A 0 Will be issued separately(Separate Green Folder,PW issued ahead of Bldg) Approved By: i, til Date: 12 /c- ViPublic Works has no scope---PW Not Required Additional Notes: ELECTRICAL t40 'Pbs Sccive- 1 is,A4z, Additional Notes: Approved By: Date: Approved By: Date: \