216 73RD ST SW 2024-11-07 - Laserfiche WebLink

Intake &Approval Sheet 4FOR PERMIT STAFF ONLY) PERMIT# 62361.-045 BUILDING °PANNING Intake OK by: Date: Intake OK by: Assign To: Jess Date: $//5/23 Intake Comments: Intake Commen s: Zone R-1 Overlay/Agreement A l A ❑ Route to Commercial Building Nonresidential Use N/A ❑ Route to Residential Building Residential Use SF 1'2 ❑ Make this a"W" Permit Proposed No.of Dwelling Units: kVA Bldg/TI/Addn/Rem Size Total No.of Dwelling Units: j Garage/Accessory Struct.Size Planning/Landscape Inspection Required before Final? ❑Yes• INo Number of Stories I "In Lieu"Fee:Type: Amount$ O Basement IgNo ❑Yes, Fin/Unfin School Impact Fee: Total $ D Type of Construction 14,, Calculated: Credit: Occupancy Group 'MC C DEverett School Dist ❑Mukilteo School Dist Occupancy Load Wit. Park Impact Fees for permits applied for after 1/1/2022: Fire Sprinklers: ❑Update Existing ONew System ❑Not Req'd Park Impact Fee Total$ 0 Reason Sprinklers Required: Fee Schedule Used For Calculation(Year): Fire Alarm: ❑Update Existing ❑New System EP-Not Req'd Permit Technicians:Apply 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 9/3/2022-6/2/2023 Add'I RCW 64.55 docs required prior to final? ❑Yes ®No ❑ 0%Credit-Issued 6/3/2023 or later VALUATION CALCULATION: Total$ k cl kCO Additional Notes: Approved By: "fr Date: 8/t 5/23 PUBLIC WORKS Additional Notes: Intake OK by: Date: Intake Comments: IPW Worksheet Needed if: IDsys Dev Eval DTraffic Mit Eval Approved By: ('J 6. A Date: f�1 1,,1 LASite Work or Drainage Proposed (' ❑Backflow Prevention for high hazard: i(dental,medical,animals,mortuary,hospital, FIRE DEPARTMENT ;supportive housing) Separate/Deferred Submittals Required: DRoute 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 0 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 0 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---PW Not Required ELECTRICAL/PLUMBING Additional Notes: Additional Notes: Approved By: Date: Approved By: Date: