11024 20TH DR SE 2025-01-13 - Laserfiche WebLink

Intake & Approval Sheet 'FOR PERMIT STAFF ONLY) 0 PERMIT# Z4-o5- DI .Q BUILDING PLANNING Intake OK by: Date: Intake OK by: Assign To: Date: Intake Comments: Intake Comments: Zone UR3 ❑ Make this a"W" Permit ❑ SRC Required (Pre-Insp) Overlay/Agreement Sra-ynile oFall f o..y 1rnv,s,i- Bldg/TI/Addn/Rem Size Nonresidential Use NIA Garage/Accessory Struct. Size Residential Use Condo (.bltdll"tp21 _ulnkiz Number of Stories Proposed No. of Dwelling Units: (. Basement ❑No ❑Yes , Fin /Unfin Total No. of Dwelling Units: i L1Dkat ov-_1?GtrcP l Type of Construction -R L Planning/Landscape Inspection Required before Final? Yes FiNo Occupancy Group y&.c "In Lieu" Fee:Type: Nth Amount$ N/t Occupancy Load ,1- ,v School Impact Fee: Total $ N/pt Cert. of Occpuancy Required?. Fi:No ❑Yes El Shell Only Calculated: N/A Credit: N/P Code Year Fal 021 02018 02015 El Everett School Dist ❑Mukilteo School Dist Fire Sprinklers: El Update Existing El New System 51Not Req'd Park Impact Fees for permits applied for after 1/1/2022: Reason Sprinklers Required: Park Impact Fee Total$ NON (net due after credit for existing uses) Fire Alarm: El Update Existing El New System Not Req'd Fee Schedule Used For Calculation(Year): N/t't Reason Fire Alarm Required: RCW 64.55 MF worksheet req'd for permit? ❑Yes 11 No Add'I RCW 64.55 docs required prior to final? D�(, Yes :]No Additional Notes: VALUATION CALCULATION: Total $ 101 0bk) Approved By: y„,—3 Date: of)1231202,4 PUBLIC WORKS Intake OK by: Date: Intake Comments: I PW Review 8,Worksheet Needed if: ❑Sys Dev Eval : I ❑Water ❑Sewer ❑Storm Additional Notes: i. 3 IsN1��Y ^1/ LC ❑Traffic Mitigation Eval Approved By: Gy.Asorek-4\ Date: kilk,/,4,, ;❑Site Work/Drainage(shown/triggered) I❑Address Letter FIRE DEPARTMENT I❑Backflow Prevention for high hazard: (dental, medical, animals, mortuary, Separate/Deferred Submittals Required: !hospital,supportive housing) El 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 0 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: 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: