3524 W MUKILTEO BLVD 2024-08-02 - Laserfiche WebLink

Intake & Approval Sheet (FOR PERMIT STAFF ONLY) PERMIT# 259'65 ti �O 7( BUILDING PLANNING Intake OK by: Date: Intake OK by: Assign To: Date: Intake Comments: Intake Comments: Zone Vj ❑ Make this a"W"Permit ❑ SRC Required (Pre-Insp) Overlay/Agreement Bldg/TI/Addn/Rem Size 4 Nonresidential Use .,% �.�Y � Garage/Accessory Struct. Size a-4" sP Residential Use Number of Stories t Proposed No. of Dwelling Units: Basement 11.No DYes, Fin/Unfin Total No. of Dwelling Units: Type of Construction 13'— Planning/Landscape Inspection Required before Final? DYes ❑No Occupancy Group j V(,,, "In Lieu"Fee:Type: Amount$ Occupancy Load --(4. School Impact Fee: Total $ Cert. of Occpuancy Required? +KNo DYes ❑Shell Only Calculated: Credit: Code Year 02021 1E12018 02015 ❑Everett School Dist ❑Mukilteo School Dist Fire Sprinklers: DUpdate 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 SNot Req'd Fee Schedule Used For Calculation(Year): Reason Fire Alarm Required: mm RCW 64.55 MF worksheet req'd for permit? DYes EGl No Add'I RCW 64.55 docs required prior to final? DYes `E1No AO'onal Notes:- VALUATION CALCULATION: Total$ (!I n; •/ `�/(��I �� (� l I IV /7 Approved By: Date: PUBLIC WORKS Intake OK by: Date: Intake Comments: PW Review&Worksheet Needed if: SfPl I,I�yn i Sys Dev Eval: Additional Notes: t( {' �� ' . ?AO 4) 1I❑Water ❑Sewer Storm iIDTraffic Mitigation Eval 1 Approved By: (.� ) v,..T. Date: (,Q.�,j ,7 pub � �� I❑Site Work/Drainage(shown/triggered) •'p r 1 w Nit) '❑Address Letter FIRE DEPARTM ENT v�`& i`6 j❑Backflow Prevention for high hazard: Separate/Deferred Submittals Required: (dental,medical,animals,mortuary, hospital,supportive housing) ❑Fire Sprinklers DFire Alarm ❑Other: Additional Notes: ,`�This Permit is Approved by Public Works a it s Fire Dept.Fees: ❑A Separate PW Permit is Required (Permit#: PW ) ❑l Review of As-Built Plans-NO FIRE FEE AND ❑ Is fully digital Ef Minimal or No Fire Scope-NO FIRE FEE 0 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: CQ(A),\ Date: g^,2 I-09,_,3 0 Will be issued separately(Separate Green Folder,PW issued ahead of Bldg) Public Works as no scope is permit--- PW Not Required ELECTRICAL/PLUMBING Additional Notes e ! k I l� rs,..„Additional Notes: _ l vV e a ` I lApproved By: Date, Completed By: e: 0 eb I6