1806 106TH ST SW 2025-01-14 - Laserfiche WebLink

Intake &Approval Sheet •JR PERMIT STAFF ONLY) •RMIT# eit 4 U 0-b(3 BUILDING PLANNING Intake OK by: Date: Intake OK by: Assign To: Date: Intake Comments: Intake Comments: Zone —Z 0 Make this a"W"Permit ❑ SRC Required(Pre-Insp) Overlay/Agreement '/2rnite 4 on a1,t 6 a 1 1Ynn 55S1bp Bldg/TI/Addn/Rem Size Nonresidential Use N/pS. Garage/Accessory Struct.Size , Residential Use 13diAlttlrrt;1 vJ hmvyl P. Number of Stories Proposed No.of Dwelling Units: (Z5 Basement ❑No ❑Yes, Fin/Unfin Total No.of Dwelling Units: I Type of Construction Planning/Landscape Inspection Required before Final? ❑Yes ❑No Occupancy Group "In Lieu"Fee:Type: Amount$ Occupancy Load School Impact Fee: Total $ / Cert.of Occpuancy Required? .No ❑Yes ❑Shell Only Calculated: Credit: / Code Year 02021 ❑2018. ❑2015 ❑Everett School Dist ❑Mukilteo School Dist Fire Sprinklers: ❑Update Existing❑New System ❑Not Req'd Park Impact Fees for permits applied for after 1/1/2022: Reason Sprinklers Required: Park Impact Fee Total$ (net due aft er credit for existing uses) Fire Alarm: ❑Update Existing ❑New System ❑Not Req'd .Fee Schedule Used For Calculation(Year): Reason Fire Alarm Required: RCW 64.55 MF worksheet req'd for permit? Dyes ElNo / Add'I RCW 64.55 docs required prior to final? ❑Yes ❑No Additional Notes: VALUATION CALCULATION: Total$ So190 Approved By: t Date: 01/I l/z,OZy PUBLIC WORKS Intake OK by: Date: Intake Comments: PW Review&Worksheet Needed if: p Sys Dev Eva!: Additional Notes: II IVi °1.A � �s ( OWater ❑Sewer OStorm DTraftic Mitigation Eval Approved By: U Date: 7 i ( t DSite Work/Drainage(shown/triggered) 7 IDAddress Letter FIRE DEPARTMENT IDBackflow Prevention for high hazard: (dental,medical,animals,mortuary, Separate I Deferred Submittals Required: !hospital,supportive housing) ❑Fire Sprinklers DFire 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(join with this folder for permit issuance) Approved By:' ,eD, ` o.4, Date:8 2.c ❑ Will be issued separately(separate Green Folder,PW Issued ahead of Bldg) ti Public Works has no scope on this permit---PW Not Required ELECTRICAL/PLUMBING . . Additional Notes: Additional Notes: •Approved By: Date: ` Completed By: 711/A4, ,, Date: I"0 Irv'1