627 103RD PL SE 2023-12-11 - Laserfiche WebLink

Intake &Approval Sheet FOR PERMIT STAFF ONLY) 40 PERMIT# rJ2 305- BUILDING PLANNING Intake OK by: Date: Intake OK by: Assign To: J ZSS Date: 5/24/23 Intake Comments: Intake Comments: Zone R-j Overlay/Agreement N IA ❑ Route to Commercial Building Nonresidential Use N/A ❑ Route to Residential Building Residential Use 5FR ❑ Make this a"W"Permit Proposed No.of Dwelling Units: N/A Bldg/TI/Addn/Rem Size ')�� k2 Total No.of Dwelling Units: Garage/Accessory Struct.Size Planning/Landscape Inspection Required before Final? ❑Yes ❑No Number of Stories "In Lieu"Fee:Type: Amount$ 0 Basement ❑No ❑Yes , Fin/Unfin School Impact Fee: Total $ f� Type of Construction tier- Calculated: Credit: Occupancy Group lkte- ❑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 ®Not Req'd Park Impact Fee Total$ 0 Reason Sprinklers Required: Fee Schedule Used For Calculation(Year): Fire Alarm: El Update Existing El New System Not Req'd Permit Technicians:Apply Credit Per EMC19.53.200 Reason Fire Alarm Required: 1�,1 0 100%Credit-Issued 1/1/2022-9/2/2022 RCW 64.55 MF worksheet req'd for permit? ❑ t4J Yes No ❑ 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$ 35,czxt2 Additional Notes: Approved ByG76..Cd!�c%c ,.'r Date:5/2,4/23 PUBLIC WORKS Additional Notes: k'a'`r -kz=> Itrorn_e_ Intake OK by: Date: Intake Comments: IPW Worksheet Needed if: ❑Sys Dev Eval ©Traffic Mit Eval Approved By: j Date: (Q/2_f r2c,2.s €DSite Work or Drainage Proposed I iDBackllow Prevention for high hazard: =(dental,medical,animals,mortuary,hospital, FIRE DEPARTMENT ;supportive housing) Separate I Deferred Submittals Required: DRoute 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: ❑ Will be issued separately(Separate Green Folder,PW issued ahead of Bldg) F-Public Works has no scope---PW Not Required ELECTRICAL/PLUMBING Additional Notes: Additional Notes: Approved By: Date: Approved y. �'"Z✓D Date: 5/2.4-(1.v23