7310 2ND DR SE 2023-07-28 - Laserfiche WebLink

Intake & Approval Sheet 0(FOR PERMIT STAFF ONLY) 0 PERMIT# 62 IL Z 0(e I BUILDING PLANNING Intake OK by: Date: Intake OK by: Assign To: Date: Intake Comments: Intake Comments: actf Z0i® _ow Zone Overlay/Agreement ❑ Route to Commercial Building Nonresidential Use ❑ Route to Residential Building Residential Use R�I- ❑ Make this a"W" Permit Proposed No. of Dwelling Units: BldglTl/Addn/Rem Size Total No.of Dwelling Units: Garage/Accessory Struct.Size Planning/Landscape Inspection Required before Final? ❑Yes ❑No Number of Stories ` -- "In Lieu"Fee: Type: Amount$ Basement .INo ❑Yes , Fin/Unfin School Impact Fee: Total $ Type of Construction e- Calculated: Credit: Occupancy Group XR-C ❑Everett School Dist ❑Mukilteo School Dist Occupancy Load 1(1-/— Park Impact Fees for permits applied for after 1/1/2022: Fire Sprinklers: El Update Existing ❑New System t='Not Req'd Park Impact Fee Total$ lJ (net due after credit for existing uses) Reason Sprinklers Required: Fee Schedule Used For Calculation(Year): Permit Technician Use Only:Apply Phase-In Credit Per EMC99.53.200 Fire Alarm: El Update Existing DNew System -Not Req'd Reason Fire Alarm Required: 0 100%Credit-Issued 1/1/2022-9/2/2022 RCW 64.55 MF worksheet req'd for permit? ❑Yes allo 0 50%Credit-Issued 9/3/2022-6/2/2023 Add'I RCW 64.55 docs required prior to final? ❑Yes 2No 0 0%Credit-Issued 6/3/2023 or later VALUATION CALCULATION: Total$ 1500 Additional Note : (2.- 127(0� II tf I�3 BY Date: pp PUBLIC WORKS Additional Notes:m ) k t.0 e©,0_i 0 LT1b,N,, Intake OK by: Date: Intake Comments: PW Worksheet Needed if: (4.- ,SIJsilec'ioJJ OdJ LY ❑Sys Dev Eval(Util/SW)❑Traffic Mit Eval Approved By: g i-4 Date: yl 2.11702.3 OSite Work/Drainage DAddress Letter ❑Backflow Prevention for high hazard: (dental,medical,animals,mortuary,hospital, FIRE DEPARTMENT supportive housing) Separate 1 Deferred Submittals Required: ❑Route this folder for PW Review at end ---PW Review Worksheet ❑Fire Sprinklers OFire Alarm ❑Other: ❑This project also has a separate concurrent PW Review(Green Folder) Additional Notes: AND ❑Create Green Folder ❑Submitted Previously ❑Deferred ❑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 ADD FIRE FEE LI Is in a Separate Green Folder(join with this folder for permit issuance) 0 Review/Inspection Scope Approved By: Date: ❑Will be issued separately(Separate Green Folder,PW issued ahead of Bldg) II 'ublic Works has no scope---PW Not Required ELECTRICAL/PLUMBING Additional Notes: e Additional Notes: No ad dm Approved By: Date: Completed By: Date: 7j