3406 16TH ST 2024-11-07 - Laserfiche WebLink

Intake &Approval Sheet 0 (FOR PERMIT STAFF ONLY) • PERMIT# C .c) •"CQ( -o s q BUILDING . PLANNING intake OK by: Date: Intake OK by: Assign To: -No Date: 12 LID 2024 Intake Comments: intake Comments: Zone L I - 0 Make this a"W"Permit ❑ SRC Required(Pre-Insp) Overlay/Agreement Bldg/TI/Addn/Rem Size t to Nonresidential Use Garage/Accessory Struct.Size Residential Use S FR Number of Stories I Proposed No,of Dwelling Units: Basement 11No DYes, Fin/Unfin Total No.of Dwelling Units: 1 Type of Construction l k.. Planning/Landscape inspection Required before Final? ❑Yes 154No Occupancy Group - "In Lieu"Fee:Type: 0 I A Amount$ Occupancy Load t-( School impact Fee: Total $ 4 1 A Cert.of Occpuancy Required? 51.No ❑Yes [(Shell Only Calculated: Credit: Code Year 02021 I2018 02015 DEverett School Dist ❑Mukilteo School Dist Fire Sprinklers: DUpdate Existing❑New System I Not Req'd Park Impact Fees for permits applied for after 111/2022: -• Reason Sprinklers Required: Park Impact Fee Total$ 14 I A (net due after credit for existing uses) Fire Alarm: ❑Update Existing❑New System EP1Not Req'd Fee Schedule Used For Calculation(Year), ^y^^ Reason Fire Alarm Required: RCW 64.55 MF worksheet req'd for permit? DYes J No Add'I RCW.64.55 dots required prior to final? ❑Yes No Additional Notes: VALUATION CALCULATION: Total$ 3000 Approved By: lj. O Date: 12 Feb Zo24 , O . P'UBLIC_WORKS Intake OK by: Date: Intake Comments: PWReviety&WorlrsheetNeeded if• • • ,OSys Dev Eval: • Additional Notes: i OWater DSewer ❑Storm DDTraffic Mitigation Eval 1 Approved By: (.A Date: .. / )]Site Work/Drainage(shown/triggered) r, I DAddress Letter i FIRE DEPARTMENT ❑Backflow Prevention for high hazard: • (dental,medical,animals,mortuary, Separate I Deferred Submittals Required: [(dental, supportive housing) OFire Sprinklers ❑Fire Alarm DOther: i • Additional Notes: 0 This Permit is Approved by Public Works ❑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 ❑ Is located in this folder ❑Review/Inspection Scope-ADD FiRE FEE ❑ Is in a Separate Green Folder(join with this folderfor permit issuance) Approved By Date: _ ❑Will be issued separately(Separate Green Folder,PW issued ahead of Bldg) IA Public Works has.no scope on this permit---PW Not Required ELECTRICAL/PLUMBING Additional Notes: Additional Notes: ,, Approved By: Date: Completed lay:` � kV ate: DPI Cl)2_6�