5501 S 3RD AVE 2024-11-07 - Laserfiche WebLink

Intake & Approval Sheet (FOR PERMIT STAFF ONLY) PERMIT#6) „ ' D3- • BUILDING PLANNING Intake OK by: Date: Intake OK by: Assign To: Date: Intake Comments: Intake Comments: Zone K`2-- Overlay/Agreement ❑ Route to Commercial Building Nonresidential Use ❑ Route to Residential Building Residential Use ❑ Make this a"W"Permit Proposed No.of Dwelling Units: Bldg/TI/Addn/Rem Size 0 ne,-J Total No.of Dwelling Units: Garage/Accessory Struct. Size O Planning/Landscape Inspection Required before Final? DYes ❑No Number of Stories I "In Lieu"Fee:Type: Amount$ ,--- Basement f No [4Yes ,lam' Unfin School Impact Fee: Total $ Type of Construction Calculated: Credit: Occupancy Group 7i12-t. DEverett School Dist DMukilteo School Dist Occupancy Load W , Park Impact Fees for permits applied for after 1/1/2022: Fire Sprinklers: ❑Update Existing ONew System rig Not Req'd Park Impact Fee Total$ Reason Sprinklers Required: Fee Schedule Used For Calculation(Year): Fire Alarm: ❑Update Existing ❑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 No 0 50%Credit-Issued 9/3/2022-6/2/2023 Add'I RCW 64.55 docs required prior to final? ❑Yes No 0 0%Credit-Issued 6/3/2023 or later VALUATION CALCULATION: Total$ I 0 ,° Additional Notes: ✓i, P -7/ �. 7/ Approved By: Date: PUBLIC WORKS Additional Notes:191/1,,a rp.. e.-W e J IA/►ldUW ifetittaVAIIntake OK by: Date: Intake Comments: ipW Worksheet Needed if: I DSys Dev Eval ❑Traffic Mit Eval Approved By: (101/4 -- Date: IOC �� ❑Site Work or Drainage Proposed I❑Backfow Prevention for high hazard: i(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 OCreate 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 0 A Separate PW Permit is Required(Permit#: PW ) ❑ Minimal or No Fire Scope-NO FIRE FEE AND ❑ Is located in this folder 0 Review/Inspection Scope-ADD FIRE FEE 0 Is in a Separate Green Folder(join with this folder for permit issuance) Approved By: Date: 0 Will be issued separately(Separate Green Folder,PW issued ahead of Bldg) aPublic Works has no scope---PW Not Required ELECTRICAL/PLUMBING Additional Notes: Additional Notes: Approved By: Date: Approved Bpr Date: 0(, j12 (1.6 1_3