1712 W MARINE VIEW DR 2023-12-07

Intake &Approval Sheet (FOR PERMIT STAFF ONLY) PERMIT# $ 3 (' D2 BUILDING • OLANNING Intake OK by: Date: Intake OK by: Assign To: Date: Intake Comments: Intake Comments: Zone nriO Overlay/Agreement _ ❑ Route to Commercial Building Nonresidential User ),iy( ❑ Route to Residential Building Residential Use ❑ Make this a"W"Permit Proposed No. of Dwelling Units: Bldg/TI/Addn/Rem Size 2/0-2 AF Total No. of Dwelling Units: Garage/Accessory Struct.Size ,t 74 Planning/Landscape Inspection Required before Final? ❑Yes ❑No Number of Stories / "In Lieu"Fee:Type: Amount$ Basement AC.INo ❑Yes , Fin/Unfin School Impact Fee: Total $ Type of Construction I/Ij Calculated: Credit: Occupancy Group A- Z. ❑Everett School Dist ❑Mukilteo School Dist Occupancy Load fc3 Park Impact Fees for permits applied for after 1/1/2022: Fire Sprinklers: ❑Update Existing ❑New System Iot.Req'd Park Impact Fee Total$ ci (net due after credit for existing uses) Reason Sprinklers Required: Fee Schedule Used For Calculation(Year): Fire Alarm: ❑Update Existing Chew System Mot Req'd Permit Technician Use Only:Apply Phase-In 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 1.72 No 0 50%Credit-Issued 0/3/2022-6/2/2023 Add'I RCW 64.55 docs required prior to final? ❑Yes to ❑ 0%Credit-Issued 6/3/2023 or later VALUATION CALCULATION: Total$ Loa ��,D0 Additional Notes: 17 (�..VS1�. ( 3/IL! IZ?j P-ntiaidAteAlL i•--7i-z Approved By: Date: PUBLIC WORKS Additional Notes: Intake OK by: GIP Date:01.. (2--bJ .02 Intake Comments: PW Worksheet Needed if: ❑Sys Dev Eval(Util/SW)❑Traffic Mit Eval Approved By Date:O��$��+�3 ❑Site Work/Drainage L7Address Letter ❑Backfiow Prevention for high hazard: (dental,medical,animals,mortuary,hospital, FIRE DEPARTMENT supportive housing) Separate I Deferred Submittals Required: ❑Route this folder for PW Review at end --PW Review Worksheet .'ire Sprinklers Fire Alarm ❑Other: ❑This project also has a separate concurrent PW Review(Green Folder) Additional Notes: C..U..- ed5h% 2.A,-reivos AND ❑Create Green Folder ❑Submitted Previously ❑Deferred 14 w -nS/Li S+r' ❑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 ) ❑ Minimal or No Fire Scope-NO FIRE FEE AND ❑ Is located in this folder eview/Inspection Scope ADD FIRE FEE 0 Is in a Separate Green Folder(loin with this folder for permit issuance) Approved By:gao(i.t, Date: /5:3 ❑Will be issued separately(Separate Green Folder,PW issued ahead of Bldg) /y�.23 Vi Public Works has no scope---PW Not Required ELECTRICAL/PLUMBING Additional Notes: Additional Notes: AltAliktit tAIa""„l/ 0112312423 Approved By: Date: Completed y: Date: 141 ,i