2030 SUMMIT AVE 2024-08-05 - Laserfiche WebLink

Intake &Approval Sheet R PERMIT STAFF ONLY) MIT# 1 (7)-'3 0�l BUILDING PLANNING Intake OK by: Date: Intake OK by: Assign To:1 l(I Date: VOA/ Intake Comments: Intake Comments: Zone I,_ Z, ❑ Make this a"W"Permit ❑ SRC Required(Pre-Insp) Overlay/Agreement Bldg/TI/Addn/Rem Size Nonresidential Use Garage/Accessory Struct. Size Residential Use yel Number of Stories Proposed No.of Dwelling Units: 1 Basement ❑No es, Fin/Unfin Total No.of Dwelling Units: r0 Type of Construction Planning/Landscape Inspection Required before Final? ❑Yes giNo Occupancy Group "In Lieu"Fee:Type: Amount$ Occupancy Load School Impact Fee: Total $ Cert.of Occpuancy Required? 'lo ❑Yes ❑Shell Only Calculated: Credit: Code Year ❑2021 '2018 ❑2015 ❑Everett 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 El New System FiNot Req'd Fee Schedule Used For Calc ation(Year): Reason Fire Alarm Required: RCW 64.55 MF worksheet req'd for permit? ❑Yes -El No Add'I RCW 64.55dots required prior tofinal? 1�❑ !�'I Yes No Additional Notes: in kilo' lc°Pt, only �C J VALUATION CALCULATION: Total$, 0(( � r 5,0 0 0 fie✓ 1.rart ' Approved By: ��y/ Date: //pj/y I 0 Si na PUBLIC WORKS Intake OK by: Date: Intake Comments: PW Review&Worksheet Needed if: ❑Sys Dev Eval: ✓��-f � /� �Z_. ❑Water OSewer ❑Storm Additional Notes: 1 CDTraffic Mitigation Eval Approved By: Date: /7-/ jOSite Work/Drainage(shown/triggered) I❑Address Letter FIRE DEPARTMENT llJBackftow Prevention for high hazard: /Deferred Submittals Required: (dental,medical,animals,mortuary, Separate 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 ❑Review of As-Built Plans-NO FIRE FEE AND ❑ Is fully 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: 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:,:1ZV4 jQ,vyy,o�` Date: 0,I f zovS