1030 TTEREVE DR 2025-04-18 - Laserfiche WebLink

Intake & Approval Sheet • (FOR PERMIT STAFF ONLY) PERMIT#�2302 r-O �j BUILDING •LANNING Intake OK by: Date: Intake OK by: Assign To: Date: Intake Comments: Intake Comments: Zone Overlay/Agreement ❑ Route to Commercial Building Nonresidential Use ❑ Route to Residential Building Residential Use _ ❑ Make this a"W" Permit Proposed No. of Dwelling Units: Bldg/TI/AddnlRem Size ' ` Total No.of Dwelling Units: Garage/Accessory Struct.Size N Planning/Landscape Inspection Required b ore Final? ❑Yes ❑No Number of Stories "In Lieu"Fee:Type: Amount$ Basement No ❑Yes , Fin/Unfin School Impact Fee: Total $ Type of Construction Calculated: redit: Occupancy Group dtl, El Everett School Dist ❑ r kilteo School Dist Occupancy Load Park Impact Fees for permi applied for after 1/1/2022: Fire Sprinklers: ❑Update Existing El New System Not r eq'd Park Impact Fee Total$ (net due after credit for existing uses) Reason Sprinklers Required: Fee Schedule Used For C. culation(Year): Fire Alarm: ❑Update Existing ❑New System k�Not Req'd Permit Technician Us• Only:Apply Phase-In Credit Per EMC19.53.200 Reason Fire Alarm Required: ID100%Credit ; ssued 1/1/2022-9/2/2022 RCW 64.55 MF worksheet req'd for permit? I\!Yes 0 N. ❑ 50%Cre'-1t-Issued 9/3/2022-6/2/2023 Add'I RCW 64.55 docs required prior to final? ❑Yes '10 ❑ 0% r edit-Issued 6/3/2023 or later VALUATION CALCULATION: Total$ \COO Additional otes: Approved By: Date: PUBLIC WORKS Additional Notes: Intake OK by: Date: Intake Comments: PW Worksheet Needed if: ❑Sys Dev Eval(Util/SW)OTraffic Mit Eval Approved By\ Date: 24,— OSite Work/Drainage DAddress Letter ❑Backflow Prevention for high hazard: (dental,medical,animals,mortuary,hospital, EPARTMENT supportive housing) Separate/Deferred Submittals Required: ❑Route this folder for PW Review at end ---PW Review Worksheet El Fire Sprinklers ❑Fire Alarm ❑Other: ❑This project also has a separate concurrent PW Review(Green Folder) Additional Notes: AND ❑Create Green Folder ❑Submitted Previous! ❑Deferred ❑This Permit is Approved by Public Works Fire Dept.Fees: ❑ See PW Review Worksheet and as ciated attached items ❑ Review of As-Built Plans-NO FIRE FEE ❑A Separate PW Permit is R Ired(Permit#:PW ❑ Minimal or No Fire Scope-NO FIRE FEE AND ❑ Is located in th' older 0 Is in a Se ate Green Folder(join with this folder for permit issuance) 11 Review/Ins e ip2pe-ADD FIRE FEE Approved By: Date: ❑Will Issued separately(Separate Green Folder,PW issued ahead of Bldg) ❑ Public orks has no scope---PW Not Required ELECTRICAL/PLUMBING Additio Notes: Additional Notes: Approved By: Date: Completed By: Date: