4828 DELAWARE AVE 2024-11-01 - Laserfiche WebLink

Intake &Approval Sheet (FOR PERMIT STAFF ONLY) PERMIT# 6, IO _ail ``,, BUILDING _'LANNING Intake OK by: TI Date: 1�'e I ZS7-2i Intake OK by: Assign To: Jessica Date: it U/Iq lzZ Intake Comments: Intake Comments:Missing AVU owner oocvpctr,c. cer}ikicalre &0ec.laratlor. CA. ADV GOVevnanr,AK 4o rev,P.ui in Meantime. Zone jZ—I Overlay/Agreement W/A ❑ Route to Commercial Building Nonresidential Use N/A ' Route to Residential Building Residential Use 5FR•+ ADO ❑ Make this a"W" Permit Proposed No. of Dwelling Units: 2 Bldg/TI/Addi em Si) 'g-2j2 Total No.of Dwelling Units: 2 Garage/Accessory Struct. Size Planning/Landscape Inspection Required before Final? ❑Yes ENo Number of Stories .2 "In Lieu" Fee: Type: Amount$ Basement ❑No .®Yes Unfin ' School Impact Fee: Total $ Type of Construction '�12--G Calculated: „, Occupancy Group SIZC DEverett School Dist,,/•L_IMukilteo School Dist r Occupancy LoadL Park Impact Fees for permits applied for after 1/1/2022: Fire Sprinklers: ['Update Existing ❑New System of Req'd Park Impact Fee Total$ y o UJ v Reason Sprinklers Required: Fee Schedule Used For Calculation(Year): 7Jl7-. Fire Alarm: El Update Existing ONew System 'Not Req'd Permit Technicians:Apply Credit Per EMC19.53.200 Reason Fire Alarm Required: ❑ 100%Credit-Issued 1/1/2022-9/2/2022 RCW 64.55 MF worksheet req'd for permit? ❑Yes 151No '50%Credit-Issued 9/3/2022-6/2/2023 Add'I RCW 64.55 docs required prior to final? ❑Yes 431No 0 0%Credit-Issued 6/3/2023 or later VALUATION CALCULATION: Total $ IS0,600 Additional Notes: Linked •4o REVIZZ-135. Dori'+ issue b6i d fck s:crrnOr un�l1 payWtenk is fecei•rec for -4he. e. Approved By: Date: 1020/22_ PUBLIC WORKS Additional Notes: Intake OK by: Date: I�p� ['eca4.Q-K .(yq rPW Worksheet Needed if.• SW Neu! K•Grde S-h.4 r5 JSys Dev Eval OTraffic Mit Eval Approved By: e.Q 0 Date: j'rI a1243Z3 1$ 0 r'reeJ, SW S S viSite Work or Drainage Proposed K �� y 5 fug ❑Backflow Prevention for high hazard: (dental,medical,animals,mortuary,hospital, FIRE DEPARTMENT supportive housing) Separate!Deferred Submittals Required: DRoute this folder for PW Review at end ---PW Review Worksheet ❑Fire Sprinklers ❑Fire Alarm ❑Other: ❑This project also has a separate concurrent PW Review(Green Folder) Additional Notes: AND ❑Create Green Folder ❑Submitted Previously ❑Deferred la This Permit is Approved by Public Works Fire Dept. Fees: g See PW Review Worksheet and associated attached items ❑ Review of As-Built Plans-NO FIRE FEE ❑ A Separate PW Permit is Required (Permit#: PW ) ❑ Minimal or No Fire Scope-NO FIRE FEE AND ❑ 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) 0 Public Works has no scope--- PW Not Required ELECTRICAL/PLUMBING Additional Notes: kf(!4�1,L. ie5s t S ((A_ -6 i- Additional Notes: r Approved By: Date: Approved By Date: 1 r) t 7 i /7 :7.