1831 100TH ST SW A 2024-11-08 - Laserfiche WebLink

LLl,h i i A Intake &Approval Sheet (FOR PERMIT STAFF ONLr PERMIT# 52-30 g ©W BUILDING PLANNING Intake OK by: Date: Intake OK by: Assign To: Date: Intake Comments: Intake Comments: Zone ❑ Make this a"W"Permit ❑ SRC Required (Pre-Insp) Overlay/Agreement Bldg/TI/Addn/Rem Size I O11 Nonresidential Use Garage/Accessory Struct.Size 1j ` C Residential Use In Number of Stories ^ Proposed No.of Dwelling Units: j Basement VNo ❑Yes, Fin/Unfin Total No.of Dwelling Units: Type of Constructions Planning/Landscape Inspection Required befo e Fi I? ERYes ❑No Occupancy Group Gww jZ p✓SP n Lieu"Fee:Type: t$ Occupancy Load School Impact Fee: Total $ f1 Cert.of Occpuancy Required? []No ZYes ❑Shell Only Calculated:_„ ,�� Credit: Code Year ❑2021 M018 ❑2015 El Everett School Dist Mukilteo School Dist Fire Sprinklers: ❑Update Existing New System ❑Not Req'd ark Impact Fees for permits applie or after 11 022: Reason Sprinklers Required: /_T Park Impact Fee Total$ 141 (net due after credit for exist* uses) Fire Alarm: ❑Update Existing ❑New System ia1 Not Req'd Fee Schedule Used For Calculation(Year): Reason Fire Alarm Required: RCW 64.55 MF worksheet req'd for permit? ❑Yes El No Add]RCW 64.55 docs required prior to final? ❑Yes Wuvo Additional Notes: VALUATION CALCULATION: TOtaI$_s;?- jRa /Y00 5-3-' 0 `le Approved By: - Date: a3a1 4W 4 3s� `F I j ff.ZL( PUBLIC WORKS Intake OK by: Date: _ _______ ___ ____..______ Uh Intake Comments: PW Review&Worksheet Needed if., �9 73a I �• j❑Sys Dev Eval Additional Notes: � u4i2t 'Z1 (L"w" •q 1 ❑Water ❑Sewer ❑Storm �cr ?�4'► P J ;❑Traffic Mitigation Eval Approved By: Z1&15_7r Date:IQ klav ou []Site Work/Drainage(shown/triggered) j❑Address Letter FIRE DEPARTMENT 1❑Backflow Prevention for high hazard: (dental,medical,animals,mortuary, Separate/Deferred Submittals Required: jhospital,supportive housing) AJ Fire Sprinklers ❑Fire Alarm ❑Other: I, Additional Notes: This Permit is Approved by Public Works 51see PW Review Worksheet and associated attached items Fire Dept.Fees: ❑A Separate PW Permit is Required(Permit#: PW ) ❑ Review of As-Built Plans-NO FIRE FEE AND ❑ Is fully digital ❑ Minimal or No Fire Scope-NO FIRE FEE ❑ Is located in this folder ja Review/Inspection Scope-ADD FIRE FEE ❑ Is in a Separate Green Folder Goin with this folder for permit issuance) Approved By: Date: --:5'a ❑ WIII be issued separately(Separate Green Folder,PW issued ahead of Bldg) ❑ Public Works has no scope on this permit---PW Not Required ELECTRICAL/PLUMBING Additional Notes: Additional Notes: Approved By: Date: Completed Bye- Date: 7 Z