6220 EAST DR 2023-12-07 - Laserfiche WebLink

Intake &Approval Sheet (FOR PERMIT STAFF ONLY) PERMIT# .-- 7i�0 Z-'6?O •BUILDING •ANNING Intake OK by: Date: Intake OK by: .b Assign To: Date: I? 14,404 k'2 Intake Comments: Intake Comments: Zone {t2 Overlay/Agreement 0 Route to Commercial Building Nonresidential Use ❑ Route to Residential Building Residential Use A t'H ❑ Make this a"W" Permit - Proposed No. of Dwelling Units: I Bldg/TI/Ad em Si 7 1LIOO 9- Total No.of Dwelling Units: I Garage/ cessory Struct e 1.(>0Sc- (O WO Planning/Landscape Inspection Required before Final? ❑Yes 1:71No Number o btorles ( "In Lieu"Fee:Type: 0 IA Amount$ Basement 2-No ❑Yes , Fin/Unfin . School Impact Fee: Total $ .414 Type of Construction 3- -- Calculated: Credit: Occupancy Group 1-`- ❑Everett School Dist ❑Mukilteo School Dist Occupancy Load Park Impact Fees for permits applied for after 1/1/2022: Fire Sprinklers: ❑Update Existing ❑New System 'CtNot Req'd Park Impact Fee Total$ ''I M Reason Sprinklers Required: Fee Schedule Used For Calculation(Year): Fire Alarm: ❑Update Existing ❑New System IgNot Req'd Permit Technicians:Apply 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 El p No 0 50%Credit-Issued 9/3/2022-6/2/2023 Add'I RCW 64.55 docs required prior to final? ❑Yes 2No 0 0%Credit-Issued 6/3/2023 or later VALUATION CALCULATION: Total$ 14O164)C) Additional Notes: co,...v cr4.45 SPZ }-o kF 14 Approved By:Cird ,ul,C,,ts Date: IZ mw,rel.ld& PUBLIC WORKS Additional Notes: Intake OK by: Date: '1'1 Intake Comments: ! iPWWorksheet Needed if: A- € 1 i Pu rO/C.- }OSys Dev Eval ❑Traffic Mit Eval Approved By: ViZ. Date: jy'7n2.3 wer`G per/W//s ❑Site Work or Drainage Proposed irs° N,YLd . T,,�"v ❑ ackflow Prevention for high hazard: � �1ra.cr , ! (dental,medical,animals,mortuary,hospital, FIRE DEPARTMENT f supportive housing) f s fYAt4r ❑ Separate I Deferred Submittals Required: Route folder older for f,VV 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(join with this folder for permit issuance) Approved By: Date: ❑Will be issued separately(Separate Green Folder,PW issued ahead of Bldg) IJPublic Works has no scope---PW Not Required ELECTRICAL/PLUMBING Additional Notes: Additional Notes: Approved By: Date: AlaltrcoxId By:e14 r Date: Ii 7/2.0 0.3