215 SHUKSAN WAY 2024-06-24 - Laserfiche WebLink

Intake & Approval Sheet (FOR PERMIT STAFF ONLY) PERMIT BUILDING PLANNING Intake OK by: Date: Intake OK by: Assign To: ,t_S S Date: 12 IN Intake Comments: Intake Commer s: Zone I- Z Overlay/Agreement Alq r l cQ, * ❑ Route to Commercial Building Nonresidential Use ut^e 0YSe, ❑ Route to Residential Building Residential Use M/A ❑ Make this a"W"Permit Proposed No. of Dwelling Units: MIA Bldg/TI/Addn/Rem Size Total No. of Dwelling Units: )V A Garage/Accessory Struct. Size Planning/Landscape Inspection Required before Final? ❑Yes ONo Number of Stories "In Lieu" Fee:Type: Amount$ Basement ❑No ❑Yes , Fin/Unfin School Impact Fee: Total $ Type of Construction Calculated: Credit: Occupancy Group El Everett School Dist ❑Mukilteo School Dist Occupancy Load Park Impact Fees for permits applied for after 1/1/2022: Fire Sprinklers: El Update Existing El New System El Not Req'd Park Impact Fee Total$ (net due after credit for existing uses) Reason Sprinklers Required: Fee Schedule Used For Calculation(Year): -------------------------------------------------------------------------------- Fire Alarm: ❑Update Existing El New System El Not Req'd Permit Technician Use Only:Apply Phase-In Credit Per EMC19.63.200 Reason Fire Alarm Required: ❑ 100%Credit-Issued 1/1/2022-9/2/2022 RCW 64.55 MF worksheet req'd for permit? ❑Yes ❑ No ❑ 50%Credit-Issued 9/3/2022-6/2/2023 Add'[RCW 64.55 docs required prior to final? ❑Yes ❑No ❑ 0%Credit-Issued 6/3/2023 or later VALUATION CALCULATION: Total $ Additional Notes: Approved By: Date: 12./14 PUBLIC WORKS Additional Notes: Intake OK by: Date: ------------------------------------------ Intake Comments: ;PIN Worksheet Needed if.• ❑Sys Dev Eval(Util/SW) OTraffic Mit Eval Approved By: Date: 0Site Work/Drainage ❑Address Letter ;E]Backflow Prevention for high hazard: (dental,medical,animals,mortuary,hospital, FIRE DEPARTMENT :supportive housing) '----------------------------------------- Separate/Deferred Submittals Required: El Route this folder for PW Review at end ---PW Review Worksheet ❑Fire Sprinklers ❑Fire Alarm ❑Other: ❑This project also has a separate concurrent PW Review(Green Folder) Additional Notes: AND ❑Create Green Folder ❑Submitted Previously ❑Deferred ❑ This Permit is Approved by Public Works Fire Dept. Fees: ❑ See PW Review Worksheet and associated attached items ❑ Review of As-Built Plans- NO FIRE FEE ❑ A Separate PW Permit is Required(Permit#: PW ) ❑ Minimal or No Fire Scope-NO FIRE FEE AND ❑ Is located in this folder ❑ Review/Inspection Scope-ADD FIRE FEE ❑ Is in a Separate Green Folder(loin with this folderfor permit issuance) Approved By: Date: ❑ Will be issued separately(Separate Green Folder,PW issued ahead of Bldg) ❑ Public Works has no scope--- PW Not Required ELECTRICAL/PLUMBING Additional Notes: Additional Notes: Approved By: Date: Completed By: Date: