3000 ROCKEFELLER AVE ADMIN BLDG WEST 2022-05-13

• FOR OFFICE USE ONLY PERMIT # 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 needed before final? Yes _ No Type of Construction 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 I Everett School Dist Mukilteo School Dist RCW 64.55 MF worksheet req'd for permit? Yes No # of Net New Units: Add'I 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: Intake OK by: Com is \ 6�) Untake OK by: Ok to route _ Hold _ Make this a "W" Permit? Yes No PUBLIC WORKS FEES INTAKE: Checked By: Date: Comments: in r ` 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) Plan Check Fee Building Permit Surcharge Additional Plan Check Plumbing Fee Mechanical Fee Ping Bldg Review Fee PW REVIEW: PW Reviewer: Date: ❑ PW Permit Approved - PW ❑ See PW Review Worksheet ❑ PW Permit Not Required Water Fee Sewer Fee Systems Dev. Fee 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 Service Yes No Existing Bldg. _ Approved by: Date: Comments: p-"p �Q Yw� n.v�vW Y `mow ti