1831 100TH ST SW C 2024-12-09 - Laserfiche WebLink

Lk,rl t C Intake &Approval Sheet (FOR PERMIT STAFF ONLY) PERMIT# 372 ?0g, 0$7 BUILDING PLANNING Intake OK by: Date: Intake OK by: Assign To: Date: Intake Comments: Intake Comments: Zone FrBId;I/TI/Addn/Rem Make this a"W"Permit ElSRC Required (Pre-Insp) Overlay/Agreement Size Noo Nonresidential Use age ccessory Struct.Size J 3 S-F Ld Residential Use Number of Stories 3 Proposed No.of Dwelling Units: Basement Blo ❑Yes , Fin/Unfin Total No. of Dwelling Units: Type of Construction (J2-r Planning/Landscape Inspection Required before Fi 17 ' Yes []No Occupancy Group P "In Lieu"Fee:Type: Ar5Xunt$ Occupancy Load j,? School Impact Fee: Total $ Cert.of Occpuancy Required? []No EgYes ❑Shell Only Calculated: 11 ,VAL) Credit: Code Year 02021 ®2018 112015 ❑Everett School Dist gMukilteo School Dist Fire Sprinklers: ❑Update ExistingS New System El Not Req'd Park Impact Fees for permits appl' d for after 1/112022: Reason Sprinklers Required: l3 -!--1 Park Impact Fee Total 1 Tr (net due after credit for existing uses) Fire Alarm: ❑Update Existing El New System LINot Req'd Fee Schedule Used For Calculation(Year): Reason Fire Alarm Required: RCW 64.55 MF worksheet req'd for permit? ❑Yes IM No Add1 RCW 64.55 dots required prior to final? ❑Yes ®No Additional Notes: VALUATION CALCULATION: Total$ a``7. 7.3+: /_j0'a 'I s-JF d ee rcp Aq_-v�4 Approved By: Date: I z166 a3a, qw 3ss-Qp �� PUBLIC WORKS Intake OK by: Date: Intake Comments: i `PIN Review&Worksheef Needed if.• I❑Sys Dev Eval (JhiT �T ✓ w;u� ❑Water ❑Sewer ❑Storm Additional Notes:'tiif I ,W �L/ T C� �❑Traffic Mitigation Eval Approved By: Date:30.'4Gl/ �j ,❑Site Work/Drainage(shown/triggered) ❑Address Letter FIRE DEPARTMENT !❑Backflow Prevention for high hazard: ?Fire crate/Deferred Submittals Required: !(dental,medical,animals,mortuary, !hospital,supportive housing) Sprinklers ❑Fire Alarm ❑Other: i Additional Notes: MThis Permit is Approved by Public Works 24 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(join with this folderfor permit issuance) Approved By: Date: <?_ ❑ 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: 7r Date: QS