6217 W BEECH ST 2023-06-29 - Laserfiche WebLink

Intake &Approval Sheet 40 (FOR PERMIT STAFF ONLY) PERMIT# 22-tD"C�`t BUILDING 4IPLANNING Intake OK by: c..0 Date: 184S11-2-- Intake OK by: Assign To: Date: Intake Comments: Intake Comments: Zone Overlay/Agreement ❑ Route to Commercial Building Nonresidential Use DI Route to Residential Building Residential Use ❑ Make this a"W" Permit Proposed No. of Dwelling Units: Bldgril/Addn,Cem Siz .?-2 SF Total No.of Dwelling Units: Garage/Accessory Struct. Size Planning/Landscape Inspection R-quired before Final? ❑Yes ❑No Number of Stories "In Lieu" Fee:Type: Amount$ Basement clo ❑Yes , Fin/Unfin School Impact Fee: Total $ Type of Construction S- �n�— Calculated: Credit: Occupancy Group �` ❑Everett School Dist ❑Mukilteo School Dist Occupancy Load Park Impact Fees for p'rmits applied for after 1/1/2022: Fire Sprinklers: ❑Update Existing Mew System Dvot Req'd Park Impact Fee Total$ Reason Sprinklers Required: Fee Schedule Used For Calculation(Year): Fire Alarm: El Update Existing ONew System a'Jot Req'd Permit Technicians:Apply 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 1lo 0 50%Cred' -Issued 9/3/2022-6/2/2023 Add'I RCW 64.55 docs required prior to final? ❑Yes o 0 0%Cr-•it-Issued 6/3/2023 or later VALUATION CALCULATION: Total$ Additional Nltes: S OHO Approved By: Date: /�,� PUBLIC WORKS I Additional Notes: Intake OK by: l 1% Date: .0 6 04 120 4F sz 0) Ltt icoR Intake Comments: PW Worksheet Needed if: D d-Y(AMU, 6.0 Ly * ❑Sys Dev Eval ❑Traffic Mit Eval Approved By: 2.N Date: i 01517-2— AA4'66,W DSite Work or Drainage Proposed ❑Backflow Prevention for high hazard: (dental,medical,animals,mortuary,hospital, FIRE DEPARTMENT supportive housing) Separate I Deferred Submittals Required: ❑Route this folder for PW Review at end ---PW Review Worksheet El Fire Sprinklers ❑Fire Alarm ❑Other: ❑This project also has a separate concurrent PW Review(Green Folder) Additional Notes: AND ❑Create Green Folder OSubmitted Previously ODeferred ❑ This Permit is Approved by Public Works Fire Dept. Fees: ❑ 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: IA ❑ Will be issued separately(Separate Green Folder,PW issued ahead of Bldg) IA Public Works has no scope---PW Not Required ELECTRICAL/PLUMBING Additional Notes: ,,(( I ,, Additional Notes: - �{'` l)0 to Y 12Zv Approved By: Date: Approved B}I: Date: