9925 1ST PL W 2025-01-28 - Laserfiche WebLink

Intake & Approval Sheet (FOR PERMIT STAFF ONLY) PERMIT# 62,11-Def-- 0ta BUILDING PLANNING Intake OK by: Date: Intake OK by: s:� Assign To: jpS3 Date: S/q Ij4-{ Intake Comments: Intake Commen Zone U12H ❑ Make this a"W" Permit ❑ SRC Required (Pre-Insp) Overlay/Agreement f4(M Bldg/TI/Addn/Rem Size Nonresidential Use Garage/Accessory Struct. Size Residential Use SF¢ Cc oc,aa") _ Number of Stories Proposed No.of Dwelling Units: Basement ❑No ❑Yes , Fin/Unfin Total No. of Dwelling Units: Type of Construction T- &. Planning/Landscape Inspection Required before Final? ❑Yes IDNo Occupancy Group , "In Lieu" Fee: Type: Amount$U Occupancy Load y (. School Impact Fee: Total $ Cert. of Occpuancy Required? 4No ❑Yes ❑Shell Only Calculated: Credit: Code Year la2021 02018 ❑2015 ❑Everett School Dist ❑Mukilteo School Dist Fire Sprinklers: El Update Existing El New System ucrlNot Req'd Park Impact Fees for permits applied for after 1/1/2022: Reason Sprinklers Required: Park Impact Fee Total$ U (net due after credit for existing uses) Fire Alarm: ❑Update Existing DNew System El Not Req'd Fee Schedule Used For Calculation(Year): Reason Fire Alarm Required: _ RCW 64.55 MF worksheet req'd for permit? DYes E II----II-No Add'I RCW 64.55 docs required prior to final? ❑Yes ®No Additional Notes: VALUATION CALCULATION: Total $ 3''•.)10L., Approved By: % d(e—Gl vT.v-c---` Date: SjP/ PUBLIC WORKS Intake OK by: Date: Intake Comments: j PW Review& Worksheet Needed if: ❑Sys Dev Eval : Additional Notes: ❑Water ❑Sewer ❑Storm i ,�F"L Qr ❑Traffic Mitigation Eval Approved By: (, 4'ik' ^ Date: il i 7 f - ❑Site Work/Drainage(shown/triggered) I I❑Address Letter FIRE DEPARTMENT ❑Backflow Prevention for high hazard: (dental,medical, rt 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 ❑ 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 A itional Notes: Additional Notes: Approved By: Date: Completed By: r 2 � .f c Date: p 4 j7e,/2.