3310 HILL AVE 2024-06-21 - Laserfiche WebLink

Intake &Approval Sheet • (FOR PERMIT STAFF ONLY) • PERMIT# ( 3 0 qV 06( BUILDING PLANNING Intake OK by: Date: Intake OK by: Assign To: Date: Intake Comments: Intake Comments: Zone ❑ Make this a"W"Permit ❑ SRC Required (Pre-Insp) Overlay/Agreement Bldg/TI/Addn/Rem Size Nonresidential Use Garage/Accessory Struct.Size Residential Use Number of Stories J Proposed No.of Dwelling Units: Basement INo ❑Yes, Fin/Unfin Total No.of Dwelling Units: Type of Construction Planning/Landscape Inspection Required before Final? ❑Yes Ekto Occupancy Group F( "In Lieu"Fee:Type: Amount$ Occupancy Load School Impact Fee: Total $ Cert.of Occpuancy Required? ®No ❑Yes ❑Shell Only Calculated: Credit: Code Year 122021 V12018 02015 ❑Everett School Dist ❑Mukilteo School Dist Fire Sprinklers: El Update Existing Ivig New System ❑Not Req'd Park Impact Fees for permits applied for after 1/1/2022: Reason Sprinklers Required: St'i N °^'fk'N Park Impact Fee Total$ (net due after credit for existing uses) Fire Alarm: ❑Update Existing New System ElNot Req'd Fee Schedule Used For Calculation(Year): Reason Fire Alarm Required: RCW 64.55 MF worksheet req'd for permit? ❑Yes ❑ No Add'I RCW 64.55 docs required prior to final? ❑Yes ❑ /}n No Additional Notes: �G Lt`4/Gl ``5 /O G�3/ ,06-0" VALUATION CALCULATION: Total$ tit an Ong Approved By: Date: Ve)—3 Z 2 PUBLIC WORKS Intake OK by: Date: Intake Comments: IPW Review&Worksheet Needed if: ❑Sys Dev Eval: Additional Notes: ❑Water ❑Sewer ❑Storm ❑Traffic Mitigation Eval Approved By: ( u k��}�-�0� Date: 4 I i 71 ❑Site Work/Drainage(shown/triggered) ` 1 ❑Address Letter FIRE DEPARTMENT ❑Backflow Prevention for high hazard: Separate/Deferred Submittals Required: (dental,medical,animals,mortuary, p q hospital,supportive housing) ❑Fire Sprinklers ❑Fire Alarm ❑Other: 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 ElReview of As Built Plans AND ❑ Is fully FIRE FEE 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(join with this folder for permit issuance) :Approved By: K,Irt))'cDLvn Date: J 1-) ❑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: 0 Date: 74512..3