515 72ND ST SE 2023 2026-01-06 - Laserfiche WebLink

Intake &Approval Sheet (FOR PERMIT STAFF ONLY) PERMIT# � � , 007 BUILDING PLANNING Intake OK by: Date: Intake OK by: Assign To:JE SS Date: Za Intake Comments: Intake Comme ts: Zone Overlay/Agreement N/A ❑ Route to Commercial Building Nonresidential Use N/A ❑ Route to Residential Building Residential Use A F H ❑ Make this a"W"Permit Proposed No.of Dwelling Units: N/A Bldg/TI/Addn/Rem Size Total No. of Dwelling Units: N/A Garage/Accessory Struct.Size Planning/Landscape Inspection Required before Final? ❑Yes ]@No Number of Stories "In Lieu"Fee:Type: Amount$_0 Basement ❑No ❑Yes, Fin/Unfin School Impact Fee: Total $ Type of Construction Y Calculated: Credit: Occupancy Group ❑Everett School Dist ❑Mukilteo School Dist Occupancy Load t Park Impact Fees for permits applied for after 1/1/2022: Fire Sprinklers: ❑Update Existing ❑New System Not Req'd Park Impact Fee Total$ '0 Reason Sprinklers Required: Fee Schedule Used For Calculation(Year): Fire Alarm: ❑Update Existing ❑New SystemEl Not Req'd Permit Technicians:Apply Credit Per EMC19.53.200 Reason Fire Alarm Required: ❑ 100%Credit-Issued 1/l/2022-9/2/2022 RCW 64.55 MF worksheet req'd for permit? ❑Yes IJ No ❑ 50%Credit-Issued 9/3/2022-6/2/2023 Add1 RCW 64.55 dots required prior to final? ❑Yes L'I No ❑ 0%Credit-Issued 613/202[3�or later VALUATION CALCULATION: Total $11QDO Additional Notes:jui5ide oT 52�rb0��1f.5 Approved By: Date: 7�Z0irLS PUBLIC WORKS Additional Notes: Intake OK by: Date: k(,o�� j Q Intake Comments: I PIN Worksheet Needed if. L J OSys Dev Eval ❑Traffic Mit Eva[ Approved By: �, / � Date: r T07 I❑Site Work or Drainage Proposed i❑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 El 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(join with this folderfor 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: Approved By: r` Date: d ,o