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

L�_n;+ L Intake &Approval Sheet (FOR PERMIT STAFF ONL)q PERMIT# 0('o 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 ,$� ' Nonresidential Use Garage/Accessory Struct.Size $ 6 r t VjV&ktt Residential Use 1 he Number of Stories 3 Proposed No.of Dwelling Units: Basement KINo ElYes, Fin/Unfin Total No.of Dwelling Units: Type of Construction , L Planning/Landscape Inspection Required before Final? ❑Yes RNo Occupancy Group y ho�,rc "In Lieu"Fee:Type: Amount$ Occupancy Load J? School Impact Fee: Total $ 1 1 Cert.of Occpuancy Required? ❑No OIYes ❑Shell Only Calculated: j1 ,%q(p Credit: Code Year 02021 R12018 ❑2015 ❑Everett School Dist 13(Mlukilteo chool Dist Fire Sprinklers: ❑Update Existing C3New System ❑Not Req'd Park Impact Fees for permits applie for after 1/112022: Reason Sprinklers Required: / 3 — D Park Impact Fee Total 1., (net due after credit for existing uses) Fire Alarm: -]Update Existing El System Not Req'd Fee Schedule Used For Calculation(Year): Reason Fire Alarm Required: RCW 64.55 MF worksheet req'd for permit? ❑Yes No Add'I RCW 64.55 docs required prior to final? ❑Yes No Additional Notes: VALUATION CALCULATION: Total$ R- Approved By: ,� Date: 2-�. i 3 PUBLIC WORKS aD�� Intake OK by: Date----------_--------- Intake Comments: IPW Review&Worksheet Needed ik ❑Sys Dev Eva[ Additional Notes: U4Cr Lot Su)?1�i✓�fic`� I ❑Water ❑Sewer ❑Storm 4 �0.IT C !❑Traffic Mitigation Eva[ Approved By: Date: ❑Site Work/Drainage(shown/triggered) i '❑Address Letter FIRE DEPARTMENT j❑Backflow Prevention for high hazard: '(dental,medical,animals,mortuary, Separate/Deferred Submittals Required: !hospital,supportive housing) Fire Sprinklers ❑Fire Alarm ❑Other: ! Additional Notes: his Permit is Approved by Public Works This 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: % Date: F- -Zj El 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: Completed B . Date: I It L,S