509 93RD ST SW 2024-11-07 - Laserfiche WebLink

Intake &Approval Sheet (FOR PERMIT STAFF ONLY) • PERMIT# �2O7'�O lJ/ W BUILDING • •PLANNING Intake OK by: Date: Intake OK by: Assign To: 1DC% Date: II Ave, 1o'L? Intake Comments: Intake Comments: Zone at Overlay/Agreement Qt of+ Coyote,{., Arc". ❑ Route to Commercial Building Nonresidential Use ❑ Route to Residential Building Residential Use S ❑ Make this a"W"Permit Proposed No.of Dwelling Units: Bldg/TI/Addn/Rem Size 3 co fF Total No.of Dwelling Units: I 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 $ 1 A Type of Construction j2.0 Calculated: Credit: Occupancy Group ..L(Z.C. ❑Everett School Dist ❑Mukilteo School Dist Occupancy Load - �, Park Impact Fees for permits applied for after 1/112022: 1-1 Fire Sprinklers: ❑Update Existing ❑New System tRNot Req'd Park Impact Fee Total$ N I Reason Sprinklers Required: Fee Schedule Used For Calculation(Year): Fire Alarm: El Update Existing El New System ®Not Req'd Permit Technicians:Apply Credit Per EMC19.53.200 Reason Fire Alarm Required: 0 100%Credit-Issued 1/1/2022-9/2/2022 RCW 64.55 MF worksheet req'd for permit? ❑Yes El No 0 50%Credit-Issued 9/3/2022-6/2/2023 Add'I RCW 64.55 docs required prior to final? ❑Yes El No 0 0%Credit-Issued 6/3/2023 or later VALUATION CALCULATION: Total$ 314.1 Quo Additional Notes: Approved By:C W, "' Date: %1 Av 1,01,S PUBLIC WORKS 1J Additional Notes: Intake OK by: Date: Intake Comments: IPW Worksheet Needed if: (OSys Dev Eval DTraffic Mit Eval Approved By: Ct Date: (L 1(2/13 IOSite Work or Drainage Proposed I❑Backflow Prevention for high hazard: !(dental,medical,animals,mortuary,hospital, FIRE DEPARTMENT ;supportive housing) Separate/Deferred Submittals Required: ❑Route this folder for PW Review at end ---PW 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: 0 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 0 Is located in this folder ❑ Review/Inspection Scope-ADD FIRE FEE ❑ Is in a Separate Green Folder coin with this folder for permit Issuance) Approved By: Date: ❑ Will be issued separately(Separate Green Folder,PW issued ahead of Bldg) =4 Public Works has no scope--- PW Not Required ELECTRICAL/PLUMBING Additional Notes: Additional Notes: Approved By: Date: Approved ByjA6,y �� Date: