1816 112TH ST SE 2025-01-14 - Laserfiche WebLink

to e-1,f IS 1 D1/4.) Afiu 12- 1 SS UL,=7* Intake & Approval Sheet (FOR PERMIT STAFF ONLY) • PERMIT#1"{2,ZU11!- 031 BUILDING PLANNING Intake OK by: Date: Intake OK by: Assign To: Date: Intake C ments: — Intake Comments: Zone El/Make this a"W"Permit 0 SRC Required (Pre-lnsp) overlay/Agreement dg/TI/Addn/Rem Size 2 � S'i= N. residential Use arage/Accessory Struct. Size (1rA Res dential Use Number of Stories I Proposed No. of Dwelling Units: Basement EINo Oyes , Fin/Unfin Total Vo. of Dwelling Units: Type of Construction V Plant ing/Landscape Inspection Required before Final? ❑Yes ❑No Occupancy Group "In Li u" Fee:Type: Amount$ Occupancy Load If 11 Sch of Impact Fee: Total $ Cert.of Occpuancy Required? QNo ❑Yes ❑Shell Only Cal ulated: Credit: Code Year 02021 122018 02015 Everett School Dist ❑Mukilteo School Dist ire Sprinklers: ❑Update Existing ❑New System Not Req'd ark Impact Fees for permits applied for after 1/1/2022: eason Sprinklers Required: Park Impact Fee Total$ (net due after credit for existing uses) F e Alarm: ❑Update Existing 0 New System EINot Req'd Fee Schedule Used For Calculation(Year): Re son Fire Alarm Required: rr--7� RC 64.55 MF worksheet req'd for permit? ❑Yes Q.No Add'I RCW 64.55 docs required prior to final? ❑Yes E1N Additional Notes: VALUATION CALCULATION: Total $ q Xp+ i1 Approved By: Date: No �V _ t(c PUBLIC WORKS �@� Intake OK by: Date: Intake Comments: fPW Review&Worksheet Needed if: I❑Sys Dev Eval: ❑Water ❑Sewer ❑Storm Additional Notes: 06\ !❑Traffic Mitigation Eval Approved By: Ct C Date: cQ I IA j `❑Site Work/Drainage(shown/triggered) 9 I❑Address Letter 1 FIRE DEPARTMENT I❑Backflow Prevention for high hazard: /Deferred Submittals Required: !(dental,medical,r animals,mortuary, Separate q ;hospital,supportive housing) ❑Fire Sprinklers ❑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 0 Is located in this folder O Review/Inspection Scope-ADD FIRE FEE 0 Is in a Separate Green Folder(join with this foider for 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: Date: