215 SHUKSAN WAY 2024-06-24 - Laserfiche WebLink

Intake &Approval Sheet • (FOR PERMIT STAFF ONLY) • PERMIT# 0 7--039 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-lnsp) Overlay/Agreement Bldg/TI/Addn/Rem Size ° Nonresidential Use Garage/Accessory Struct.Size Residential Use Number of Stories I Proposed No.of Dwelling Units: Basement No ❑Yes, Fin/Unfin Total No.of Dwelling Units: Type of Construction 11-g Planning/Landscape Inspection Required before Final? DYes ❑No Occupancy Group t 1 "In Lieu"Fee:Type: Amount$ J Occupancy Load NR School Impact Fee: Total $ Cert.of Occpuancy Required? " No DYes ❑Shell Only Calculated: Credit: Code Year 02021 ®2018 02015 El Everett School Dist ❑Mukilteo School Dist Fire Sprinklers: ❑Update Existing ❑New System IRNIot Req'd Park Impact Fees for permits applied for after 1/1/2022: Reason Sprinklers Required: rr�� Park Impact Fee Total$ (net due after credit for existing uses) Fire Alarm: DUpdate Existing ❑New System RNot Req'd Fee Schedule Used For Calculation(Year): Reason Fire Alarm Required: RCW 64.55 MF worksheet req'd for permit? DYes I No Add'l RCW 64.55 docs required prior to final? DYes pr 17}No Additional Notes: VALUATION CALCULATION: Total$ ( a Ccb Approved By: Date: PUBLIC WORKS Intake OK by: Date: Intake Comments: PW Review&Worksheet Needed if: ❑Sys Dev Eval: Additional Notes: OWater OSewer ❑Storm i ❑Traffic Mitigation Eval r�! Approved By: Date: WI I 0 I2..on 3❑Site Work/Drainage(shown/triggered) ❑Address Letter FIRE DEPARTMENT I❑Backflow Prevention for high hazard: Separate/Deferred Submittals Ihospita(dental,medical,por animals,hou mortuary, p Required: !-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 ❑ 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 gl Review/Inspection Scope-ADD FIRE FEE ❑ Is in a Separate Green Folder(join with this folder for permit issuance) Approved By: ��}- Date:c 26 ❑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: