9916 18TH AVE W A 2025-03-03 - Laserfiche WebLink

Intake &Approval Sheet (FOR PERMIT STAFF ONL)q PERMIT#_ 00 BUILDING PLANNING Intake OK by: Date: Intake OK by: Assign To: Date: Intake Comments: Intake Comments: Zone ❑ Make this a"W"Permit ❑ SRC Required (Pre-Insp) Overlay/Agreement Bldg/TI/Addn/Rem Size 1,-67 Nonresidential Use Garage/Accessory Struct.Size $ 4 t f J dcz,14 Residential Use Number of Stories Proposed No.of Dwelling Units: Basement 13No ❑Yes , Fin/Unfin Total No.of Dwelling Units: -7 1 Type of Construction ,-%LL Planning/Landscape Inspection Required before Final? Yes ERNO Occupancy Group s ad C "In Lieu"Fee:Type: Amount$ Occupancy Load School Impact Fee: Total $ 19 Cert.of Occpuancy Required? ❑No MYes ❑Shell Only Calculated: Ilk ,444(p Credit: Code Year 02021 ®2018 112015 ❑Everett School Dist Mukilteo School Dist Fire Sprinklers: ❑Update Existing ®New System ❑Not Req'd Park Impact Fees for permits applied for after 1/1/2022: Reason Sprinklers Required: 13 —D Park Impact Fee Total$ bI`Y-) (net due after credit for existing uses) Fire Alarm: ❑Update Existing ❑New System Not Req'd Fee Schedule Used For Calculation(Year): --77 Reason Fire Alarm Required: RCW 64.55 MF worksheet req'd for permit? ❑Yes 0 No Add'I RCW 64.55 docs required prior to final? ❑Yes -ONo Additional Notes: VALUATION CALCULATION: Total$ T f S 6 s's� fo 3 Approved By: Date: .Z PUBLIC WORKS Intake OK by: Date: / Intake Comments: PW Review&Worksheet Needed if., (7v ❑Sys Dev Eva[: Additional Notes: $ivr�pF Cct S�g,�,yc� ❑Water ❑Sewer ❑Storm hid a 'U:7 tT c1_-kb vh 1T j❑Traffic Mitigation Eval Approved By: Date: l,_7 3 ;❑Site Work/Drainage(shown/triggered) I❑Address Letter I FIRE DEPARTMENT ❑Backflow Prevention for high hazard: (dental,medical,animals,mortuary, Se arate/Deferred Submittals Required: 1hospital,supportive housing) Fire Sprinklers ❑Fire Alarm ❑Other: l Additional Notes: This Permit is Approved by Public Works 9See 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 folderfor Permit issuance) Approved By: Date: ElWill 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: Completed Date: f