1831 100TH ST SW B 2024-11-12 - Laserfiche WebLink

Intake &Approval Sheet (FOR PERMIT STAFF ONLr PERMIT# 2308 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 [t t Nonresidential Use Garage/Accessory Struct.Size Y �4 r f 'I dc:k Residential Use , Number of Stories 3 Proposed No. of Dwelling Units: Basement 16No ❑Yes, Fin/Unfin Total No. of Dwelling Units: Type of Construction Planning/Landscape Inspection Required befo96Fi l? UYes []No Occupancy Group G "In Lieu"Fee:Type: A unt$ Occupancy Load 1A School Impact Fee: Total r0 Cert.of Occpuancy Required? ❑No OYeS ❑Shell Only Calculated: 11,e6N(0 Credit: Ql Code Year ❑2021 ®2018 ❑2015 ❑Everett School Dist uki eo School Dist Fire Sprinklers: ❑Update Existing ®New System El Not Req'd Park Impact Fees for permits ap ied for after 1/112022: Reason Sprinklers Required: Ij D Park Impact Fee Total$ ZI Z0 (net due after credit for existing uses) Fire Alarm: ❑Update Existing ❑New System Nat Req'd Fee Schedule Used For Calculation(Year): - .O Z 3 Reason Fire Alarm Required: RCW 64.55 MF worksheet req'd for permit? ❑Yes R1 No Add'I RCW 64.55 docs required prior to final? ❑Yes _SNo Additional Notes: VALUATION CALCULATION: Total$ 5ZO 715 I.3 k-7 S,3J YB jApproved By: Date: )z_(o 6 -1 38 PUBLIC WORKS 3v '�oi�( Intake OK by: Date: 3�0 --_�__._________ Intake Comments: f y � ' ;PW Review&Worksheet Needed if. 6 0 7� • 6 '❑Sys Dev Eval: Additional Notes: -K 0hi7 CaT ❑water ❑Sewer 0-storm I❑Traffic Mitigation Eva] Approved By: Date:jrlKc)v,;Z. j❑Site Work/Drainage(shown/triggered) ;❑Address Letter i FIRE DEPARTMENT F❑Backflow Prevention for high hazard: Separate/Deferred Submittals Required: (dental,medical,animals mortuary, p q hospital,supportive housing) -InFire Sprinklers El Fire Alarm ❑Other: Additional Notes: This Permit is Approved by Public Works See 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 -Review/Inspection Scope-ADD FIRE FEE ❑ Is in a Separate Green Folder Qoin with this folderfor permit issuance) Approved By: t Date: - 3 ❑ Will 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 By:�— Date: 9 i 2