3003 W CASINO RD BLDG 45-207 2024-02-09

Intake &Approval Sheet (FOR PERMIT STAFF ONLY) PERMIT# p-69-3O.6"---©dc9- BUILDING • • PLANNING & p,S—" 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 PIanning/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 ❑Everett School Dist ❑Mukilteo School Dist Occupancy Load Park Impact Fees for permits applied for after 1/1/2022: Fire Sprinklers: [Iodate 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 ❑New System :Not Req'd Permit Technician Use Only:Apply Phase-In Credit Per EMC49.53.200 Reason Fire Alarm Required: El 100%Credit-issued 1/1/2022-9/2/2022 RCW 64.55 MF Worksheet req'd for permit? ❑Yes ❑ No El 50%Credit-Issued 9/3/2022-6/2/2023 Add'l ROW 64.55 dots required prior to final? ❑Yes ❑No ❑ 0%Credit-Issued 6/3/2023 or later VALUATION CALCULATION: Total$ Additional Notes: Approved By: Date: PU8LIC WORKS . . . . Additional Notes: Intake OK by: Date: Intake Comments: PW Worksheet Needed if ❑Sys Dev Eval(Util/SW)OTraffic Mit Eval Approved By: Date: El Site Work/Drainage OAddress Letter ❑Backflow Prevention for high hazard: (dental,medical,animals,mortuary,hospital, FIRE DEPARTMENT supportive housing) Separate/Deferred Submittals Required: ❑Route this folder for PW Review at end --PW Review Worksheet ❑Fire Sprinklers ❑Fire Alarm DOther: ❑This project also has a separate concurrent PW Review(Green Folder) Additional Notes: AND OCreate 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: f Lin Date: G - 7— 3 ❑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: