9914 18TH AVE W B 2025-03-03 - Laserfiche WebLink

A. L)nit S Intake &Approval Sheet (FOR PERMIT STAFF ONLY) PERMIT# 8 Z36$_ 0616 BUILDING PLANNING Intake OK by: Date: Intake OK by: Assign To: Date: Intake Comments: Intake Comments: Zone UQ ❑ Make this a"W"Permit ❑ SRC Required (Pre-Insp) Overlay/Agreement Bldg/TI/Addn/Rem Size /L(o Nonresidential Use Garage/Accessory Struct.Size .5.7 _- -i 44olak Residential Use Number of Stories 3 Proposed No. of Dwelling Units: Basement ESNo ❑Yes, Fin/Unfin Total No.of Dwelling Units: Type of Construction T (,— Planning/Landscape Inspection Required before Final? ETYes WNo Occupancy Group "In Lieu"Fee:Type: Amount$ Occupancy Load {- /A School Impact Fee: Total $ Cert.of Occpuancy Required? ❑No es ❑Shell Only Calculated: �� j�lp Credit: jo T Code Year 102021 ®2018 112015 ❑Everett School Dist jkilteo School Dist Fire Sprinklers: ❑Update Existing ®New System ❑Not Req'd Park Impact Fees fo rmits a lied for after 1/112022: Reason Sprinklers Required: / 3 ' Park Impact Fee Tota Z,1 ZA (net due after credit for existing uses) Fire Alarm: El Existing 0 New System Not Req'd Fee Schedule Used F r Calculation(Y r): :Z3 Reason Fire Alarm Required: _____._._�____,.....__.......____ RCW 64.55 MF worksheet req'd for permit? ❑Yes El No Add'I RCW 64.55 docs required priorto final? []Yes MNo Additional Notes: VALUATION CALCULATION: Total$ a 76 DZ4i D / Z-� (l Q ? Approved By: Date: Z- 1. PUBLIC WORKS 576 ,F ! �°ZY Intake OK by: Date: �7 Intake Comments: PWReview&Worksheet Needed if: QC 7�' g lr,o ❑Sys Dev Eva[: Additional Notes: pz4tti -ryf� Ulti 1T ❑Water ❑Sewer ❑Storm CUlvr IT UIT Ste.'3,f>vlflCA- ❑Traffic Mitigation Eval Approved By: Date: 1711t !❑Site Work/Drainage(shown/triggered) i E❑Address Letter I FIRE DEPARTMENT ❑Backflow Prevention for high hazard: Separate/Deferred Submittals Required: !(dental,medical,animals,mortuary, 'hospital,supportive housing) •Fire Sprinklers ❑Fire Alarm ❑Other: j Additional Notes: KThis Permit is Approved by Public Works Iff'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 Coin With this folderfor permit issuance) Approved By: rp Date: 12C _ ❑ 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 Additional Notes: Additional Notes: Approved By: Date: lCompleted B . Date: g Zt Z,0Z.3