1117 TTEREVE DR 2024-01-05 - Laserfiche WebLink

Intake &Approval Sheet (FOR PERMIT STAFF ONLY) PERMIT# 'd%3 BUILDING * •NNiNG intake OK by: Date: Intake OK by: Assign To: Date: Intake Comments: Intake Comments: Zone Overlay/Agreement 0 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? DYes ❑No Number of Stories "in Lieu"Fee:Type: Amount$ Basement ❑No DYes, Fin!Unfin School Impact Fee: Total $ Type of Construction 160 Calculated: Credit: Occupancy Group 2- Z- ❑Everett School Dist ❑Mukilteo School Dist Occupancy Load Park Impact Fees for permits applied for after 1/7/2022: Fire Sprinklers: DUpdate Existing❑New System ONot'Req'd Park Impact Fee Total$ (net due after credit for existing uses) Reason Sprinklers Required: Fee Schedule Used For Calculation(Year): Fire Alarm: ❑Update Existing ❑New System E1Not Req'd Permit Technician Use Only:Apply Phase-In Credit Per EMCI9.53.200 Reason Fire Alarm Required: ❑ 100%Credit-issued 1/1/2022-9/2/2022 RCW 64.55 MF worksheet req`d for permit? MYes ❑ No ❑ 50%Credit-Issued 9/3/2022-6/2/2023 Add'I RCW 64.55 docs required prior to final? DYes / No ❑ 0%Credit-issued 6/3/2023 or later VALUATION CALCULATION: Total$ /7 7/l,J° Additional Notes: Approved By: Date: PUBLIC WORKS . Additional Notes: Intake OK by: Date: Intake Comments: PW Worksheet Needed if ❑Sys Dev Eval(UtiltsW) ❑Traffic Mit Eval Approved By: Date:Oey-ry3 ❑ El ToLSite Work/Drainage Address Letter !J ❑Backflow Prevention for high hazard: •FIRE DEPARTMENT (dental, nanimals,mortuary,hospital, 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 ❑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 ❑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: ❑Wiil be issued separately(Separate Green Folder,PW Issued ahead of Bldg) ❑Public Works has no scope--PW Not Required ELECTRICAL!RLUIVIBING Additional Notes: Additional Notes: Approved By: Date: Completed By: Date: