9823 1ST PL W 2023-04-26 - Laserfiche WebLink

Intake &Approval Sheet (FOR PERMIT STAFF ONLY) PERMIT# VIA 0 ' t BUILDING PLANNING Intake OK by: AM Date: 1 I26 froa.3 Intake OK by: Assign To: Date: _ Intake Comments: Intake Comments: Zone -Lt Overlay/Agreement ❑ Route to Commercial Building Nonresidential Use -Route to Residential Building Residential Use ❑ Make this a"W" Permit Proposed No. of Dwelling Units: Bldgal/Addn/I Total No. of Dwelling Units: Garage/Accessory Struct. Size Planning/Landscape Inspection Required before Final? ❑Yes ❑No Number of Stories 2 "In Lieu"Fee:Type: Amount$ Basement ErNo ❑Yes , Fin/Unfin School Impact Fee: Total $ Type of Construction (ZC Calculated: Credit: Occupancy Group ❑Everett School Dist ❑Mukilteo School Dist Occupancy Load Park Impact Fees for permits applied for after 1/1/2022: Fire Sprinklers: El Update Existing ❑New System L'�Not Req'd Park Impact Fee Total$ (net due after credit for existing uses) Reason Sprinklers Required: Fee Schedule Used For Calculation(Year): Fire Alarm: El Update Existing El New System SNot Req'd Permit Technician Use Only:Apply Phase-In Credit Per EMC19.53.200 Reason Fire Alarm Required: 0 100%Credit-Issued 1/1/2022-9/2/2022 RCW 64.55 MF worksheet req'd for permit? ❑Yes r No 0 50%Credit-Issued 9/3/2022-6/2/2023 Add'I RCW 64.55 docs required prior to final? ❑Yes to 0 0%Credit-Issued 6/3/2023 or later VALUATION CALCULATION: Total $ 3,®OC, Additional Notes -dr 0Y t - I fz 122 Approved By: Date: PUBLIC WORKS Additional Notes: )3O c d'OSTX-04-7201Q Intake OK by: Date: 11 �3 22-2-• Ppa 0 v E J )-- AjS'�`t}k, Intake Commen s: PW Worksheet Needed if: 24i DSys Dev Eval(Util/SW) ❑Traffic Mit Eval Approved By: 2.14. Date: I JZ617. 3 ❑Site Work/Drainage DAddress Letter ❑Backflow Prevention for high hazard: (dental,medical,animals,mortuary,hospital, FIRE DEPARTMENT supportive housing) Separate/Deferred Submittals Required: El Route this folder for PW Review at end ---PW Review Worksheet ❑Fire Sprinklers ❑Fire Alarm El Other: ❑This project also has a separate concurrent PW Review(Green Folder) Additional Notes: AND ❑Create Green Folder ❑Submitted Previously ❑Deferred 0 This Permit is Approved by Public Works Fire Dept. Fees: 0 See PW Review Worksheet and associated attached items ❑ Review of As-Built Plans- NO FIRE FEE ❑ A Separate PW Permit is Required(Permit#: PW ❑ Minimal or No Fire Scope-NO FIRE FEE AND ❑ Is located in this folder ❑ Review/Inspection Scope-ADD FIRE FEE ❑ Is in a Separate Green Folder(join with this folder for permit issuance) Approved By: Date: ❑ Will be issued separately(Separate Green Folder,PW issued ahead of Bldg) *Public Works has no scope---PW Not Required ELECTRICAL/PLUMBING Additional Notes: Additional Notes: )0AAA/14/0. - 14.-,. f( I2-,I2o2li Approved By: Date: Completed : Date: 7,