3310 HILL AVE 2024-06-21 - Laserfiche WebLink

Intake &Approval Sheet S(FOR PERMIT STAFF ONLY) 411, PERMIT# 41,9--3 II-0 ift BUILDING PLANNING Intake OK by: Date: Intake OK by: Assign To: Date: Intake Comments: Intake Comments: Zone Ur, ❑ 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 Proposed No.of Dwelling Units: Basement El No ❑Yes, Fin/Unfin Total No.of Dwelling Units: Type of Construction Planning/Landscape Inspection Required before Final? ❑Yes ❑No Occupancy Group "In Lieu"Fee:Type: Amount$ Occupancy Load School Impact Fee: Total $ / Cert.of Occpuancy Required? ❑No ❑Yes ❑Shell Only Calculated: Credit: Code Year 02021 02018 02015 DEverett School Dist ❑Mukilteo School Dist Fire Sprinklers: ❑Update Existing ❑New System ❑Not Req'd Park Impact Fees for permits applied for after 1/1/2022: Reason Sprinklers Required: Park Impact Fee Total$ '/ (net due after credit for existing uses) Fire Alarm: ❑Update Existing ❑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 ❑No Add]RCW 64.55 does required prior to final? ❑Yes ❑No Addition I Notes:. AA I VALUATION CALCULATION: Total$ �i v \//nG l U a \,\ I to/2 proved By: �l l ate: PUBLIC WORKS Intake OK by: Date: Intake Comments: PW Review&Worksheet Needed if: 1❑Sys Dev Eval: Additional Notes:Additional OSewer El Storm I DTraff'ic Mitigation Eval Approved B Date: 12/ Z3 FEiSite Work/Drainage(shown/triggered) IDAddress Letter FIRE DEPARTMENT 1❑Backflow Prevention for high hazard: Separate/Deferred Submittals Re uired: (dental,medical,animals,mortuary, pq hospital,supportive housing) El Fire Sprinklers El 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 ❑ Minimal or No Fire Scope-NO FIRE FEE 0 Is located in this folder ❑ Review/Inspection Scope-ADD FIRE FEE 0 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 on this permit---PW Not Required • ELECTRICAL/PLUMBING Additional Notes: Additional Notes: Approved By: Date: Completed By: Date: