3014 W MARINE VIEW DR 2024-10-25

Intake &Approval Sheet (FOR PERMIT STAFF ONLY) PERMIT# G 0,5 -07o BUILDING 1 WINNING Intake OK by: Date: Intake OK by: Assign To: Date: intake Comments: Intake Comments: Zone Overlay/Agreement ❑ Route to Commercial Building Nonresidential Use ❑ Route to Residential Building Residential Use ❑ Make this a"W"Permit Proposed No. of Dwelling Units: Bidg/TI/Addn/Rem Size Total No.of Dwelling Units: Garage/Accessory Struct.Size Planning/Landscape inspection Required before Final? ❑Yes ❑No Number of Stories "In Lieu"Fee:Type: Amount$ Basement ❑No ❑Yes, Fin/Unfin School Impact Fee: Total $ Type of Construction Calculated: Credit: Occupancy Group /0`2_ DEverett School Dist ❑Mukilteo School Dist Occupancy Load Park Impact Fees for permits applied for after'(/'1/2022: Fire Sprinklers: ❑Update Existing[New System ❑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 ❑New System ❑Not Req'd Permit Technician Use Only:Apply Phase-In Credit Per EMC19.53.200 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 0/3/2022-6/2/2023 Add'1 ROW 64.55 docs required prior to final? DYes ❑No ❑ 0%Credit-Issued 6/3/2023 or later VALUATION CALCULATION: Total$ dam,Oo Additional Notes: Approved By: le Date: � 0V2-oa3j P•UBLte WORKS . Additional Notes: Intake OK by: Date: Intake Comments: PW Worksheet Needed if.• ❑Sys Dev Eval(Util/SW)OTraffic Mit Eval Approved DateoJ/Ze Mite Work/Drainage DAddress Letter ❑Backflow Prevention for high hazard: 'FIRE DEPARTMENT (dental,medical, mortuary,hospital, PP housing) Separate!Deferred Submittals Required: ❑Route this folder for PW Review at end --POI 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 folder for 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 EL.�CTRICAL/RLUM.BING Additional Notes: Additional Notes: Approved By: Date: Completed By: Date: