Dpd Cover Sheet Form PDF Details

Embarking on a construction or renovation project within the city of Seattle requires adhering to numerous regulatory requirements, and one crucial step in this process is completing the Department of Construction and Inspections (Seattle DCI) Plan Coversheet. Updated on the first day of 2016, this form is meticulously designed to streamline project assessments by collecting comprehensive information across several critical dimensions. Prospective applicants must fill out details ranging from applicant information to building code specifics, encompassing a broad spectrum of requirements such as multiple building designations, land use code data, housing unit occupancy specifics, and intricate guidelines for ground disturbance. Notably, the form mandates sections 1 through 7 be filled out by the applicant, whereas sections 8 through 14 are reserved for Seattle DCI staff input, covering areas such as land use conditions, drainage and sewer review, and permit issuance authorization. Furthermore, this form serves a dual purpose by also guiding applicants through other necessary considerations, including environmental protection, energy/mechanical code compliance, and even specialized scenarios like priority green certification aspirations. Thereby, this coversheet acts as a pivotal gateway, ensuring all construction and renovation projects not only meet the city’s stringent regulatory framework but also align with broader sustainability and safety objectives.

QuestionAnswer
Form NameDpd Cover Sheet Form
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namesplan coversheet printable, plan coversheet, seattle cover sheet, city seattle cover get

Form Preview Example

City of Seattle

Department of Construction and Inspections (Seattle DCI)

PLAN COVERSHEET Updated

01/01/16

INSTRUCTIONS: Complete all areas of sections 1 - 7 that pertain to your project. Please note that sections 8 - 14 are to be completed by Seattle DCI staff.

*MAC USERS FILL OUT THIS FORM WITH ACROBAT NOT READER

1. APPLICANT INFORMATION

 

 

 

 

5. BUILDING CODE INFORMATION

 

 

 

 

 

 

MULTIPLE BUILDINGS IN THIS PROJECT?

CODE USED FOR DESIGN (select one)

 

 

 

Yes

 

No

 

 

 

 

 

8.LAND USE CONDITIONS (Seattle DCI staff use only)

Assigned planner

Phone

10.DRAINAGE & SEWER REVIEW (Seattle DCI staff use only)

SEATTLE DCI SEWER AND DRAINAGE REVIEW DESK: (206) 684-5362 or sidesewerinfo@seattle.gov

PROJECT ADDRESS

DESCRIPTION OF WORK

OWNER

PHONE

CONTACT PERSON

PHONE

PREVIOUS RELATED MUPs

RELATED STANDARD PLANS

PROJECT #

ADDRESS

E-MAIL

ADDRESS

 

FAX

 

E-MAIL

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

If yes, fill out separate sheets and attach.

Shown on plan sheet:

 

 

 

 

 

 

 

 

 

 

 

2012 Seattle Building Code

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

2012 Seattle Residential Code

PROVIDE THIS INFORMATION FOR EVERY BUILDING IN YOUR PROJECT

 

 

 

 

 

 

 

 

 

 

 

 

DCI building ID

 

 

 

 

 

 

 

(see building data sheet)

 

 

 

 

2012 SBC (struct) and 2012 SRC (arch)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Mezzanines?

Yes

No

Existing # of above-grade stories

 

 

 

 

Proposed # of above-grade stories

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Existing # of below-grade stories

 

 

 

 

Proposed # of below-grade stories

 

 

 

 

 

Location

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Building code type of construction

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

FLOOR LEVEL

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

GROUP

 

OCCUPANCY/USE

 

 

 

 

FLOOR AREA

SPRINKLER (Y/N)

OTHER FIRE PROTECTION

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Remodel: Construction project value $

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

DRAINAGE REVIEW REQUIRED?

Yes

No

 

Flow control required

Impervious surface this project (new or replaced) in sq. ft.

NOTE: The drainage system shown in these plans may be changed at the time of side sewer permit issuance to meet standard plans and methods.

SIDE SEWER REVIEW REQUIRED?

Yes

No

 

No conflict with side sewer

Construction conflicts with applicant's side sewer. Contact Public Health Department at (206) 233-7914

Construction conflicts with side sewer serving another property . Contact Seattle DCI Sewer and Drainage Review Desk at (206) 684-5362

Reviewed by

 

Date

 

 

 

NOTE: A separate side sewer permit is required from Seattle DCI for ALL new drainage and sewer installations. For more information, call the Sewer and Drainage Review Desk at (206) 684-5362 or sidesewerinfo@seattle.gov.

2. LAND USE CODE INFORMATION

ZONE

 

 

 

 

ASSESSOR'S PARCEL NO.

 

 

 

 

 

DESIGN REVIEW?

Yes

No

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

If yes, please provide:

 

 

 

 

OVERLAY ZONING

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Planner

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

HISTORIC OR LANDMARK DISTRICT

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Planner's phone no.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

SHORELINE ZONE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Exempt

Requires Shoreline review

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

SEPA

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Exempt

Requires review

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

EXISTING USE

 

 

 

 

SQ. FT.

PROPOSED USE

 

 

 

SQ. FT.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

DEPARTMENT OF NEIGHBORHOODS CERTIFICATE OF APPROVAL REQUIRED?

Yes

No

 

 

 

 

 

 

 

 

 

 

 

 

 

 

STREET/ALLEY IMPROVEMENTS OR WORK IN THE RIGHT OF WAY REQUIRED?

Yes

No

 

 

 

 

 

 

 

 

 

 

 

 

 

 

PARKING SPACES

 

 

 

 

 

 

 

NUMBER OF DWELLING UNITS

 

 

Existing

Onsite

 

Offsite

 

 

Accessible

 

 

Existing

 

 

 

Proposed New

 

 

 

 

 

 

 

 

 

 

 

 

 

Proposed

Onsite

 

Offsite

 

 

Accessible

 

Demolished

 

 

Live/Work

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Offsite Location

 

 

 

 

 

 

 

 

TOTAL

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

3. HOUSING UNIT OCCUPANCY

DEFINITION: Housing unit means any dwelling unit, housekeeping unit, guest room, dormitory, or single room occupancy unit, and may include a residential unit in a commercial building, an artist's studio dwelling unit, or a live/work unit.

CHECK ONLY ONE BOX BELOW TO INDICATE HOUSING OCCUPANCY AT DATE OF PERMIT APPLICATION.

Unit(s) unoccupied

Unit(s) occupied by residential tenant

Unit occupied by property owner

Do not know

No units on property

Refer to property owner/tenant assistance

Unit(s) on property not affected by permit scope

 

I certify, under penalty of perjury under the laws of the State of Washington, that the above information is true and correct.

Owner/Applicant SignaturePrinted NameDatePlace

4. GROUND DISTURBANCE

GROUND DISTURBANCE

 

 

Yes

No

Excavation - cubic yards

 

 

 

Maximum height

 

 

 

 

 

 

 

 

 

Fill - cubic yards

 

 

Maximum height

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

DISPOSAL SITE

Outside City of Seattle

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Inside City of Seattle

 

 

 

 

 

 

 

 

 

 

 

 

 

Address and/or permit #

 

 

 

 

 

Erosion control is required PRIOR to any ground disturbance. Please refer to Construction Stormwater Control and Soil Amendment Standard Plan.

CUSTOMER ALERT!

Site Inspection Required Prior to First Ground Disturbance - Call (206) 684-8900

A Seattle DCI site inspection is required prior to any ground disturbance related to this permit, including clearing, grubbing or grading.

Preconstruction Conferences, When Required - Call (206) 684-8860

A Seattle DCI preconstruction conference should be scheduled prior to beginning work. A conference is required for the following types of work:

1.When any special inspections are indicated on the plan

2.When land use or design review conditions are indicated on the plan

3.When a Seattle DCI plans examiner specifies on plans unusual or complex inspection or occupancy requirements

Rules for Ufer Grounds - Call (206) 684-5383

If you have any questions or concerns regarding the rules (2005 NEC) for installation of ufer grounds, please contact Seattle DCI's Electrical Technical Backup Monday - Friday, 7:00 a.m. to 4:30 p.m.

Required SDOT Permits and Inspections

Street Tree Inspections

Protection and/or planting/pruning/removal of street trees requires Seattle Department of Transportation (SDOT) inspection and approval. Call prior to

construction:

Commercial/Multifamily Zones, (206) 684-5693

 

Single Family Zones, (206) 684-7997

Street Use Permits

Call prior to construction: (206) 684-5283

Water Service Inspection by SPU Required

All water service piping on property must be inspected prior to backfilling trench. For information and inspection, call Seattle Public Utilities (SPU) at (206) 684-5800. For water quality backflow protection information and inspection, call SPU at (206) 684-3536.

Waste Diversion Report to be submitted to SPU - Projects >750 square feet must submit a Waste Diversion Report to SPU within 60 days of DCI project final inspection approval. For information and submittal document: http://www.seattle.gov/util/ForBusinesses/Construction/CDWasteManagement/

RecyclingRequirements/WasteDiversionReport/index.htm

Sprinklers

NFPA 13

NFPA

13 R

Partial system

 

Fire alarm

Other system Type

 

 

 

Change of occupancy

Yes

 

No

From

 

 

 

 

 

To

 

 

 

 

 

 

 

 

 

 

 

 

 

Posted occupancy

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

EMERGENCY SYSTEMS PROVIDED

 

 

 

 

 

 

 

 

 

 

 

 

Elevator pressurization

 

Exit and pathway lighting

Stairway pressurization

Smoke removal system

Emergency generator

6. ENERGY/MECHANICAL CODE

HVAC mechanical system is NOT included with this application (If mechanical drawings are included with plans, please stamp "for reference only")

 

 

 

HVAC mechanical system IS included with this application

Mechanical System Value$

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

GENERAL PROJECT INFORMATION

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

SCOPE OF CONSTRUCTION

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

New construction

 

 

 

Addition

 

 

 

Alteration

 

 

Substantial alteration (SBC CH 34)

 

 

APPLICABLE OCCUPANCY

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Single-family/duplex/townhouse

Multi-family 1-3 stories

 

 

Multi-family 4+ stories

Non-residential

 

 

 

 

 

 

 

 

BUILDING ENVELOPE COMPLIANCE

 

 

 

HEATED

 

 

 

SEMI-HEATED

 

UNHEATED

 

 

 

 

Existing Envelope - no change

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Existing Envelope - altered

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

New Envelope

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

SCOPE OF MECHANICAL WORK

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

LOCATION OF DUCTWORK OR MECHANICAL EQUIPMENT

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Interior

Exterior ground mounted

 

 

 

Rooftop

Exterior wall mounted

 

 

MECHANICAL-ONLY PERMIT

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Related building permit project #

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

COMMERCIAL BUILDINGS (Non-residential, R1 lodging, and Multi-family four stories and greater)

 

 

 

 

 

 

 

 

 

 

 

COMPLIANCE PATH:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Prescriptive

Component Performance UA/SHGCA/VTA

 

 

Total building performance (TBP)

 

 

Target performance path (TPP)

 

 

SEC C402.1

SEC C402.1.3

 

 

 

 

SEC C407

 

 

 

 

 

SEC C402.1.5

 

 

OTHER MECHANICAL EQUIPMENT INCLUDED IN THIS APPLICATION

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Commercial kitchen hood exhaust system

 

 

Fume hood

Spray paint booth

Other

Specify:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

RESIDENTIAL BUILDINGS (Single family, duplex, townhouse, and multi-family 3 stories or less)

 

 

 

 

 

 

 

 

 

 

 

COMPLIANCE PATH:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Prescriptive

 

 

 

Total UA alternative

 

 

Simulated performance alternative

 

 

 

 

 

 

 

 

 

Heating Equipment:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Minimum Size:

 

 

 

 

Maximum Size:

 

 

 

Energy Credit (Table R406.2) Option:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

DOCUMENTS INCLUDED

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Residential equipment sizing calc (unit by unit)

 

Non-residential cooling and heating load (for other than Group R)

 

 

 

 

Target UA/SHGCA/VTA Calculation

 

 

 

Structural load calculation (for mechanical equipment)

 

 

Commercial kitchen hood worksheet

 

 

 

 

 

 

 

 

 

 

 

 

 

TBP or TPP Report

 

 

 

 

 

 

 

Noise compliance report (for mechanical equipment)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Other:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

7. PRIORITY GREEN

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(www.seattle.gov/sdci/prioritygreen)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Prior approval to participate in Priority Green is required. The following does not establish Priority Green status.

 

 

 

 

 

 

 

 

 

 

 

PRIORTY GREEN EXPEDITED

 

 

 

 

 

 

PRIORTY GREEN FACILITATED

 

Screening required prior to building permit intake appointment.

 

 

Screening required prior to building permit or MUP intake

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

appointment.

 

 

 

 

 

 

 

 

 

 

 

Rating anticipated:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Rating anticipated:

 

 

 

 

 

 

 

 

 

 

 

 

 

Built Green

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Priority Green Building Matrix - 10 points

 

 

 

 

 

4 star

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Living Building Challenge

 

 

 

 

 

5 star

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

LEED

 

 

 

 

 

 

 

 

 

 

 

Built Green 5 Star + 2030 Challenge

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

LEED Platinum + 2030 Challenge

 

 

 

 

 

Gold

 

 

 

 

 

 

 

 

 

 

Other:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Platinum

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Seattle DCI Alternative Path for Single Family

 

 

 

 

 

Target Performance Path Compliance Method

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Using 3.5 credits for SEC Table 9-1

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

NEW CURB CUT REQUIRED

Yes

No

Residential

Commercial

9.SPECIAL INSPECTIONS (Seattle DCI staff use only)

11. ENVIRONMENTALLY CRITICAL AREAS INFO (Seattle DCI staff use only)

 

 

 

 

 

 

ENVIRONMENTALLY CRITICAL AREAS (ECA)

 

 

 

 

 

 

 

Site is not located in ECA

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Mapped ECA designation

1

2

3

4

5

6

7

8

9

10

11

 

 

 

 

ECA identified by pre-application site visit report as

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

ECA exemption (see review details in Hansen)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Reviewed by

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Date

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Denied

Granted

Type

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Small project waiver

New development coverage this permit (sq. ft.)

Previous development coverage (after 10/31/92)

Permit #

 

Sq. ft.

 

Permit #

 

Sq. ft.

 

 

 

 

 

 

 

Total

 

 

 

12.SHOP DRAWINGS, KEY AREA INSPECTION & BUILDING CONDITIONS (Seattle DCI staff use only)

Sprinkler drawings

 

NFPA 13

NFPA 13 R

Partial system Location

 

Fire alarm

 

 

required for:

 

 

 

 

 

 

 

 

 

Required shop drawings/

 

 

 

 

 

 

 

 

 

 

 

 

 

 

key area inspections:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

13.PERMIT ISSUANCE AUTHORIZATION (Seattle DCI staff use only)

REVIEW

APPROVAL

DATE

NOTES

LOCATION

INITIALS

 

 

ZONING (incl. street improvements)

CURB CUT

ORDINANCE

STRUCTURAL

ENERGY

MECHANICAL

DRAINAGE

ECA

GRADING

WATER (SPU)

FIRE

HEALTH (King County)

NOISE

CONVEYANCE/ELEVATOR

SHORING (SDOT)

STREET IMPROVEMENT (SDOT)

PARKS

PROTECTED DISTRICTS (DON)

SEPA EXEMPTION

LAND USE

14.DEPARTMENT SIGN OFFS (Seattle DCI staff use only)

ISSUED BY

 

DATE

 

 

 

BUILDING PLANS EXAMINER

MECHANICAL PLANS EXAMINER

DATE RECEIVED AT INTAKE

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2. The subsequent stage is to fill out the following blank fields: RELATED STANDARD PLANS, LAND USE CODE INFORMATION, ZONE, ASSESSORS PARCEL NO, DESIGN REVIEW, Yes, OVERLAY ZONING, HISTORIC OR LANDMARK DISTRICT, SHORELINE ZONE, SEPA, Exempt, Requires Shoreline review, If yes please provide, Planner, and Planners phone no.

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3. The following segment should also be pretty uncomplicated, DEPARTMENT OF NEIGHBORHOODS, STREETALLEY IMPROVEMENTS OR WORK, PARKING SPACES, Existing, Proposed, Onsite, Onsite, Offsite Location, NUMBER OF DWELLING UNITS, Offsite, Offsite, Accessible, Accessible, Existing, and Demolished - each one of these blanks has to be filled out here.

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5. This document must be finished by filling in this section. Below you'll find an extensive set of blanks that require appropriate details to allow your form submission to be accomplished: Fill cubic yards, Maximum height, DOCUMENTS INCLUDED, DISPOSAL SITE, Outside City of Seattle, Residential equipment sizing calc, Nonresidential cooling and heating, Inside City of Seattle, Address andor permit, Target UASHGCAVTA Calculation, Structural load calculation for, Commercial kitchen hood worksheet, TBP or TPP Report, Noise compliance report for, and Other.

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