1415 75TH ST SW HELION ENERGY 2023-12-11

Intake &Approval Sheet • (FOR PERMIT STAFF ONLY) PERMIT#M 2305—O 12 BUILDING PLANNING Intake OK by: Date: Intake OK by: Assign To: Jess Date: 5/2'.4/23 Intake Comments: Intake Commdi :� Zone LI 2 Overlay/Agreement ACM AIA(A,FIM:ZOZto7ogo69 2 ❑ Route to Commercial Building Nonresidential Use Warehouse.+ marry (2rurtr.9 ❑ Route to Residential Building Residential Use WhA ❑ Make this a"W"Permit Proposed No.of Dwelling Units: 11/A Bldg/TI/Addn/Rem Size Total No.of Dwelling Units: N/A Garage/Accessory Struct.Size Planning/Landscape inspection Required before Final? ❑Yes EINo Number of Stories "In Lieu"Fee:Type: Amount$ Basement ❑No ❑Yes, Fin/Unfin School Impact Fee: Total $ Type of Construction Calculated: Credit: Occupancy Group ❑Everett School Dist ❑Mukilteo School Dist Occupancy Load Park Impact Fees for permits applied for after 1/1/2022: Fire Sprinklers: El Update Existing El New System El Not Req'd Park Impact Fee Total$ Reason Sprinklers Required: Fee Schedule Used For Calculation(Year): Fire Alarm: ❑Update Existing El New System El Not Req'd Permit Technicians:Apply Credit Per EMC19.53.200 Reason Fire Alarm Required: ❑ 100%Credit-Issued 1/1/2022-9/2/2022 RCW 64.55 MF worksheet req'd for permit? ❑Yes ❑ No 0 50%Credit-Issued 9/3/2022-6/2/2023 Add'I RCW 64.55 docs required prior to final? ❑Yes ❑No ❑ 0%Credit-Issued 6/3/2023 or later VALUATION CALCULATION: Total $ /-3;66'6 6b Additional Notes: Approved By: Date:5/2gAB PUBLIC WORKS Additional Notes: Intake OK by: Date: Intake Comments: jPW Worksheet Needed if: I❑Sys Dev Eval ❑Traffic Mit Eval "Mite Work or Drainage Proposed Approved B `\�� '/G=. Date:Q,S/�yzdZ3 I ❑Backflow 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 El 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 ❑ 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(join with this folder for permit issuance) Approved By: Date: ❑ Will be issued separately(Separate Green Folder,PW issued ahead of Bldg) ❑ Public Works has no scope---PW Not Required ELECTRICAL/PLUMBING Additional Notes: Additional Notes: Approved By: Date: Approved By: Date: