2815 BAKER AVE 2023-12-06 - Laserfiche WebLink

Intake &Approval Sheet •(FOR PERMIT STAFF ONLY) di PERMIT# 27_, I Z_d Z 0 BUILDING ' 11LANNING Intake OK by: Date: Intake OK by: Assign To: Date: Date: Intake Comments: Intake Comments: AO ,f cA md Zone 1-40 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/Addn/Rem Size Total No. of Dwelling Units: Garage/Accessory Struct. Size Planning/Landscape Inspection Required before Final? ❑Yes Ilo Number of Stories 3 "In Lieu"Fee:Type: Amount$ Basement ❑No ®Yes , Fin/Unfin School Impact Fee: Total $ Type of Construction 0 Calculated: C dit: P....j___P_c— Occupancy Group 5 /,j=/`Y(r/3 ❑Everett School Dist ❑Mu ' eo School Dist Occupancy Load Park Impact Fees for permits applied for r 1/1/2022: Fire Sprinklers: ❑Update Existing ❑New System Plot Req'd Park Impact Fee Total$ (n due after credit for existing uses) Reason Sprinklers Required: Fee Schedule Used For Calculation(Ye Fire Alarm: ❑Update Existing ❑New System jjlot Req'd Permit Technician Use Only:App Phase-In Credit Per EMC19.53.200 Reason Fire Alarm Required: 0 100%Credit-Issued 1/1/ 22-9/2/20220 I k RCW 64.55 MF worksheet req'd for permit? ❑Yes in No 0 50%Credit-Issued 9/ /2022-6/2/2023 Add'I RCW 64.55 does required prior to final? ❑Yes IINo 0 0%Credit-Issued /3/2023 or later VALUATION CALCULATION: Total$5 / 33y. oo Additional Notes: Approved By: L,1 Date: ' �� ,-2,3 UBLIC WORKS Additional Notes: Intake OK by: Date: Intake Comments: PW Worksheet Needed if: ❑Sys Dev Eval(Util/SW) ❑Traffic Mit Eval Approved By: Date:p�d// �� ❑Site Work/Drainage ❑Address Letter / ❑Backflow Prevention for high hazard: (dental,medical,animals,mortuary,hospital, FIRE DEPARTMENT supportive housing) Separate/Deferred Submittals Required: El Route this folder for PW Review at end ---PW Review Worksheet El Fire Sprinklers El 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: 0 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 0 Is located in this folder g Review/Inspection Scope-ADD FIRE FEE 0 Is in a Separate Green Folder(join with this folder for permit issuance) Approved By:K e��>11 Date: 3....6) .3 0 Will be issued separately(Separate Green Folder,PW issued ahead of Bldg) ef-Rublic Works has no scope---PW Not Required ELECTRICAL/PLUMBING Additional Notes: Additional Notes: -- - Approved By: Date: Completed By. a,„),.'-- , Date: 3/0 4+2423