1205 CRAFTSMAN WAY PORT OF EVERETT 2024-08-02

Intake & Approval Sheet "COR PERMIT STAFF ONLY) PERMIT 103 Z Z I L - 610 D BUILDING PLANNING 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 ElMake this a"W" Permit Proposed No. of Dwelling Units: — Bldg/TI •dd "em Size S it q Total No. of Dwelling Units: Garage/Accessory Struct. Size ,c/%>Q Planning/Landscape Inspection Required before Final? ❑Yes ❑No Number of Stories / "In Lieu" Fee: Type: Amount$ Basement IRNo ❑Yes , Fin/Unfin School Impact Fee: Total $ Type of Construction ;AI 0 Calculated: Credit: Occupancy Group B fil F—/ ❑Everett School Dist ❑Mukilteo School Dist Occupancy Load SZ. Park Impact Fees for permits applied for after 1/1/2022: Fire Sprinklers: OJpdate Existing ❑New System ❑Not Req'd Park Impact Fee Total$ (net due after credit for existing uses) Fee Schedule Used For Calculation Year Reason Sprinklers Required: ------------------------------------------------------------------- Fire Alarm: Jpdate Existing ❑New System ❑Not Req'd Permit Technician Use Only:Apply Phase-In Credit Per EMC19.53.200 Reason Fire Alarm Required: 0 100%Credit-Issued 1/1/2022-9/2/2022 RCW 64.55 MF worksheet req'd for permit? DYes n No 0 50%Credit Issued 9/3l2022 6/2/2023 Add'I RCW 64.55 docs required prior to final? ❑Yes iENo 0 0%Credit-Issued 6/3/2023 or later VALUATION CALCULATION: Total $ /,Z fil Additional Notes: Approved By: Date: PUBLIC WORKS Additional Notes: Intake OK by: �1:�' Date: \Zi '2i\ ZLZZ Intake w�',Comments: PW Worksheet Needed i�I`�` etrea tol►rccf dig/nq✓2t ❑Sys Dev Eval(UtiUSW) ❑Traffic Mit Eval Approved B�,� Date:fJ"c�/�7/r�J �tA''(�ii to ti tr t. J" Site Work/Drainage DAddress Letter �. 1 on-op 4 .14,e 9 4- ❑Backflow Prevention for high hazard: 0o-*1ntit V1-6(LI4 I•h " (dental,medical,animals, mortuary,hospital, FIRE DEPARTMENT i( A supportive housing) Separate/Deferred Submittals Required: i.. Route this folder for PW Review at end ---PW Review Worksheet Fire Sprinklers ZIFire Alarm ❑Other: ❑This project also has a separate concurrent PW Review(Green Folder) Additional Notes: AND ❑Create Green Folder ❑Submitted Previously ❑Deferred IA 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 0 Is located in this folder Review/Inspection Scope-ADD FIRE FEE ID Is in a Separate Green Folder coin with this folder for permit issuance) Approved By &xr) Date �yg ❑ 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:lik v,/. Date: 01 I Z 12 L?j