3003 W CASINO RD BLDG 45-253 2024-02-09

Intake &Approval Sheet (FOR PERMIT STAFF ONLY) PERMIT# lk 9—6 '"005- BUILDING • • PLANNING d230.5--,Avaz 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/TllAddn/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 Calculated: Credit: Occupancy Group DEverett School Dist ❑Mukilteo School Dist Occupancy Load Park Impact Fees for permits applied for after 1/112022: Fire Sprinklers: DUpdate Existing ONew System ❑Not Req`d Park Impact Fee Total$ (net due after credit for existing uses) Reason Sprinklers Required: Fee Schedule Used For Calculation(Year): Fire Alarm: DUpdate Existing ONew System ❑Not Req'd Permit Technician Use Only:Apply Phase-In 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? DYes ❑ No ❑ 50%Credit-Issued W3/2022-6/2/2023 Add'I ROW 64.55 docs required prior to final? DYes El No ❑ 0%Credit-issued 6/3/2023 or later VALUATION CALCULATION: Total$ Additional Notes: Approved By: Date: PUBLIC WORKS . Additional Notes: Intake OK by: Date: Intake Comments: PW Worksheet Needed if ❑Sys Dev Eval(Utif/SW)OTraffic Mit Eval Approved By: Date: DSite Work/Drainage DAddress Letter ❑Backflow 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 g Review/inspection Scope-ADD FIRE FEE ❑ Is in a Separate Green Folder(join with this folder for permit issuance) Approved By:V kpm Date: C—7-,2 3 ❑Will be issued separately(Separate Green Folder,PW issued ahead of Bldg) ❑Public Works has no scope--PW Not Required ELECTRICAL!RLUMBING Additional Notes: Additional Notes: Approved By: Date: Completed By: Date: