1803 HEWITT AVE 2024-06-12 - Laserfiche WebLink

Intake &Approval Sheet (FOR PERMIT STAFF ONLY) PERMIT# 32'3 1 v _ 107 BUILDING PLANNING Intake OK by: Date: Intake OK by: Assign To: Date: Intake Comments: Intake Comments: Zone nib() ❑ Make this a"W"Permit ❑ SRC Required(Pre-Insp) Overlay/Agreement Bldg/TI/Addn/Rem Size t4/A Nonresidential Use Garage/Accessory Struct.Size Residential Use nil)H1. Number of Stories Proposed No.of Dwelling Units: 0 Basement El No ❑Yes, Fin/Unfin Total No.of Dwelling Units: Type of Construction VA!4--- Planning/Landscape Inspection Required before Final? ❑Yes ❑No Occupancy Group /2—per. "In Lieu"Fee:Type: Amount$ Occupancy Load /4 f,4! School Impact Fee: Total $ "'— Cert.of Occpuancy Required? ❑No ❑Yes ❑Shell Only Calculated: Credit: Code Year 02021 02018 ❑2015 ❑Everett School Dist ❑Mukilteo School Dist Fire Sprinklers: El Update Existing El New System :Not Req'd Park Impact Fees for permits applied for after 1/1/2022: Reason Sprinklers Required: - Park Impact Fee Total$ (net due after credit for existing uses) Fire Alarm: ❑Update Existing ❑New System ❑Not Req'd Fee Schedule Used For Calculation(Year): Reason Fire Alarm Required: „...— RCW 64.55 MF worksheet req'd for permit? ❑Yes No Add'I RCW 64.55 docs required prior to final? ❑Yes No Additional No�t�s VALUATION CALCULATION: Total$ GB)O' (�V �/ I(^��/►/J 1� t 1 I-1/2�j Approved By: 14 Date: PUBLIC WORKS Intake OK by: Date: I D 2- ZZ Intake Comments: [PwReview&Worksheet Needed if: l uSys Dev Eval: Additional Notes: �IFE... Lm� `. ❑Water ❑Sewer ❑Storm / ,Z ejn ❑Traffic Mitigation Eval Approved By: </ i�0" Date:9-3nG/p� i❑Site Work/Drainage(shown/triggered) I❑Address Letter FIRE DEPARTMENT 10Backflow Prevention for high hazard: i(dental,medical,animals,mortuary, Separate/Deferred Submittals Required: 'hospital,supportive housing) ❑Fire Sprinklers ❑Fire Alarm ❑Other: Additional Notes: ❑ This Permit is Approved by Public Works 0 See PW Review Worksheet and associated attached items Fire Dept.Fees: ❑A Separate PW Permit is Required(Permit#: PW ) ❑ Review of As-Built Plans-NO FIRE FEE AND ❑ Is fully digital Ei-Minimal or No Fire Scope-NO FIRE FEE ❑ Is located in this folder ❑ Review/Inspection Scope-ADD FIRE FEE q El Is in a Separate Green Folder(join with this folder for permit issuance) Approved By: , 914) (.4m\Date: '`^ ``l-02.3 ❑ Will be issued separately(Separate Green Folder,PW issued ahead of Bldg) gi Public Works has no scope on this permit---PW Not Required ELECTRICAL/PLUMBING Additional Notes: Additional Notes: Approved By: Date: Completed By:tr(A ,)k ,L, Date: 10 X)I2 .V;