600 54TH ST SW D 2025-01-28 - Laserfiche WebLink

Intake &Approval Sheet (FOR PERMIT STAFF ONLY) PERMIT# -l-a•_ /--,`>L--)L/ .0}7 BUILDING ANNING Intake OK by: Date: Intake OK by: / Assign To: ..1e,SS Date:5/2/23 Intake Comments: Intake Comments: Zone R-2- Overlay/Agreement A 1 A ❑ Route to Commercial Building Nonresidential Use NSA ❑ Route to Residential Building Residential Use 5 F Q ❑ Make this a"W" Permit Proposed No.of Dwelling Units: l Bldg/TI/Addn/Rem Size _-. T 5-"l Total No. of Dwelling Units: I Garage/Accessory Struct.Size " r3 Planning/Landscape Inspe tion Required before Final? ❑Yes No Number of Stories 3 "In Lieu" Fee:Type: Amount$-D Basement EI No ❑Yes , Fin/Unfin School Impact Fee: To I $ GI 28(0 Type of Construction _. Calculated: (O Z466 Credit: Occupancy Group, Everett School Dist ❑M ilteo School Dist Occupancy Load .Jr--f-A-' Park Impact Fees for permits a plied for after 1/1/2022: Fire Sprinklers: DUpdate Existing ONew System 121.Not•Req'd Park Impact Fee Total t 318O_ \,," (net due after credit for existing uses) Reason Sprinklers Required: Fee Schedule Used For Calculation(Year): 4.713'23 Fire Alarm: ❑Update Existing ❑New System *ot Req'd Permit Technician Use Only:Apply Phase-In 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? DYes No ❑ 50%Credit-Issued 9/3/2022-6/2/2023 Add!RCW 64.55 does required prior to final? DYes ❑No ❑ 0%Credit-Issued 6/3/2023 or later VALUATION CALCULATION: Total$ i.) 3 4 '94 Additional Notes: l 1.64 Approved By: Date: (Ui')( 60,d ?"1-/ 910 l► l��(Z� 13Lie WORKS • Additional Notes: Intake OK by: Date: Intake Comments: PW Worksheet Needed if: ❑Sys Dev Eval(Util/SW) DTraffic Mit Eval Approved By: C 10 NA Date: ')//9.1 3 ❑SIteWork/Drainage DAddress Letter ❑Backflow Prevention for high hazard: (dental,medical,animals,mortuary,hospital, •FIRE DEPARTMENT supportive housing) Separate I Deferred Submittals R.,••• ' at-for PW Review at end --PW Review Worksheet ❑Fire Sprinklers ❑Fire p \_ / n j19r`` o has a separate concurrent PW Review(Green Folder) Additional Notes: IVLt `�OC yen Folder ❑Submitted Previously ❑Deferred ?�Z�J pproved by Public Works Fire Dept. Fees: c 10 f Worksheet and associated attached items ❑ Review of As-Built Plans-I Permit is Required(Permit#: PW 2-308-CLZ) VC-Minimal or No Fire Scope-, Ca\�o)r Ga in this folder ❑ Review/Inspection Scope- — larate Green Folder[fain with this folder for permit issuance) e G�, Approved By: ��CJ�� h� led separately(Separate Green Folder,PW issued ahead of Bldg) ��J�`�\ res ��ea no scope--PW Not Required ELECTRICALII rec,�,Nv cz,�-,r,x.r.1 Additional Notes: °/\TiZfaj ��Approved By: � Date: 8/ 19 +ZZZ,-5