3000 ROCKEFELLER AVE ADMIN BLDG WEST 2022-05-13

• FOR OFFICE USE ONLY % PERMIT# M(11Z -633 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 Uni Occupant Load Total No. of Dwelling Unit . Basement No Yes Fin / Unfin Landscape or Planni 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: C--i Date: Existing Fire Alarm Yes No Unk Historic Approved by: AAA- 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 qVred. Comments: Intake OK by: Comments: �\ov e dw-� SCA Intake OK by: Ok to route Hold Make this a "W" Permit? Yes No 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 Traffic Mitigation Fee Public Works Fee School Mitigation Fee PUBLIC WORKS INTAKE: Checked By: Date: Comments: abi 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 late/New Sprinklers Yes No Existing Bldg._ late/ New Detection Yes No Existing Bldg. late/ New Chemical Yes No Existing Bldg. late/ New Fire Service Yes No Existing Bldg. roved by: Date: Comments: