1429 MCDOUGALL AVE 2024-10-25 - Laserfiche WebLink

Intake &Approval Sheet &FOR PERMIT STAFF ONLY) PERMIT �.71)� -032, BUILDING •ANNING # 2 Intake OK by: Date: Intake OK by: /�/� Assign To: J 2SS Date:7/27/23 Intake Comments: Intake Comme�fi Zone -Z Overlay/Agreement Sidewalk p,riort ❑ Route to Commercial Building Nonresidential Use reN*Lous fatal'. ❑ Route to Residential Building Residential Use u/A ❑ Make this a"W" Permit Proposed No. of Dwelling Units: N/A Bldg/TI/Addn/Rem Size IL dl Total No. of Dwelling Units: N/A. Garage/Accessory Struct. Size Planning/Landscape Inspection Required before Final? ❑Yes IEINo Number of Stories ' "In Lieu" Fee:Type: Amount$0 Basement ®No ❑Yes , Fin/Unfin School Impact Fee: Total $ 0 Type of Construction 1111, Calculated: Credit: Occupancy Group A 3 DEverett School Dist ❑Mukilteo School Dist Occupancy Load Park Impact Fees for permits applied for after 1/1/2022: Fire Sprinklers: ❑Update Existing ❑New System lNot Req'd Park Impact Fee Total$ Q (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: 0 100%Credit-Issued 1/1/2022-9/2/2022 RCW 64.55 MF worksheet req'd for permit? ❑Yes ® No 0 50%Credit-Issued 9/3/2022-6/2/2023 Add'I RCW 64.55 docs required prior to final? ❑Yes IgNo 0 0%Credit-Issued 6/3/2023 or later VALUATION CALCULATION: Total$ a too CI► Additional Notes: Approved By: Date:7/2'7/2 3 PUBLIC WORKS Additional Notes: Intake OK by: Date: Intake Comments: PW Worksheet Needed if: ❑Sys Dev Eval(Util/SW) ❑Traffic Mit Eval Approved By: t , awstr%.4 Date:1 a-I' c) ❑Site Work/Drainage DAddress Letter ( ❑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: ❑ 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 Coin with this folder for permit issuance) Approved By:� (�dc )Y' Date: , ❑ Will be issued separately(Separate Green Folder,PW issued ahead of Bldg) UCI{Public Works has no scope---PW Not Required ELECTRICAL/PLUMBING Additional Notes: Additional Notes: .,1A IA/0Am 7 bbdl 14:1Z3 Approved By: Date: Completed B . Date: