1414 50TH ST SE 2023-07-31 - Laserfiche WebLink

Intake &Approval Sheet (FOR.PERMIT STAFF ONLY) PERMIT# B2 3o Z-'0 11 BUILDING • •LANNING Intake OK by: Date: Intake OK by: Assign To: Date: Intake Comments: Intake Comments: Zone L-i Overlay/Agreement 0 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 em Biwa 2i/O Sf 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 Calculated: Credit: Occupancy Group SAC DEverett School Dist DMukilteo School Dist Occupancy Load Park Impact Fees for permits applied for after 1/1/2022: Fire Sprinklers: DUpdate Existing NNew System ❑Not Req'd Park Impact Fee Total$ (net due after credit for existing uses) Reason Sprinklers Required:Aii‘c2oM 6 taco,9 '►a ' Fee Schedule Used For Calculation(Year): Fire Alarm: ❑Update Existing ❑New System LS1Not 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 PY No ❑ 50%Credit-Issued 9/3/2022-6/2/2023 Addl RCW 64.55 docs required prior to final? ❑Yes 1SNo ❑ 0%Credit-Issued 6/3/2023 or later VALUATION CALCULATION: Total$ 3SUc> Additional Notes: vo � PP Approved By: Date: PUBLIC WORKS Additional Notes: Intake OK by: Date: Intake Comments: PW Worksheet Needed if: J ❑Sys Dev Eval(Utif/SW)❑Traffic Mit Eval Approved By: tP� Date: 2/.rr/Zp1_3' ❑Site Work/Drainage DAddress Letter ❑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 0 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 0 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: Approved By: Date: Completed By: Date: