3516 ROCKEFELLER AVE 2024-06-24 - Laserfiche WebLink

gStiq sl�Yl; e Intake &Approval Sheet •(FOR PERMIT STAFF ONLY) PERMIT# Zo 1 007 BUILDING PLANNING Intake OK by: Date: Intake OK by: Assign To: Date: Intake Comments: Intake Comments: Zone ❑ Make this a"W"Permit 0 SRC Required (Pre-Insp) Overlay/Agreement Bldg/TI/Addn/Rem Size Nonresidential Use Garage/Accessory Struct.Size , Residential Use Number of Stories Proposed No.of Dwelling Units: Basement ❑No <R e , Fin/Unfin Total No.of Dwelling Units: Type of Construction Planning/Landscape Inspection Required before Final? ❑Yes Cho Occupancy Group "In Lieu"Fee:Type: Amount$ Occupancy Load School Impact Fee: Total $ Cert.of Occpuancy Required? IZINo ❑Yes ❑Shell Only Calculated: Credit: Code Year 02021 0,2018. 02015 ❑Everett School Dist ❑Mukilteo School Dist Fire Sprinklers: ❑Update Existing ❑New System ENot Req'd Park Impact Fees for permits applied for after 1/112022: Reason Sprinklers Required; Park Impact Fee Total$ (net due after credit for existing uses) Fire Alarm: El Update Existing El 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 r�qq.No Add'I RCW 64.55 docs required prior to final? ❑Yes 11A'plo Additional Notes: VALUATION CALCULATION: Total$ . ?,SO 0 Approved By: Date: PUBLIC WORKS Intake OK by: Date: Intake Comments: PW Review&Worksheet Needed if: ❑Sys Dev Eval: ❑Water ❑Sewer ❑Storm Additional Notes: )taTetZtotz.. ee-ti\oPm IOTraffic Mitigation Eval Approved By:-.20 Date:C7?r/t g/z ['Site Work/Drainage(shown/triggered) IDAddress Letter FIRE DEPARTMENT iDBackflow Prevention for high hazard: Separate/Deferred Submittals Required: (dental,medical,animals,mortuary, !hospital,supportive housing) ❑Fire Sprinklers ❑Fire Alarm DOther: Additional Notes: ❑This Permit is Approved by Public Works ❑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 ❑Minimal or No Fire Scope-NO FIRE FEE ❑ Is located in this folder ❑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 on this permit---PW Not Required ELECTRICAL/PLUMBING Additional Notes: Additional Notes: Approved By: Date: Completed By: Date: