5704 SOUND AVE 2024-06-24 - Laserfiche WebLink

Intake &Approval Sheet (FOR PERMIT STAFF ONLY) °PERMIT#C62k2 OSCD BUILDING PLANNING Intake OK by: Date: Intake OK by: Assign To: Date: Intake Comments: Intake Comments: Zone ❑ Make this a"W"Permit 0 SRC Required (Pre-Insp) Overlay/Agreement Bidg/TI/Addn/Rem Size 13 4( se Fow gtr Nonresidential Use Garage/Accessory Struct.Size NA Residential Use Number of Stories NA Proposed No. of Dwelling Units: Basement ISINo ❑Yes, Fin/Unfin Total No.of Dwelling Units: Type of Construction 11E( Planning/Landscape Inspection Required before Final? ❑Yes ❑No Occupancy Group K( "In Lieu"Fee:Type: Amount$ Occupancy Load F{ School Impact Fee: Total $ Cert.of Occpuancy Required? No ❑Yes ❑Shell Only Calculated: Credit: Code Year 02021 iff2018 ❑2015 ❑Everett School Dist ❑Mukilteo School Dist Fire Sprinklers: ❑Update Existing❑New System I Not Req'd Park Impact Fees for permits applied for after 1/1/2022: Reason Sprinklers Required: fin( Park Impact Fee Total$ / (net due after credit for existing uses) Fire Alarm: DUpdate Existing El 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 0 No Add'I RCW 64.55 docs required prior to final? ❑Yes ❑No A. Vw�d-dit�ionall Notes' VALUATION CALCULATION: Total$ 3y,a$'f C.oc Y 1(1 yl�� t; t l Approvedro By: Date: PUBLIC WORKS Intake OK by: Date: Intake Comments: PW Review&Worksheet Needed if: ❑Sys Dev Eval: Additional Notes: ❑Water DSewer ❑Storm ( ❑Traffic Mitigation Eval Approved By: '4,.,,eBate: t 1 PJq 7'-( ❑Site Work/Drainage(shown/triggered) i❑Address Letter FIRE DEPARTMENT IOBackflow Prevention for high hazard: Separate/Deferred Submittals Required: !(dental, supportive ve animals,oui mortuary, ;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 ❑ 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: