2901 16TH ST 2023-12-08 - Laserfiche WebLink

Intake &Approval Sheet 46FOR PERMIT STAFF ONLY) iio PERMIT# 8(9305--037 BUILDING PLANNING Intake OK by: _ Date: Intake OK by: Assign To: `«M Date: lortJoI2v23 Intake Comments: Intake Comments: Zone R-2. Overlay/Agreement ❑ Route to Commercial Building Nonresidential Use V eS _ ❑ Route to Residential Building Residential Use ❑ Make this a"W" Permit Proposed No.of Dwelling Units: d Bldg /Add /Rem Size ? 20 / y Total No.of Dwelling Units: p Garage/Accessory Struct.Size ,(,/, 1 Planning/Landscape Inspection Required before Final? ❑Yes 21.No Number of Stories / "In Lieu"Fee:Type: Amount$ Basement ElNo ❑Yes, Fin/Unfin School Impact Fee: Total $ 0 Type of Construction J7J --ff Calculated: Credit: Occupancy Group ,a-2 A-3� 5-) ❑Everett School Dist ❑Mukilteo School Dist Occupancy Load Park Impact Fees for permits applied for after 1/1/2022: Fire Sprinklers: ❑Update Existing ONew System ElNot Req'd Park Impact Fee Total$ Reason Sprinklers Required: Fee Schedule Used For Calculation(Year): Fire,Alarm: El Update Existing ONew System,RNot Req'd Permit Technicians:Apply Credit Per EMC19.53.200 Reason Fire Alarm Required: rtr CI100%Credit-Issued 1/1/2022-9/2/2022 RCW 64.55 MF worksheet req'd for permit? ❑Yes Iallo ❑ 50%Credit-Issued 9/3/2022-6/2/2023 Add'I RCW 64.55 docs required prior to final? ❑Yes , No 0 0%Credit-Issued 6/3/2023 or later VALUATION CALCULATION: Total$/j 0°C? 047 Additional Notes: Approved By: yaddiff / Date: (o/Zb`ZOt3 PUBLIC WORKS Additional Notes: Intake OK by: Date: Intake Comments: 1PW Worksheet Needed if: I OSys Dev Eval OTraffic Mit Eval Approved‘:: ..)5, ,,Z- Date O(s` 14 OSite Work or Drainage Proposed OBackflow Prevention for high hazard: I(dental,medical,animals,mortuary,hospital, FIRE DEPARTMENT iuppportive 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 OCreate 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 ) CI 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 folder for permit issuance) Approved By:\‘ ' y`)f\ Date: „J; :0-23 0 Will be issued separately(Separate Green Folder,PW issued ahead of Bldg) Public Works has no scope---PW Not Required ELECTRICAL/PLUMBING Additional Notes: c....t. .it, . eS ,Ai...-r(A,6.1C.. Additional Notes: Approved By: Date: Approved By; — Date: 63'!2.b(-L%23