3624 UPLAND AVE 2024-06-24 - Laserfiche WebLink

Intake &Approval Sheet •OR PERMIT STAFF ONLY) ORMIT# f.r71-'4O 1 oil BUILDING PLANNING Intake OK by: Date: Intake OK by: Assign To: %Pi - Date: I Fab 'L0 Intake Comments: Intake Comments: Zone RA ❑Make this a"W"Permit ❑SRC Required(Pre-lnsp) Overlay/Agreement •A rqo . Cµ pt'• Art" Bldg/Tl/Addn/Rem Size Nonresidential Use Garage/Accessory Struct.Size Residential Use SF'R• Number of Stories Proposed No.of Dwelling Units: I Basement ❑No ❑Yes, Fin 1 Unfin Total No.of Dwelling Units: I Type of Construction G Planning/Landscape Inspection Required before Final? ❑Yes EINo Occupancy Group f"--(-) - "In Lieu"Fee:Type: Amount$ 0 I A' Occupancy Load 'T()L School Impact Fee: Total $ N I Pt Cert.of Occpuancy Required? 1'No ❑Yes ❑Shell Only Calculated: Credit: Code Year 02021 tt12018 t❑2015 ❑Everett School Dist ❑Mukilteo School Dist Fire Sprinklers: ❑Update Existing ❑New System W Not Req'd Park Impact Fees for permits applied for after 111/2022: Reason Sprinklers Required: Park Impact Fee Total$ ' 0 I R (net due after credit for existing uses) Fire Alarm: ❑Update Existing ❑New System ITINot Req'd Fee Schedule Used For Calculation(Year): Reason Fire Alarm Required: RCW 64.55 MF worksheet req'd for permit? Oyes El No Add!RCW.64.55 does required prior to final? ❑Yes 13:1,No Additional Notes: VALUATION CALCULATION: Total$. 1419(pok. Approved By: sCiorkeLkij .Cj Date: fret) 14),.4. • PUBLIC WORKS . Intake OK by: Date: Intake Comments: PW Review&Worksheet Needed if: • , ❑Sys Dev Eval: Additional Notes: • OWater ❑Sewer ❑Storm tok, .`n tq Pi.l �``t N QTraffic Mitigation Eval Approved By: ( fi Q veN,CnfN Date: z..1 )...‘,1/4 1DSite Work/Drainage(shown/triggered) 1DAddress Letter FIRE DEPARTMENT 10Backflow Prevention for high hazard: • (dental, Separate/Deferred Submittals Required: hospital,medical, supportive t animals,ive mortuary, housing) ❑Fire Sprinklers ❑Fire Alarm ❑Other: 1 Additional Notes: 0 This Permit is Approved by Public Works . ❑See PW Review Worksheet and associated attached items Fire Dept.Fees: 0 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 0 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) ❑Public Works has no scope on this permit---PW Not Required • ELEGTRICALIPLUMBING Additional Notes: • Additional Notes: ` Approved By: Date: Completed By: Date: