9918 18TH AVE W A 2025-03-03 - Laserfiche WebLink

,�51 L) _,i- Unit A Intake &Approval Sheet (FOR PERMIT STAFF ONLI) PERMIT 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 IS-6 i Nonresidential Use Garage/Accessory Struct.Size Xn,a f 60 ckk Residential Use >n- Number of Stories 3 Proposed No.of Dwelling Units: Basement No ❑Yes, Fin/Unfin Total No.of Dwelling Units: Type of Construction Planning/Landscape Inspection Required bef re Final? OYes 1�]No Occupancy Group — /y,/-��/�� "In Lieu"Fee:Type: A ount$ Occupancy Load in 44 School Impact Fee: Total $ Cert.of Occpuancy Required? ❑No WYes ❑Shell Only Calculated: 11 6q� Credit: Code Year 1112021 W2018 1:12015 ❑Everett School Dist ukilteo School Dist Fire Sprinklers: []Update Existing EDNew System ®Not Req'd Park Impact Fees for permits applied for after 1/1/2022 Reason Sprinklers Required: /t— Park Impact Fee Total$ 2LA (net due after credit fore sting uses) Fire Alarm: ❑Update Existing ❑New System ONot Req'd Fee Schedule Used For Calculation(Year): 102- _-..___-______ __------____..____.___ Reason Fire Alarm Required: RCW 64.55 MF worksheet req'd for permit? ❑Yes '0 No Add'I RCW 64.55 docs required pdorto final? ❑Yes QNo Additional Notes: VALUATION CALCULATION: Total$ OZ .s 6 a S 6 5 s s$ Approved By: Date: 1 Z. —7. Z 3 z l6 o $ PUBLIC WORKS v260,-1,ry 36-1 c�, aid Intake OK by: Date: �� Intake Comments: �PW—Re view&WorksheetNeededif.•� ;0Sys Dev Eval Additional Notes: P44 VkD' 7Zpc, C i []Water ❑Sewer ❑Storm U;q i7 (y7- Su []Traffic Mitigation Eval Approved By: Date: OSite Work/Drainage(shown/triggered) ❑Address Letter FIRE DEPARTMENT ❑Backflow Prevention for high hazard: f Separate/Deferred Submittals Required: ;(dental,medical,animals,mortuary, ;hospital,supportive housing) -Fire Sprinklers ❑Fire Alarm ❑Other: Additional Notes: 12f7his Permit is Approved by Public Works R-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: < Date: G — ❑ WIII 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 Bye Date: 7,11 2