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

Intake &Approval Sheet (FOR PERMIT STAFF ONLY) PERMIT# .4t�;")' —O 57 BUILDING ANNING Intake OK by: Date: Intake OK by: if" Assign To: .3e,SS Date:5/2./Z Intake Comments: Intake Comments: Zone R.2 Overlay/Agreement A%A ❑ Route to Commercial Building Nonresidential Use N/A ❑ Route to Residential Building Residential Use SF R ❑ Make this a"W" Permit Proposed No. of Dwelling Units: I Bldg/TI/Addn/Rem Size ..‘ -5'1 Total No. of Dwelling Units: I Garage/Accessory Struct.Size 1 !3 PlanninglLandscape Inspe Lion Required before Final? DYes EINo Number of Stories 3 "In Lieu"Fee:Type: Amount$-D Basement EINo ❑Yes , Fin/Unfin School Impact Fee: To I $ to,ZS42 Type of Construction 3.4 _ Calculated: (o ZCo Credit: r' Occupancy Group i Q.L ElEverett School Dist ❑M litho School Dist Occupancy Load .14--'-' Park Impact Fees for permits a plied for after 11112022: Fire Sprinklers: DUpdate Existing ❑New System 2.J'Iot.Req'd Park Impact Fee Total L 3 L O v___.(net due after credit for existing uses) Reason Sprinklers Required: Fee Schedule Used For Calculation(Year): 'L 3 Fire Alarm: DUpdate Existing ONew System 1Wiot Req'd Permit Technician Use Only:Apply Phase-In Credit Per EMC19.53.200 Reason Fire Alarm Required: 1 0 100%Credit-Issued 1/1/2022-9/2/2022 rz RCW 64.55 MF Worksheet req'd for permit? ❑Yes l l-No ❑ 50%Credit-Issued d/3/2022-6/2/2023 Addl RCW 64.55 docs required prior to final? ❑Yes [-No 0 0%Credit-Issued 6/3/2023 or later VALUATION CALCULATION: Total$ i,l L 3 it9L4 Additional Notes: l Approved By: .rur Date: 2./ge (0( 60,d ' ?' / '11° , . , 8Lic WORKS Additional Notes: Intake OK by: Date: Intake Comments: PW Worksheet Needed if ❑Sys Dev Eval(0til/SW) DTraffic Mit Eval Approved By: C r ' 9 Date: �'9.'' 3 ❑Site Work/Drainage Address Letter `}� ❑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 l.-^9�This Permit is Approved by Public Works Fire Dept. Fees: Jee PW Review Worksheet and associated attached items ❑ Review of As-Built Plans-NO FIRE FEE l-A Separate PW Permit is Required(Permit#: PW 2308 eLZ) 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: i:;'C->'.cJl'1 Date: Gf= _23 ❑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: Additional Notes: Approved By: Date: Completed y; "—" Date: 8/ i ci b ,z.:3