2300 MERRILL CREEK PKY ZAP ENERGY 2023-09-26

Intake &Approval Sheet (FOR PERMIT STAFF ONLY Ai" PERMIT# 23 0 L - 1 DO BUILDING VIPLANNING Intake OK by: Date: Intake OK by: Assign To: Date: Intake Comments: Intake Comments: Zone Overlay/Agreement ❑ Route to Commercial Building Nonresidential Use ,ner e, ,1 j ❑ Route to Residential Building Residential Use ❑ Make this a"W"Permit Proposed No. of Dwelling Units: Bldg/TI/Add em Siz 24�/ea Total No.of Dwelling Units: Garage/Accessorys ruct. Size i✓/�1 Planning/Landscape Inspection Required before Final? ❑Yes ❑No Number of Stories "In Lieu" Fee: Type: Amount$ Basement ❑No ❑Yes , Fin/Unfin School Impact Fee: Total $ Type of Construction 17 Calculated: Credit: Occupancy Group F-/ ❑Everett School Dist ❑Mukilteo School Dist Occupancy Load Park Impact Fees for permits applied for after 1/1/2022: Fire Sprinklers: PJpdate Existing ❑New System ❑Not 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 worksheet req'd for permit? DYes No 0 50%Credit-Issued 9/3/2022-6/2/2023 Add'I RCW 64.55 docs required prior to final? ❑Yes aiNo 0 0%Credit-Issued 6/3/2023 or later VALUATION CALCULATION: Total$;,a5-S)000,00 Additional Notes: ( y6-1(1a N G 2� Approved By: Date: • PUBLIC WORKS Additional Notes: Intake OK by: Date: Intake Comments: PW Worksheet Needed if: OSys Dev Eval(Util/SW)[]Traffic Mit Eval Approved B • � Date:p ��` �`�t ❑Site Work/Drainage DAddress Letter / ❑Backflow Prevention for high hazard: (dental,medical,animals,mortuary,hospital, FIRE DEPARTMENT supportive housing) Se /Deferred Submittals Required: El Route this folder for PW Review at end ---PW Review Worksheet Se Fire Alarm El Other: ❑This project also has a separate concurrent PW Review(Green Folder) Additional Notes: AND ❑Create Green Folder ❑Submitted Previously ODeferred ❑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 coin with this folder for permit issuance) Approved By:Y,Sj I�j.) Date--,24! 3 ❑Will be issued separately(Separate Green Folder,PW issued ahead of Bldg) Public Works has no scope---PW Not Required ELECTRICAL/PLUMBING dditional Notes: Additional Notes: Approved By: Date: Completed By: 4 Date: 2..12/ I �3