3003 W CASINO RD BLDG 45-255 2024-02-09

Intake &Approval Sheet (FOR PERMIT STAFF ONLY) PERMIT# F(1-01,3 "003 BUILDING • PLANNING es OS—as 9r Intake OK by: Date: intake OK by: Assign To: • Date: intake Comments: Intake Comments: Zone Overlay/Agreement ❑ Route to Commercial Building Nonresidential Use ❑ Route to Residential Building Residential Use ❑ Make this a"W"Permit Proposed No.of Dwelling Units: Bidg/Ti/Addn/Rem Size 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$ Basement ❑No ❑Yes, 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 1/1/2022: Fire Sprinklers: ❑Update Existing :New 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: ❑Update Existing Chew System ONot Req'd Permit Technician Use Only:Apply Phase-in Credit Per EMC19.53.200 Reason Fire Alarm Required: DYes 0 100%Credit-issued 1/1/2022-9/2/2022 RCW 64.55 MF Worksheet req'd for permit? t❑Yes 0 No ❑ 50%Credit-Issued 9/3/2022-6/2/2023 Add'l RCW 64.55 docs required prior to final? ❑Yes ❑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(UtiI/SW)OTraffic Mit Eval Approved By: Date: ❑Site Work/Drainage DAddress Letter ❑Backflow Prevention for high hazard: (dental,medical,animals,mortuary,hospital, FIRE DEPARTMENT supportive housing) Separate/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 El 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 .12.1-Review/inspection Scope ADD FIRE FEE 0 is in a Separate Green Folder(loin with this folder for permit Issuance) Approved By: KOL.r2 n 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: Completed By: Date: