9808 3RD AVE SE 2024-11-07 - Laserfiche WebLink

Intake &Approval Sheet (FOR PERMIT STAFF ONLY) PERMIT# 'c? 6.- 00"1 BUILDING . INNING Intake OK by: Date: Intake OK by:f Assign To: k1 e5S Date:(p/I'-(/2? _ Intake Comments: Intake Comm ts: Zone R-1 Overlay/Agreement At R ❑ Route to Commercial Building Nonresidential Use N/A ❑ Route to Residential Building Residential Use M%t+i-ccxw,;1 tJ ❑ Make this a"W"Permit Proposed No.of Dwelling Units: N/A Bidg1 Tl/Addn/Rem Size ?4t0 CI Total No.of Dwelling Units: M/A Garage/Accessory Struct.Size Planning/Landscape Inspection Required before Final? ❑Yes IgNo Number of Stories 45, "In Lieu"Fee:Type: Amount$0 Basement ❑No ❑Yes, Fin/Unfin School Impact Fee: Total $ 0 Type of Construction — 73 Calculated: Credit: Occupancy Group t--c - ❑Everett School Dist ❑Mukilteo School Dist Occupancy Load Park Impact Fees for permits applied for after 11'l12022: Fire Sprinklers: ❑Update Existing ONew System Not Req'd Park ILnpact Fee Total$ (nf due after credit fore 'sting uses i�10 e.e.S �:O( r place v�nev��1-of 3 vctvrG W�4Y�i r,1-yea - a Reason Sprinklers Required: Fee Schedule Used For Calculation(Year): cie,5 kr✓cirtan Fire Alarm: ❑Update Existing :New System aot Req'd Permit Technician Use Only:Apply Phase-In Credit Per EMC19.53.200 Reason Fire Alarm Required: y 0 100%Credit-Issued 1/1/2022-9/2/2022 RCW 64.55 MF Worksheet req'd for permit? Oyes 1�t No 0 50%Credit-Issued N3/2022-6/2/2023 Add'l RCW 64.55 does required prior to final? DYes 1No ❑ 0%Credit-Issued 6/3/2023 or later _e VALUATION CALCULATION: Total$ I Additional Notes: F10 a �� '�'3 1/ Approved By; Date:4/14/23 —. I • "J `51� Pl]BLI WORKS . . . - Additional Notes: Intake OK by: Date: Intake Comments: PW Worksheet Needed It': ❑Sys Dev Eval(Util/SW) QTraffic Mit Eval Approved By: [,.,�_� Date:c 't Pc23 ❑site Work/Drainage 0Address 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 --PWReview 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 O Review of As-Built Plans-NO FIRE FEE 0 A Separate PW Permit is Required(Permit#:,PW ) Et Minimal or No Fire Scope-NO FIRE FEE AND 0 Is located in this folder VI Review/Inspection Scope-ADD FIRE FEE ❑ Is in a Separate Green Folder gain with this folder for permit issuance) Approved By:k tVWy Date: 67-?�3 ❑Will be issued separately(Separate Green Folder,PW issued ahead of Bldg) Ii1Public Works has no scope---PW Not Required ELECTRICAL/PLUMBING Additional Notes: Additional Notes: . Approved By: Date: Completed Br.�`" Date: egdat /1423