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

Intake & Approval Sheet (FOR PERMIT STAFF ONLO PERMIT# 8�3 Q�$ _ C) ` 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 r' 6 c Nonresidential Use Garage/Accessory Struct. Size 5- 8 S`"Q,jz t 40 ckc)t Residential Use Number of Stories Proposed No.of Dwelling Units: Basement EgNo ❑Yes, Fin/Unfin Total No.of Dwelling Units: Type of Construction p- Planning/Landscape Inspection Required before Final? DYes ErNo Occupancy Group "In Lieu"Fee:Type: Amount$ Occupancy Load i'1 School Impact Fee: Total $ Cert.of Occpuancy Required? ❑No 21Yes ❑Shell Only Calculated: !li ,�6kb Credit:_ Code Year 112021 t]2018 112015 []Everett School Dist 'QMukilteo School Dist Fire Sprinklers: El Update Existing New System QNot Req'd Park Impact Fees for permits applied for after 111/2022: Reason Sprinklers Required: T Park Impact Fee Total$ -3)AQ (net due after credit for existing uses) Fire Alarm: ❑Update Existing ❑New System Not Req'd Fee Schedule Used For Calculation(Year): Reason Fire Alarm Required: RCW 64.55 MF worksheet req'd for permit? ❑Yes 5 No Add'[RCW 64.55 docs required prior to final? ❑Yes No Additional Notes: VALUATION CALCULATION: Total$ �;L / to 0 Approved By: ;) Date: J2. 7•Z �6G oe 66 T ,3 8 PUBLIC WORKS ,2rrod q K 36; ed-?+ aia';',0 Intake OK by: Date: _ � Intake Comments: ;PIN Review&Worksheet Needed if: 7 `j j `6 X ❑Sys Dev Eval: Additional Notes: j�LA+^ L/ C I ❑Water ❑Sewer ❑Storm V1t'� �'�� i1i/1�l✓ri��n I I❑Traffic Mitigation Eval Approved By: Date: — 7 ❑Site Work/Drainage(shown/triggered) ❑Address Letter FIRE DEPARTMENT t❑Backflow Prevention for high hazard: Separate/Deferred Submittals Required: I(dental,medical,animals,mortuary,1hospital,supportive housing) Fire Sprinklers ❑Fire Alarm ❑Other: Additional Notes: This Permit is Approved by Public Works VSee 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 r Review/Inspection Scope-ADD FIRE FEE ❑ Is in a Separate Green Folder(join with this folderfor permit issuance) proved By: GGC/I l Date: 2- 212 ❑ WIII be issued separately(Separate Green Folder,PW issued ahead of Bldg) ❑ Public Works has no scope on this permit-- PW Not Required ELECTRICAUPLUMBING Additional Notes: Additional Notes: Approved By: Date: !Completed By: Dated Z3