9916 18TH AVE W D 2025-06-23 - Laserfiche WebLink

Intake & Approval Sheet (FOR PERMIT STAFF ONO) PERMIT#V 2130S 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/AccessoryStruct_Size $"S �� c t Residential Use J Number of Stories S� Proposed No. of Dwelling Units: Basement ©No ❑Yes, Fin/Unfin Total No. of Dwelling Units: )9,A1/ "\ Type of Construction Planning/Landscape Inspection Required before Final? ❑Yes MNo Occupancy Group "In Lieu"Fee:Type: Amount$ Occupancy Load u School Impact Fee: Total $ ¢ Cert.of Occpuancy Required? ❑No ENYes ❑Shell Only Calculated: k1 ,"L /Cedit: Code Year ❑2021 ®2018 ❑2015 ❑Everett School Dist gMukil School Dist Fire Sprinklers: ❑Update Existing ONew System ❑Not Req'd Park Impact Fees for permits app ed for after 1/1/2022: Reason Sprinklers Required: 17 D Park Impact Fee Total$ '2WO (net due after credit for existing uses) Fire Alarm: ❑Update Existing ❑New System N Not Req'd Fee Schedule Used For Calculation(Year): �23 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 SNo Additional Notes: VALUATION CALCULATION: Total$ o2.77 14 / 5 l 6 (� Approved By: ,j - Date: Z.,. Z X `6 -Ike /_- PUBLIC WORKS Intake OK by: Date: c Intake Comments: I PW Review&Worksheet Needed if., ❑Sys DevEval: i ❑Water ❑Sewer ❑Storm Additional Notes: k_,1utT R"e Gr vh rT r I❑Traffic Mitigation Eva[ Approved By: Date: (❑Site Work/Drainage(shown/triggered) 1❑Address Letter FIRE DEPARTMENT t❑Backflow Prevention for high hazard: Separate/Deferred Submittals Required: ;(dental,medical,animals,mortuary, Se p q hospital,supportive housing) Fire Sprinklers ❑Fire Alarm ❑Other: i Additional Notes: 15TThis Permit is Approved by Public Works bfSee 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 rReview/Inspection Scope-ADD FIRE FEE ❑ Is in a Separate Green Folder loin with this folder for permit issuance) proved By: Date: ❑ 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: -1 1 L