Klahaya request for TCO.pdfREQUEST FOR TEMPORARY OCCUPANCY FORM
Project Name
Project
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Person Requesting Temporary Occupancy A C 14 A5AL&Meo
(Note only the property owner or building owner may request bmyorary occupancy) (Print Name) /--
Today's Date �� D Date Temporary Occupancy Needed 12
Check the box indicating that the noted items are complete on site. All fire and life -safety
requirements for Building, Fire and Engineering shall be complete in order for Temporary
Occupancy.to be considered. List any specific item that is missing and indicate the date when it
will be provided.
1 _ All
mstalle omplete.
Missing:
building windows, exterior siding, roofs and exterior doors are
2. CK All required fire rated construction (floor/ceiling, walls & unit separations, etc.)
and structural members (columns, beams, etc.) are complete.
Missing:
3. All required fire protections systems are complete and in full operation, including
fire sprinkler, fire alarm, standpipes, fire and smoke detection, fire suppression, etc.).
Annunciation and/or notification equipment is installed and is operational.
Missing:
4. M All required components of the means of egress system shall be complete and
operable, including but not limited to exit enclosures/corridors, fire rated doors and windows,
door hardware, illuminated exit signage, and emergency lighting, stair handrails, guardrails, etc.
Missing:
S. l�( Accessible signage, accessible parking, ramps, and directional signage is
installed.
6. CK All interior finish materials on floors and walls are complete.
Missing:
7. t The number parking spaces on -site striped are including accessible
parking space(s). ti i r
Missing:Ee! /J c0 l S �l l /t a PPO f 2y R/ 2c? /f
0!L
❑ Circle the foliowing._u 1hggs hat are complete storm, water sewer �ie ca
;h phone cable, angarbage/recycling ,
00
e
9. X Required cross connection protection of the potable water system installed for
premise isolation and all required interior factures.
Missing:
10. CE4 Sp fy the unit numbers, tenant spaces or floors requesting -occupancy.
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11. ❑ For multifamily or mixed use buildings, submit a written statement of how
continued construction and occupant co -existence will be achieved.
12. ❑ Attach a site plan showing the following:
• How Fire Department access will be maintained.
• Location of construction worker parking (on street parking shall be regulated
by Parking Enforcement and will be subject to applicable fines).
• Construction material storage.
How safe tenant access will be maintained to the spacesiareas where
temporary occupancy is being requested.
• How required parking will be kept clear of construction worker parking and
material storage.
• How garbage access will be maintained clear and accessible.
• A work schedule detailing completion of the remainder of the project and
estimated date for request for Certificate of Occupancy for the entire building.
13. The State Electrical Inspector has approved service.
Missing:
14. ❑, Elevator service has been approved by the State Inspector.
Missing:
15. O Snohomish County Health District approval has een granted.
Missing: / A G
16. Plumbing systems are complete.
Missing:
17. C5, Mechanical and HVAC systems are complete.
Missing:
18. 65k, Address numbers posted, occupant load signs posted, accessible siguagge is posted.
Missing: S120 A(o'
19. ❑ For buildings containing more than two units, submit the Building Enclosure
letter required by HB 1848.
20. ci1 Attach a work schedule detailing the remaining work on the project and include a
final completion date.