Laserfiche WebLink
IntaKe de Approval Sheet (I-UR Y,G:Fd/Vll1 51Al-=F ONLY) PERMIT# 6930171— 066 <br /> BUILDING , PeNING • <br /> Intake OK by: Date: Intake OK by: Assign To: Jess Date: 5/2./23 <br /> Intake Comments: Intake Commen s: <br /> Zone R,_% <br /> Overlay/Agreement A(A+ACA <br /> Q Route to Commercial Building Nonresidential Use 1.1/A <br /> ❑ Route to Residential Building Residential Use SF R. <br /> El Make this a"W"Permit . Proposed No.of Dwelling Units: I,I/A <br /> BldglTllAddn/Rem Size ,-36 ,3-1) Total No.of Dwelling Units: 1 <br /> Garage/Accessory Struct.Size Planning/Landscape Inspection Required before Final? DYes 1No <br /> Number of Stories / "In Lieu"Fee:Type: Amount$ <br /> Basement rli No DYes, Fin/Unfin School Impact Fee: Total $ 0 <br /> Type of Construction rgr. Calculated: Credit: <br /> Occupancy Group Z ,C ❑Everett School Dist DMukilteo School Dist <br /> Occupancy Load ' 2- Park Impact Fees for permits applied for after 1/112022: <br /> Fire Sprinklers: ElUpdate Existing❑New System Not Req`d Park Impact Fee Total$ O (net due after credit for existing uses) <br /> Reason Sprinklers Required: Fee Schedule Used For Calculation(Year): <br /> Fire Alarm: OUpdate Existing ®New System , Not Req'd Permit Technician Use Only:Apply Phase-In Credit Per EMCI9.53.200 <br /> Reason Fire Alarm Required: ❑ 100%Credit-Issued 1/1/2022-9/2/2022 <br /> RCW 64.55 MF worksheet req'd for permit? °Yes ill No ❑ 50%Credit-Issued 9/3/2022-6/2/2023 <br /> Add'1 RCW 64.55 docs required prior to final? DYes NNo ❑ 0%Credit-Issued 6/3/2023 or later <br /> VALUATION CALCULATION: Total$ 6', you o0 Additional Notes:D.-ivevv c - - oi- be %Dose 9ro.ve\; <br /> 5 S b` k/C6 ` S9 ,ro grave‘ .MUST be. '‘n grid pc.vers, <br /> /-8 0 7� 3'3 = 6; i°'� Approved By:A O CP' TT Date: 9'/ �/�3 <br /> 64 T°0 • - PUBLIC WORKS • • - ' • <br /> Additional Notes: Intake OK by: Date: <br /> Intake Comments: PW Worksheet Needed if <br /> ❑Sys Dev Eval(Ufusw)QTraffic Mit Eval <br /> Approved By' ,, Date���/SJ%�2� [(Site Work/Drainage ['Address Letter <br /> [(Backflow Prevention for high hazard: <br /> (dental,medical,animals,mortuary,hospital, <br /> FIRE DEPARTMENT - supportive housing) <br /> Separate/Deferred Submittals Required: ❑Route this folder for PW Review at end --PW Review Worksheet <br /> OFire Sprinklers ❑Fire Alarm Other: EIThis project also has a separate concurrent PW Review(Green Folder) <br /> Additional Notes: ' AND OCreate Green Folder ❑Submitted Previously ❑Deferred <br /> • 11 This Permit is Approved by Public Works <br /> Fire Dept.Fees: 154 See PW Review Worksheet and associated attached items <br /> Review of As-Built Plans-NO FIRE FEE 0 A Separate PW Permit is Required(Permit#:PW Z 3010- &We' ) <br /> ❑ Minimal or No Fire Scope-NO FIRE FEE AND I Is located in this folder <br /> 0 Review!inspection Scope-ADD FIRE FEE 0 Is in a Separate Green Folder(loin with this folderfor permit issuance) <br /> Approved By: Date: 0 Will be issued separately(Separate Green Folder,PW issued ahead of Bldg) <br /> 0 Public Works has no scope--PW Not Required <br /> ELECTRICAL/PL(Jl11(BING - Additional Notes: <br /> Additional Notes: <br /> Approved By: Date: Completed By�g� -��� Dab: er/et fzuts <br />