2330 MELVIN AVE 2025-01-27 - Laserfiche WebLink

• • Intake &Approval Sheet (FOR PERMIT STAFF ONLY) PERMIT# 0. 2 3 / 2 _ 3 g BUILDING PLANNING Intake OK by: Date: Intake OK by: Assign To: Date: Intake Comments: Intake Comments: Zone ❑ Make this a"W"Permit ❑ SRC Re wired(Pre-Insp) Overlay/Agreement Bldg/TI/Addn/Rem Size F gcf ►i,v`r Nonresidential Use Garage/Accessory Struct.Size Residential Use Number of Stories Proposed No.of Dwelling Units: Basement ❑No dYe , Fin Unfin Total No.of Dwelling Units: Type of Construction Croc__ 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 111Yes ❑Shell Only Calculated: Credit: Code Year ❑2021 52018 ❑2015 ❑Everett School Dist ❑Mukilteo School Dist Fire Sprinklers: El Update Existing El New System'Not Req'd Park Impact Fees for permits applied for after 1/1/2022: Reason Sprinklers Required: nn�� Park Impact Fee Total$ (net due after credit for existing uses) ❑ Ila Fire Alarm: Update Existing ❑New System Not Req'd Fee Schedule Used For Calculation(Year): Reason Fire Alarm Required: r�C RCW 64.55 MF worksheet req'd for permit? ❑Yes L(d'No Add'I RCW 64.55 does required prior to final? ❑Yes 1No Additional Notes: /) t e. C' 4'/J W c r VALUATION CALCULATION: Total$ 3 i .�Ge J� t/k�1/ ?b Approved By: L2 Date: / /(5-j ( .ice � PUBLIC WORKS ��1 � Intake o m t Date ©1 16�j'�Z-4 ` `� Intake Comments: PW Review 8 Worksheet Needed if: `S' C:2'X ',n fA y I§4Sys Dev Eval: Additional Notes: V �VY,WV/Q[ /J�p ❑Water ❑Sewer ❑Storm D s "`_'ft ' i` ❑Traffic Mitigation Eval Approved By: L Date: //fl?" 1 O 6 • ❑Site Work/Drainage(shown/triggered) O4' hat* VL ,VON* ❑Address Letter FIRE DEPARTMENT , I❑Backflow Prevention for high hazard: Separate/Deferred Submittals Required: i(dental,hospit mupportyal, s mortuary, 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: 0 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) IA Public Works has no scope on this permit---PW Not Required ELECTRICAL/PLUMBING Additional Notes: Additional Notes: 1 Approved By: Date: Completed By:AAmAki4 ApAidw Date: g 76214