2410 EVERETT AVE 2024-02-20 - Laserfiche WebLink

Intake &Approval Sheet FOR PERMIT STAFF ONLY) ivERMIT BUILDING PLANNING intake OK by: Date: Intake OK by: Assign To: T-t 1A Date: (/zq/Z 3 Intake Comments: Intake Comments: Zone _ UDR., Overlay/Agreement ❑ Route to Commercial Building Nonresidential Use ❑ Route to Residential Building Residential Use Y.es ❑ Make this a"W"Permit Proposed No. of Dwelling Units: +1 Bldg/TI/Addn/Rem Size 27?itSF Total No.of Dwelling Units: Garage/Accessory Str t.Size 348 Planning/Landscape Inspection Required before Final? DYes FINo Number of Stories 2 "In Lieu"Fee: Type: Amount$ Basement UNo if Yes , Fin/Unfin School Impact Fee: Total Type of Construction I R.- Calculated: Credit: Occupancy Group I /2-C-• DEverett School Dist ❑Mukilteo School Dist Occupancy Load i' Park Impact Fees for permits applied for after 1/1/2022: Fire Sprinklers: ❑Update Existing ❑New System ErNot Req'd Park Impact Fee Total$ (net due after credit for existing uses) Reason Sprinklers Required: ��^^ Fee Schedule Used For Calculation(Year): Not Req'd Permit Technician Use Only:Apply Phase-In Credit Per EMC19.53.200 Fire Alarm: ❑Update Existing ONew System l�1 Reason Fire Alarm Required: 0 100%Credit-Issued 1/1/2022-9/2/2022 RCW 64.55 MF worksheet req'd for permit? DYes Er No 0 50%Credit-Issued 9/3/2022-6/2/2023 Add'I RCW 64.55 docs required prior to final? DYes EINo 0 0%Credit-Issued 6/3/2023 or later ft 0 vt VALUATION CALCULATION: Total$ /61-0 Additional Notes: iiterLt ✓�1 fccesSoy fiva fv d, t"4,rioo., £41444"f _ / d'w4il ust0 Approved By: -rd#4,mGLli• Date: (�,�../4 • PUBLIC WORKS /`� Additional Notes: Intake OK by: Date: Intake Comments: PW Worksheet Needed if: OSys Dev Eval(0tiusW)[]Traffic Mit Eval ❑Site Work/Drainage DAddress Letter Approved By� Date: 7/57'2 DBackflow 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 DFire 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 El Review/Inspection Scope ADD FIRE FEE ❑ Is in a Separate Green Folder(loin with this folder for permit issuance) Approved By: Date: ❑Will be issued separately(Separate Green Folder,PW issued ahead of Bldg) El Public Works has no scope---PW Not Required ELECTRICAL/PLUMBING Additional Notes: Additional Notes: Approved By: Date: Completed By:�o Date: 3 C3o io 2