3314 ROCKEFELLER AVE 2025-04-01 - Laserfiche WebLink

• - v`\ SIor\ �ss1/kG1 Intake & Approval Sheet (FOR PERMIT STAFF ONLY) PERMIT# 1,2,005- 030 BUILDING PLANNING Intake OK by: Date: Intake OK by: Assign To: 1::114 Date:9 M 244 Intake Comments: Intake Comments: Zone Ig 4 ❑ Make this a"W"Permit ❑ SRC Required (Pre-Insp) Overlay/Agreement MCjTrI Bldg/TI/Addn/Rem Size Nonresidential Use Garage/Accessory Struct.Size Residential Use ADS) Number of Stories Proposed No.of Dwelling Units: Basement I3No ❑Yes, Fin/Unfin Total No.of Dwelling Units: 31111111111111.011* Type of Construction Planning/Landscape Inspection Required before Final? ❑Yes �No Occupancy Group "In Lieu"Fee:Type: Amount$ f1 I R Occupancy Load 4- School Impact Fee: Total $ 01 Pt Cert.of Occpuancy Required? ❑No laves ❑Shell Only Calculated: Credit: Code Year 02021 p2018. ❑2015 ❑Everett School Dist ❑Mukilteo School Dist Fire Sprinklers: El Update Existing ❑New System pallot Req'd Park Impact Fees for permits applied for after 1/1/2022: Reason Sprinklers Required: Park Impact Fee Total$ 11 I A (net due after credit for existing uses) Fire Alarm: ❑Update Existing El New System ElNot Req'd Fee Schedule Used For Calculation(Year): Reason Fire Alarm Required: RCW 64.55 MF worksheet req'd for permit? ❑Yes V.No Add'I RCW 64.55 docs required prior to final? ,y❑Yes �No Additional Notes: VALUATION CALCULATION: Total$ -1,0, ( Q —T" Approved By:( 1n) Date: 3o 11A 2'k PUBLIC WORKS Intake OK by: Date: Intake Comments: [PWReview&Worksheet Needed if: I OSys Dev Eval: Additional Notes: ❑Water ❑Sewer ❑Storm I DTraffic Mitigation Eval Approved By: vv( ,,i, p a�'r' < Date: 51 �� }��, i OSite Work/Drainage(shown/triggered) OAddress Letter FIRE DEPARTMENT I OBackfIow Prevention for high hazard: Separate/Deferred Submittals Required: (dental,medical,animals,mortuary, Se pq Ihospital,supportive housing) ❑Fire Sprinklers DFire Alarm ❑Other: Additional Notes: 0 This 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 gi 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(join with this folder for permit issuance) Approved By:\, c.c.i`n Date: Cv_//�Y ❑ 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: ?v►d ,543 f- Grr1AaJ 5 go.. Approved By: Date: Completed By:-14 .LV,PaAy/ Date: /2.€00z4