3130 BROADWAY 2021-12-20 - Laserfiche WebLink

410 FOR OFFICE USE ONLY • PERMIT# tW 1] \ \-064 BUILDING PLANNING Bldg/TI/Addn/Rem Size Zoning Classification gr{0 Garage Size Overlay/Agreement VALUATION Nonresidential Use Number of Stories Residential Use I'AJ r}+ - +<I) 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: K JI Date: I1 - 16-11 Existing Fire Alarm Yes_ No_Unk Historic Approved by: Date: �/ Fire Alarm Required Yes No_ School Mitigation Reqd? Yes No /1 Reason 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: 0 I (pill School Impact Fee Credit: Structural Approved By/Date: �t 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 ❑ Route for Public Works Review(bldg folder, PW Worksheet) Mechanical Fee ❑ Public Works Permit-Concurrent Review(separate green f Ider) Ping Bldg Review Fee PW REVIEW: PW Reviewer: 7." Date: _ 47 Water Fee ❑ PW Permit Approved- PW Sewer Fee 0 See PW Review Worksheet Systems Dev. Fee LEI 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 Service Yes No Existing Bldg. Approved by: Date: Comments: l/Z,.