6307 36TH AVE W 2024-11-07 - Laserfiche WebLink

Intake &Approval Sheet (FOR PERMIT STAFF ONLY) PERMIT# 52-3ol— Oe7 BUILDING OLANNING Intake OK by: Date: Intake OK by: Assign To: Date: Intake Comments: Intake Comments: Zone L-12 Overlay/Agreement ,, 11 \\,^ El Route to Commercial Building Nonresidential Use WY l Ole i IC, r D ❑ Route to Residential Building Residential Use _ ❑ Make this a"W" Permit Proposed No. of Dwelling Units: Bldg/TI/Addn/Rem Size Total No.of Dwelling Units: 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 $ ----- Type of Construction JJ-1,--.5 Calculated: Credit: Occupancy Group B S—/ ❑Everett School Dist ❑Mukilteo School Dist Occupancy Load Park Impact Fees for permits applied for after 1/1/2022: Fire Sprinklers:nU date ExistingEl System ONot Req'd Park Impact Fee Total$ '� p p yq' (net due after credit for existing uses) Reason Sprinklers Required: Fee Schedule Used For Calculation(Year): Fire Alarm: pdate Existing [New System ❑Not Req'd Permit Technician Use Only:Apply Phase-In Credit Per EMC19.53.200 Reason Fire Alarm Required: El100%Credit-Issued 1/1/2022-9/2/2022 RCW 64.55 MF worksheet req'd for permit? ❑Yes J No 50%Credit-Issued 9/3/2022 6/2/2023 Add'I RCW 64.55 docs required prior to final? ❑Yes to 0 0%Credit-Issued 6/3/2023 or later VALUATION CALCULATION: Total$i� �� Additional Notes: 1f) f'27 1 V3 Approved By: Date: • PUBLIC WORKS Additional Notes: Intake OK by: Date: Intake Comments: PW Worksheet Needed if: ❑Sys Dev Eval(titil/SVV)❑Traffic Mit Eval Approved 1 � Date �D�7� ❑Site Work/Drainage DAddress Letter ❑Backflow Prevention for high hazard: (dental,medical,animals,mortuary,hospital, FIRE DEPARTMENT supportive housing) Separate I Deferred Submittals Required: El 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 ❑ 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: KA,c) -cu, Date: 3-f 6 ❑Will be issued separately(Separate Green Folder,PW issued ahead of Bldg) Public Works has no scope---PW Not Required ELECTRICAL/PLUMBING dditional Notes: Additional Notes: Approved By: Date: Completed By: Date: