2127 100TH ST SE 2024-06-14 - Laserfiche WebLink

Intake &Approval Sheet (FOR PERMIT STAFF ONLY) Aii PERMIT# `�`� �.Q BUILDING • WPLANNING Intake OK by: Date: Intake OK by: Assign To: /2t4 Date: /C/?,(*/0 Intake Comments: Intake Comments: Zone R•f Overlay/Agreement ❑ Route to Commercial Building Nonresidential Use _ El Route to Residential Building Residential Use YGS ❑ Make this a"W"Permit Proposed No.of Dwelling Units: #6 Bldg/Tl/Add /Rem Size _ 3 68 5F pU a Total No.of Dwelling Units: / J y Garage/Accessory ry Struct.Size (,, Planning/Landscape Inspection Required before Final? ❑Yes Z'N o Number of Stories 6 "In Lieu"Fee:Type: Amount$ Basement 1VNo ❑Yes, Fin/Unfin School Impact Fee: Total $ fi Type of Construction 7,(i- Calculated: Credit: Occupancy Group 'Lix ❑Everett School Dist ❑Mukilteo School Dist Occupancy Load 4/71i Park Impact Fees for permits applied for after 1/1/2022: Fire Sprinklers: El Update Existing ❑New System gNot Req'd Park Impact Fee Total$ ji Reason Sprinklers Required: ,,��F!,, Fee Schedule Used For Calculation(Year): Fire Alarm: ❑Update Existing El New System ICJ Not Req'd Permit Technicians:Apply 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? ❑Yes P No CI50%Credit-Issued 9/3/2022-6/2/2023 Add'I RCW 64.55 docs required prior to final? ❑Yes 1{{No 0 0%Credit-Issued 6/3/2023 or later VALUATION CALCULATION: Total$ 2 r4 C Additional Notes: See. ?v1/41 2.30 1- 009 -For '-MtAer sore WOrw. /res+b.co* Approved By: Cife de Date: /o z,/,/i 3 V1..k 3c4 PUBLIC WORKS AddIQVC\ al Notes: Intake OK by: Date 6(012.qi S Intake Comments: ,�� PW Worksheet Needed if: ARV Gave OM/Y,Iw, j❑Sys Dev Eval ❑Traffic Mit Eval �1 l Approved By: Date: $11,ill j❑Site Work or Drainage Proposed i❑Backflow Prevention for high hazard: ark" , i(dental,medical,animals,mortuary,hospital, a��` t FIRE DEPARTMENT t()t.6-p :supportive housing) Separate/Deferred Submittals Required: ❑Route this folder for PW Review at end ---PW Review Worksheet El Fire Sprinklers OFire Alarm ❑Other: ❑This project also has a separate concurrent PW Review(Green Folder) Additional Notes: AND ❑Create Green Folder ❑Submitted Previously lErThis Permit is Approved by Public Works Fire Dept.Fees: VI 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: 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: L M diffrmvivf f(i -'p (iv/rviAki‘ Approved By: Date: Approved By: Date:0 4 Ill('28213