1314 MAPLE ST 2023-05-19 - Laserfiche WebLink

Intake &Approval Sheet (FOR PERMIT STAFF ONLY) PERMIT# 11,0 02— BUILDING • •LANNING Intake OK by: Date: 1®I6 7;7" Intake OK by: Assign To: Date: Intake Comments: Intake Comments: Zone Overlay/Agreement ❑ Route to Commercial Building Nonresidential Use -Route to Residential Building Residential Use ❑ Make this a"W" Permit Proposed No.of Dwelling Units: Bldg/TI/Addn/Rem Size Total No. of Dwelling Units: Garage/Accessory Struct. Size Planning/Landscape Inspection Required •-fore Final? DYes ❑No Number of Stories "In Lieu" Fee:Type: Amount$ Basement ❑No Dyes, Fin/Unfin School Impact Fee: Total $ Type of Construction i'G Calculated: Credit: Occupancy Group DEverett School Dist ■'/ukilteo School Dist Occupancy Load �d Park Impact Fees for perm' s applied for after 1/1/2022: Fire Sprinklers: DUpdate Existing New System kNot Req'd Park Impact Fee Total$ Reason Sprinklers Required: Fee Schedule Used For C. ulation(Year): Fire Alarm: DUpdate Existing ❑New System &Not Req'd Permit Technicians:A.•ly Credit Per EMC19.53.200 Reason Fire Alarm Required: 0 100%Credit-Is..ued 1/1/2022-9/2/2022 RCW 64.55 MF worksheet req'd for permit? ❑Yes 'mil No 0 50%Credit-Issued 9/3/2022-6/2/2023 Add'I RCW 64.55 docs required prior to final? ❑Yes 'No ❑ 0%Credit Issued 6/3/2023 or later VALUATION CALCULATION: Total$ 3400 Additional Notes: Approved By: Date: V PUBLIC WORKS Additional Notes: t _YviA-11-. � t -7', Intake OK by: Date: S v -ccT" Fr/-0 i35P�l lo, . Intake Comments: PW Worksheet Needed if: OSys Dev Eval ❑Traffic Mit Eval Approved By: R Date: 10/S/27.- ❑Site Work or Drainage Proposed ❑Backflow Prevention for high hazard: (de,al,medical,animals,mortuary,hospital, FIRE DEPARTMENT ,pportivehousing) Separate/Deferred Submittals Required: DRoute this folder for PW Revie,, at end ---PW Review Worksheet ❑Fire Sprinklers ❑Fire Alarm DOther: ❑This project also has a sep. .te concurrent PW Review(Green Folder) Additional Notes: AND DCreate Green Folde ❑Submitted Previously ODeferred ❑ This Permit is Approv-: by Public Works Fire Dept. Fees: ❑ See PW Review Wo sheet and associated attached items ❑ Review of As-Built P ns-NO FIRE FEE ❑ A Separate PW P- mit is Required(Permit#: PW ❑ Minimal or No Fir Scope-NO FIRE FEE AND ❑ Is located n this folder ' ❑ Review/Inspe ion Scope-ADD FIRE FEE ❑ Is in a S:parate Green Folder(join with this folder for permit issuance) Approved By: Date: ❑Will be ssued separately(Separate Green Folder,PW issued ahead of Bldg) ❑ Public Work- has no scope---PW Not Required ELECTRICAL/PLUMBING Additional Notes: Additional Notes: Approved By: Date: Approved By: Date: