10101 7TH AVE SE 2023-09-27 - Laserfiche WebLink

e).30 .t.- - 00( BUILDING • INNING Intake OK by: Date: Intake OK by: Assign To: Date: Intake Comments: Intake Comments: Zone V ?-5 Overlay/Agreement ❑ Route to Commercial Building Nonresidential Use ❑ Route to Residential Building Residential Use M V I * , ❑ Make this a"W"Permit Proposed No.of Dwelling Units; Bidglll/Addn/Rem Size 2 c, -4-4-2 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 MNo ❑Yes, Fin/Unfin School impact Fee: Total $ "-- Type of Construction V Calculated: Credit: Occupancy Group g-� ❑Everett School Dist ❑Mukilteo School Dist Occupancy Load Park Impact Fees for permits applied for after 11112022: Fire Sprinklers:. Update Existing ONew System ❑Not Req'd Park Impact Fee Total$ / (net due after credit for existing uses) Reason Sprinklers Required: Fee Schedule Used Far Calculation(Year): Fire Alarm: XIUpdate Existing ❑New System ❑Not Req'd Permit Technician Use Only:Apply Phase-in Credit Per EMC.19.53.200 Reason Fire Alarm Required: 0 El 100%Credit-Issued 1/1/2022-9/2/2022 RCW 64.55 MF worksheet req`d for permit? ZIYes No ❑ 50%Credit•-Issued 9/3/2022-6/2/2023 Add'1 RCW 64.55 does required prior to final? ❑Yes ONo ❑ 0%Credit-Issued 6/3/2023 or later VALUATION CALCULATION: Total$ 2,5 r2 Additional Notes: lidgop4kte,t 577/2:2, Approved By: Date: t PUBLIC WORka • Additional Notes: 6-c_:ec. tZ�-P'A1- Intake OK by: Date: Intake Comments: PW Worksheet Needed if- QSys Dev Eval(Utii/SW)DTraffic Ma Eval Approved By: C7 Date: q,,/,,, Mite Work/Drainage DAddress Letter ��'" 013ackflow 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 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 0- Is in a Separate Green Folder(loin with this folder for permit issuance) Approved By: Date: El Will be issued separately(Separate Green Folder,PW issued ahead of Bldg) El Public Works has no scope--PW Not Required EL_ECTRICAL.I)'LUMBJ G . Additional Notes: Additional Notes: Approved By: Date: Completed By: - Date: