9502 18TH AVE W J 2025-03-03 - Laserfiche WebLink

Intake & Approval Sheet (FOR PERMIT STAFF ONLY) 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 i jilNonresidential Use Garage/Accessory Struct.Size bKK Residential Use Number of Stories Proposed No.of Dwelling Units: Basement R]No ❑Yes , Fin I Unfin Total No.of Dwelling Units: ! y Type of Construction Planning/Landscape Inspection Required before Final? ElYes ❑No Occupancy Group VLL "in Lieu"Fee:Type: Amount$ Occupancy Load 3-9-L) School Impact Fee: Total $ / Cert.of Occpuancy Required? ❑No DYes ❑Shell Only Calculated: ,f 1 / Credit: Code Year 02021 ❑2018 112015 ❑Everett School Dist .QMukilteo 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: Park Impact Fee Total$ ?/-5f0 (net due after credit f r existing uses) Fire Alarm: ❑Update Existing ❑New System ONOt Req'd Fee Schedule Used For Calculation(Year): '-5; /0 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$-S Ali(� Approved By: PUBLIC WORKS Intake OK by: Date: Intake Comments: r ----------------------_-.____-..------ PIN &Worksheet Needed if: ❑Sys Dev Eval: Additional Notes: ❑Water ❑Sewer ❑Storm ❑Traffic Mitigation Eva[ Approved By: Cy, Date: I OSite Work/Drainage(shown/triggered) ❑Address Letter FIRE DEPARTMENT ❑Backflow Prevention for high hazard: 1Separate/Deferred Submittals Required: (dental,medical,animals,mortuary, hospital,supportive housing) El Fire Sprinklers El Fire Alarm ❑Other: 1 Additional Notes: ELThis Permit is Approved by Public Works 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 Qoin With this folderfor permit issuance) Approved By: jk� Date: f r 3 ❑ 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 By: Date: