3103 44TH ST SE 2023-09-20 - Laserfiche WebLink

Intake &Approval Sheet (FOR PERMIT STAFF ONLY) PERMIT# &?3O3 -037 BUILDING • •ANNiNG Intake OK by: Date: 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/Addy em Size AfegoX y SOsp 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 No ❑Yes, Fin/Unfin School Impact Fee: Total $ Type of Construction 'S — Calculated: Credit: Occupancy Group ❑Everett School Dist ❑Mukilteo School Dist Occupancy Load IL Park Impact Fees for permits applied for after 1/1/2022: Fire Sprinklers: ❑Update Existing ❑New System Clot.Req`d Park Impact Fee Total$ (net due after credit for existing uses) Reason Sprinklers Required: Fee Schedule Used For Calculation(Year): Fire Alarm: ❑Update Existing ❑New System ` Not 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 vgorksheet req'd for permit? DYes 111 No ❑ 50%Credit-Issued 9/3/2022-6/2/2023 Add?RCW 64.55 docs required prior to final? ❑Yes Et No 0 0%Credit-issued 6/3/2023 or later VALUATION CALCULATION: Total$ 2-0cO Additional Notes: Approved By: Date: PUBLIC WORKS Additional Notes: .14.yr.{_fd(L 2r/+wt L Intake OK by: Date: (:),0LY Intake Comments: PW Worksheet Needed if 1\jS iT�L ❑Sys Dev Eval(Util/sw) ❑Traffic Mit Eval Approved By: . Qvi Date: 3JI%/z.ot� O LL OSite Work/Drainage DAddress Letter W A*" fro pox ❑Backflow Prevention for high hazard: (dental,medical,animals,mortuary,hospital, FIRE DEPARTMENT supportive housing) Separate!Deferred Submittals Required: ❑Route this folder for PW Review at end --PW Review Worksheet ❑Fire Sprinklers ❑Fire 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 ❑ Review/Inspection Scope-ADD FIRE FEE ❑ Is in a Separate Green Folder(loin 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/I?LUMBING Additional Notes: Additional Notes: Approved By: Date: Completed By: Date: 'j r7iyt j�?�