3000 ROCKEFELLER AVE CLERKS OFFICE 2020-03-31

FOR OFFICE USE ONLY PERMIT# gt 50 3 --Ogit BUILDING PLANNING Bldg/TI/Addn/Rem Size Zoning Classification Garage Size Overlay/Agreement VALUATION Nonresidential Use Number of Stories Residential Use Occupancy Group Proposed No.of Dwelling Units: Occupant Load Total No. of Dwelling Units: Basement No_ Yes_ Fin / Unfin Landscape or Planning Inspection Type of Construction needed before final? Yes_ No Existing Sprinkler System? Yes No_Unk_ Planning Inspector: Fire Sprinkler Required Yes_ No_ Phone#: Reason Approved by: Date: Existing Fire Alarm Yes No_Unk_ Historic Approved by: Date: Fire Alarm Required Yes_ No_ School Mitigation Reqd? Yes_ No Reason Everett School Dist Mukilteo School Dist RCW 64.55 MF worksheet req'd for permit? Yes_ No_ #of Net New Units: Add!RCW 64.55 docs required prior to final?Yes_ No Calculated School Impact Fee: Architectural Approved By/Date: School Impact Fee Credit: Structural Approved By/Date: Total School Impact Fee Owed: Comments: Comments: Intake OK by: Intake OK by: Ok to route _ Hold _ Make this a"W"Permit? Yes No PUBLIC WORKS, FEES, _ INTAKE: Checked By: Date: Plan Check Fee Comments: Building Permit Surcharge High Hazard Sites(Dental/Medical,Animals,Mortuary,etc-Review for RPBA) Additional Plan Check ❑ Public Works/Sys Dev/Traffic Mit./RPBA-NOT REQUIRED Plumbing Fee 0 Route for Public Works Review(bldg folder, PW Worksheet) Mechanical Fee 0 Public Works Permit-Concurrent Review(separate green folder) Ping Bldg Review Fee PW REVIEW: PW Reviewer: Date: Water Fee 0 PW Permit Approved-PW Sewer Fee 0 See PW Review Worksheet Systems Dev. Fee ❑ PW Permit Not Required Traffic Mitigation Fee Public Works Fee ; FIRE;DEPARTMENT , School Mitigation Fee Update/New Sprinklers Yes_ No_ Existing Bldg._ Update/New Detection Yes_ No_ Existing Bldg. Update/New Chemical Yes_ No_ Existing Bldg. Update/New Fire Servilc� Yes_ No_ Existing Idg. Approved by: V Date: 7� itg ( Comments: