2712 HEWITT AVE 2024-06-21 - Laserfiche WebLink

Intake &Approval Sheet fitR PERMIT STAFF ONLY) 1111VIT OcQ BUILDING . PLANNING Intake OK by: Date: Intake OK by: Assign To: Ws Date: Z$ Dec.2013 Intake Comments: Intake Comments: Zone My 0 Make this a"W"Permit ❑ SRC Required(Pre-lnsp) Overlay/Agreement • MCt1ro Bldg/TI/Addn 9Size J /ern Nonresidential Use CO, 4tIrcZ«% / ge,}A, Garage/Accessory Struct.Size p 2t4whA' - Residential Use Number of Stories I Proposed No.of Dwelling Units: Basement INNo ❑Yes, Fin/Unfin Total No.of Dwelling Units: Type of Construction Vt Planning/Landscape Inspection Required before Final? ❑Yes giNo Occupancy Group j "In Lieu"Fee:Type: Amount$ 13 I Occupancy Load te( \ School Impact Fee: Total $ N I Cert.of Occpuancy Required? 1lo ❑Yes ❑Shell Only Calculated: Credit: Code Year ❑2021 I2018 02015 ❑Everett School Dist ❑Mukilteo School Dist Fire Sprinklers: ❑Update Existing❑New System $lot Req'd Park Impact Fees for permits applied for after 111/2022: _. Reason Sprinklers Required: Park Impact Fee Total$ A IA (net due after credit for existing uses) Fire Alarm: El Update Existing ❑New System 11Not Req'd Fee Schedule Used For Calculation(Year): Reason Fire Alarm Required: RCW 64.55 MF worksheet req'd for permit? ❑Yes $No Addi RCW 64.55 does required prior to final? ❑Yes 121.1No Additional Notes: VALUATION CALCULATION: Total$ �,"-u Approved By: ./ ,I J -- Date: 28 'Dco 2,02.3 PUBLIC WORKS 1 Intake OK by: _� Date: 12 61g z623 Intake Comments: PW Review&Worksheet Needed if: • ❑Sys Dev Eval: Additional Notes: k '�G( ! ClWater C1Sewer OStorm 044.. �N / .- 5f -At too (, t 1*1Traf is Mitigation Eval ( A Approved By: Date: •y !( Site Work/Drainage(shown/triggered) ❑Address Letter FIRE DEPARTMENT . ❑Backflow Prevention for high hazard: (dentaSeparate 1 Deferred Submittals Required: hospital, supportivemupat animals,mortuary, p q hospital, housing) ❑Fire Sprinklers ❑Fire Alarm ❑Other: I Additional Notes: ❑This Permit is Approved by Public Works 0 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 LA Minimal or No Fire Scope-NO FIRE FEE ❑ Is located in this folder ❑Review/Inspection Scope-ADD FIRE FEE 0 Is in a Separate Green Folder(join with thrsfolderfor permit Issuance) Approved By: , j.cowi Date: /—0 y ❑Will be issued separately(Separate Green Folder,PW issued ahead of Bldg) .Public Works has no scope on this permit---PW Not Required • ELECTRICAL/PLUMBING . Additional Notes: Additional Notes: Approved By: Date: Completed By: f`44vh 34 pw Date: I L Jig I'k L3