3000 ROCKEFELLER AVE COURTHOUSE 2020-03-31

• FOR OFFICE USE ONLY BUILDING Bldg/TI/Addn/Rem Size Garage Size VALUATION Number of Stories Occupancy Group Occupant Load Basement No Yes Fin / Unfin Type of Construction Existing Sprinkler System? Yes No Unk Fire Sprinkler Required Yes No Reason Existing Fire Alarm Yes No Unk Fire Alarm Required Yes No Reason Enclosure Law Applies Yes Deferred Submittal Req'd Yes No Approved by: Date: Comments: PY1/1, p�� - 71�°�� Intake OK by: ` FEES Plan Check Fee Building Permit Surcharge Additional Plan Check Plumbing Fee Mechanical Fee Ping Bldg Review Fee Water Fee Sewer Fee Systems Dev. Fee Tra�c Mitigation Fee Public Works Fee School Mitigation Fee � PERMIT # I V 1 I ll! � V �� PLANNING Zoning Classification Overlay/Agreement Nonresidential Use Residential Use Proposed No. of Dwelling Units: Total No. of Dwelling Units: Landscape or Planning Inspection needed before final? Yes No Planning Inspector: Phone #: Approved by: Date: Historic Approved by: Date: School Mitigation Reqd? Yes No Everett School Dist Mukilteo School Dist # of Net New Units: Calculated School Impact Fee: School Impact Fee Credit: Total School Impact Fee Owed: Comments: ` Intake OK by: PUBLIC WORKS INTAKE: Checked By: Date: Comments: High Hazard Sites (Dental, Medical, Animals, Mortuary, etc-Review for RPBA) ❑ Public Works ! Sys Dev / Traffic Mit. / RPBA - NOT REQUIRED ❑ Route for Public Works Review (bldg folder, PW Worksheet) ❑ Public Works Permit-Concurrent Review (separate green folder) PW REVIEW: PW Reviewer: Date: ❑ PW Permit Approved - PW ❑ See PW Review Worksheet ❑ PW Permit Not Required FIRE DEPARTMENT Update/New Sprinklers Yes No Existing Bldg._ Update/ New Detection Yes No Existing Bldg. _ Update/ New Chemical Yes _ No _ Existing Bldg. _ Update/ New Fire Service Yes No Existing Bldg. _ Approved by: Date: Comments: