5831 1ST AVE SE 2025-01-13 - Laserfiche WebLink

Intake &Approval Sheet • (FOR PERMIT STAFF ONLY) • PERMIT# `7 °5 BUILDING PLANNING Intake OK by: Date: Intake OK by: Assign To:l Gc • Date: to/t2121-M Intake Comments: Intake Comments: Zone ❑ Make this a"W"Permit ❑ SRC Required(Pre-lnsp) Overlay/Agreement Bldg/TI/Addn/Rem Size _ Nonresidential Use Garage/Accessory Struct.Size , / �, P ~ Residential Use SF(� Number of Stories ` Proposed No.of Dwelling Units: -}p Basement E2No ❑Yes, Fin/Unfin Total No.of Dwelling Units: Type of Construction Planning/Landscape Inspection Required before Final? ❑Yes ININo Occupancy Group 't�R{, "In Lieu"Fee:Type: Amount$ Occupancy Load School Impact Fee: Total $ Cert.of Occpuancy Required? INo ❑Yes ❑Shell Only Calculated: Credit: Code Year N2021 02018. 02015 ❑Everett School Dist ❑Mukilteo School Dist Fire Sprinklers: ❑Update Existing ❑New System.,®Not Req'd Park Impact Fees for permi applied for after 1/1/2022: Reason Sprinklers Required: Park Impact Fee Total$ (net due after credit for existing uses) Fire Alarm: ❑Update Existing El New System KNot Req'd Fee Schedule Used For Cal ulation(Year): Reason Fire Alarm Required: RCW 64.55 MF worksheet req'd for permit? ❑Yes t No Add!RCW 64.55 docs required prior to final? ❑Yes ®No Additional Notes: VALUATION CALCULATION: Total$_ f ! Approved By:''1J' d (1041, Date: •-I PUBLIC WORKS 7 LL, 7 7 tirsc 739 Intake OK by: Date: Intake Comments: I PW Review&Worksheet Needed if: ©Sys Dev Eval: Additional Notes: ❑Water ❑Sewer OStorm i IDTraffic Mitigation Eval Approved By: L1 g ,,".0,r‘ Date: b/b AL( iDSite Work/Drainage(shown/triggered) ` DAddress Letter FIRE DEPARTMENT DBackflow Prevention for high hazard: i(dental,medical,animals,mortuary, Separate/Deferred Submittals Required: !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 ❑ Is located in this folder 0 Review/Inspection Scope-ADD FIRE FEE ❑ Is in a Separate Green Folder(join with this folder 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 dditional Notes: Additional Notes: Approved By: Date: Completed By: M Date: 5f1f