1049 CROWN DR 2024-10-24 - Laserfiche WebLink

Intake &Approval Sheet (FOR PERMIT STAFF ONLY) PERMIT# 19- `��D BUILDING PLANNING Intake OK by: Date: Intake OK by: Assign To: Date: Intake Comments: Intake Comments: Zone 'rL— ❑ Make this a"W"Permit 0 SRC Required(Pre-Ir)sp) Overlay/Agreement Bldg/TI/Addn/Rem Size Nonresidential Use ^�� Garage/Accessory Struct.Size Residential Use 1T �Z„d Number of Stories Proposed No.of Dwelling Units: Basement El No ❑Yes, Fin/Unfin Total No.of Dwelling Units: Type of Construction Planning/Landscape Inspection Required before Final? ❑Yes ❑No Occupancy Group "In Lieu"Fee:Type: Amount$ Occupancy Load School Impact Fee: Total $ Cert.of Occpuancy Required? El No ❑Yes ❑Shell Only Calculated: Credit: Code Year ❑2021 02018 02015 ❑Everett School Dist ❑Mukilteo School Dist Fire Sprinklers: El Update Existing El New System El 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 El Not Req'd Fee Schedule Used For Calculation(Year): Reason Fire Alarm Required: RCW 64.55 MF worksheet req'd for permit? ❑Yes ❑ No Add'I RCW 64.55 docs required prior to final? ❑Yes El No Additional Notes' t/ VALUATION CALCULATION: Total $ p ,3 60t0 /lA -Of 1 01423 2I 23 Approved By: Date: PUBLIC WORKS Intake OK by: Date: Intake Comments: Ij PW Review&Worksheet Needed if: iDSys Dev Eval: Additional Notes: 1] ❑Water ❑Sewer ❑Storm ❑Traffic Mitigation Eval Approved By: Date: c-PiiiF3 ❑Site Work/Drainage(shown/triggered) DAddress Letter FIRE DEPARTMENT 1 DBackflow Prevention for high hazard: Se crate/Deferred Submittals Re uired: (dental,medical,animals,mortuary, p q hospital,supportive housing) El Fire Sprinklers El 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: Date: