4828 DELAWARE AVE 2024-11-01 - Laserfiche WebLink

Intake & Approval Sheet (FOR PERMIT STAFF ONLY) PERMIT# 5f 10 -Os/ {� BUILDING L rLANNING Intake OK by: V- AA Date: i,17, LZ Intake OK by: _ Assign To: Jess i cA Date: 10�1�1I ZZ Intake Comments: I Intake Commen s:MiStir►9 APU owntr oc.cupana.6 in 3,Oec\4rat%or. of AvU covevnnv��-,91L,_-Vo s•evi›.t.l Me4nt ime. Zone R.-f; Overlay/Agreement t4/A ❑ Route to Commercial Building Nonresidential Use N/A Route to Residential Building Residential Use SF R•+ ADO ❑ Make this a"W" Permit Proposed No. of Dwelling Units: Z Bldg/TI/AddiCRem S! 'g-2-52 + Total No. of Dwelling Units: 2 Garage/Accessory Struct. Size Planning/Landscape Inspection Required before Final? ❑Yes EINo Number of Stories `i "In Lieu" Fee:Type: Amount$ Basement ❑No El Yes eila Unfin ' School Impact Fee: Total $ Type of Construction PQG Calculated: it: Occupancy Group DEverett School Dist/' Mukilteo School Dist Occupancy Load ( Park Impact Fees for permits applied for after 1/1/2022: Fire Sprinklers: ❑Update Existing ❑New System Not Req'd Park Impact Fee Total$ I`b'%v -� Reason Sprinklers Required: Fee Schedule Used For Calculation(Year): 4J0 7i2- Fire Alarm: ❑Update Existing ❑New System 'SNot Req'd Permit Technicians:Apply Credit Per EMC19.53.200 Reason Fire Alarm Required: - 0 100%Credit-Issued 1/1/2022-9/2/2022 RCW 64.55 MF worksheet req'd for permit? ❑Yes 'No 50%Credit-Issued 9/3/2022-6/2/2023 Add'I RCW 64.55 docs required prior to final? ❑Yes ENo /❑ 0%Credit-Issued 6/3/2023 or later VALUATION CALCULATION: Total $ tSv coo Additional Notes: L,nWed }o REV1Z2-135. moor,'+ 1SSue. \Dvi1d'irtiq 9,errnOr un'61 p0.�vrle k is received for -Yre. RE A!1 fee.. Approved By '� — Date: 10I20/Z2_ PUBLIC WORKS Additional Notes: Intake OK by: Date: Ir1 o'y1 DPW Worksheet Needed if: S NG1A1 Ca at .-412.4%rs IZISiskIDev Eval ❑Traffic Mit Eval Approved By: ef 1 Date: t ii c7l -2,3 1$a - -n Sys NSite Work or Drainage Proposed 1 2ev 0 n bId.5 1Qu� ❑Backflow Prevention for high hazard: (dental,medical,animals,mortuary,hospital, FIRE DEPARTMENT SUDonrtivn h,.•..-:..--•Separate/Deferred Submittai o- - ❑Rout Kilt t't n1Vv orksheet ❑Fir' ^ iii- _ ❑This ?`l,(A/1v �."• teen Folder) Additio (/3 � AND ❑ deferred , ' • , This ,U€ "Fire Del l/ See I �;I�f A �� PaAkr ,s ❑ Revit _ ,..� rlhE FEE 0 A Sel outs — p2so ba 4-6 at-) ) o Minimal or No Fire Scope-NO FIRE FEE AND C f_ e � ❑ Review/Inspection Scope-ADD FIRE FEE C 7. - F � it issuance) Approved By: Date: ❑ ?IA ` iJe4- (r t t/•✓i - d ahead of Bldg) ❑ Public ..... S\rtoutd \' ' v..12e6 r-e' ELECTRICAL/PLUMBING Additional ?a.‘/erneKl - Cot par ltl^g rat. Additional Notes: "-- Approved By: Date: Approved i -- 11/1 t i i 7/)7; a •