1302 BROADWAY THE BODEGA ON BROADWAY 2025-04-11

Intake &Approval Sheet . (FOR PERMIT STAFF ONLY) • PERMIT# 2'c 31( 10 BUILDING PLANNING Intake OK by: Date: Intake OK by: Assign To: J e5s Date: l 1/I Co/2‘3_ Intake Comments: Intake Commeri Zone M U • ❑ Make this a"W"Permit 0 SRC Required(Pre-Insp) Overlay/Agreement P2desi-r`OCv1 5{` l Bldg C�I ,ddn/Rem Size 3 60 5 r Nonresidential Use re-w%A sates a-sery Ices Garage/Accessory Struct.Size Residential Use /V/A Number of Stories ( Proposed No.of Dwelling Units: N/A Basement 6o DYes, Fin/Unfin Total No.of Dwelling Units: N1Ar Type of Construction 1/4 Planning/Landscape Inspection Required before Final? DYes No Occupancy Group l Y' "In Lieu"Fee:Type: Amount$D Occupancy Load 7I School Impact Fee: Total $O Cert.of Occpuancy Required? ❑No A Yes ❑Shell Only Calculated: Credit: Code Year 02021 'A 2018 02015 ❑Everett School Dist DMukilteo School Dist Fire Sprinklers: DUpdate Existing ONew System KiNot Req'd Park Impact Fees for permits applied for after 1/1/2022: Reason Sprinklers Required: Park Impact Fee Total$ 0 (net due after credit for existing uses) Fire Alarm: ❑Update Existing El New System oNot Req'd Fee Schedule Used For Calculation(Year): Reason Fire Alarm Required: RCW 64.55 MF worksheet req'd for permit? ❑Yes EA No Add'I RCW 64.55 docs required prior to final? ❑Yes 0No Additional Notes: VALUATION CALCULATION: Total$ '7,oo r 017.) Approved By�f Date: I l iIb`23 1 !j PUBLIC WORKS Intake OK by: (id Date .4 { 11t.13 U'J Intake Comments: PW Review&Worksheet Needed if: ❑Sys Dev Eval: Additional Notes: V"a ✓'eG r TO YI& I U �t \��" i I f t""'"'' Water OSewer ❑Storm Lo �� b. 9vt �'� /�-�_ � � I )�I�� {V I�Traffic Mitiga ion Eva_� 0 L.fri Approved By: V J(/�. Date: 1 7� `Qr re� a Wor' CAS Drainage(shoe /tnggere l/ DAddress Letter Qrtttw'w-t. FIRE DEPARTMENT 1 DBackflow Prevention for high hazard: /Deferred Submittals Required: I(dental,medical,animals,mortuary, Separate q hospital,supportive housing) ❑Fire Sprinklers El Fire Alarm ❑Other: Additional Notes: ❑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 0 Is fully digital ❑ Minimal or No Fire Scope-NO FIRE FEE 0 Is located in this folder g Review/Inspection Scope-ADD FIRE FEE 0 Is in a Separate Green Folder(join with this folder for permit issuance) Approved By: C..41n Date « ..c-r--;�R ❑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: Approved By: Date: Completed By:. Af ate: 4t I`1 12. 03