600 54TH ST SW J 2025-01-29 - Laserfiche WebLink

Intake &Approval Sheet (FOR PERMIT STAFF ONLY) PERMIT# L31? - tL BUILDING _ANNING Intake OK by: Date: Intake OK by: v Assign To: jes S Date: 5/i/23 Intake Comments: Intake Comments: Zone (T,-Z Overlay/Agreement Q IA ❑ Route to Commercial Building Nonresidential Use xl/4 ❑ Route to Residential Building Residential Use 5 F R ❑ Make this a"W"Permit Proposed No.of Dwelling Units: S Bldg/TI/Addn/Rem Size ^')-,7 Total No. of Dwelling Units: Garage/Accessory Struct. Size T(,y o Planning/Landscape Inspection Required before Final? ❑Yes mNo Number of Stories a. "In Lieu" Fee:Type: Amount$6 Basement ONo ❑Yes, Fin/Unfin School Impact Fee: Total $ (0.2 a co Type of Construction yQC, Calculated: Credit: Occupancy Group VR-C INEverett School Dist ❑Mukilteo School Dist Occupancy Load .L1-r'('' Park Impact Fees for permits applied for after 1/1/2022: Fire Sprinklers: ❑Update Existing ❑New System Not.Req`d Park Impact Fee Total$ 21450 (net due after credit for existing uses) Reason Sprinklers Required: Fee Schedule Used For Calculation(Year):. 2o7-3 Fire Alarm: ❑Update Existing ®New System El Not Req'd Permit Technician Use Only:Apply Phase-In Credit Per EMC19.53.200 Reason Fire Alarm Required: IvF�,, AT— 0 100%Credit-Issued 1/1/2022-9/2/2022 RCW 64.55 MF Worksheet req'd for permit? ❑Yes 'El No 0 50%Credit-Issued 9/3/2022-6/2/2023 Addl RCW 64.55 docs required prior to final? ❑Yes R.No q 0%Credit-Issued 6/3/2023 or later VALUATION C LCULATION: Total$ 61 II / 911 Additional Notes: 1•,-l-1 1 6u *,*) At 3 6 o A Approved By: Date:5/z/z3 _ ( � \ _ . L431 -'90 �� S' �'��s�� PUBLIC WORKS Additional Notes: k 4 : 9 L )- Intake OK by: Date: Intake Comments: PW Worksheet Needed if: ❑Sys Dev Eval(Util/sW) OTraffic Mit Eval Approved By: 1 6 Date: go' J„3 ❑Site Work/Drainage DAddress Letter OBackflow 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 OSubmitted Previously ❑Deferred This Permit is Approved by Public Works Fire Dept.Fees: a See PW Review Worksheet and associated attached items ❑ Review of As-Built Plans-NO FIRE FEE LIA Separate PW Permit is Required(Permit#/: PW L,3r_)g- 02,3) ❑ Minimal or No Fire Scope-NO FIRE FEE AND 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---PW Not Required ELECTRICAL/I?LUMBING Additional Notes: Additional Notes: Approved By: Date: Completed By:T �`'�l� Date: 08 [`i 2'za