10115 EVERGREEN WAY PEP BOYS 2025-04-14

Intake & Approval Sheet • (FOR PERMIT STAFF ONLY) • PERMIT#r?)2-202—O5 BUILDING PLANNING Intake OK by: Date: Intake OK by: Assign To: Date: Intake Comments: Intake Comments: ❑ Route to Commercial Building ❑ Attach to Project No. ❑ Route to Residential Building 0 Route to Historic Reviewer ❑ Make this a"W" Permit ❑ OK to Route to Other Departments Bldg/TI/Addn/Rem Size ��j�j � ❑ Hold in Planning File Drawer Garage/Accessory Struct. Size — Zone /V \ Number of Stories i- Overlay/Agreement Basement No ❑Yes , Fin/Unfin Nonresidential Use a.v\o S rvt)2__ Type of Construction - 4a7. Residential Use Occupancy Group , S- d. Proposed No. of Dwelling Units: Occupancy Load 4-Q> Total No.of Dwelling Units: Fire Sprinklers: CO Update Existing El New System ❑Not Req'd Planning/Landscape Inspection Required before Final? es ❑No Reason Sprinklers Required: "In Lieu" Fee: Type: Amo Fire Alarm: C-1 Update Existing El New System El Not Req'd School Impact Fee: Total $ Reason Fire Alarm Required: Calculated: dit: RCW 64.55 MF worksheet req'd for permit? ❑Yes r®vv11 No DEverett School Dist ❑ ilteo School Dist Add'I RCW 64.55 docs required prior to final? ❑Yes Lf No Additional Notes: VALUATION CALCULATION: Total $ Approved Date: PUBLIC WORKS Intake OK by: Date: Additional Notes: Intake Comments: !PW Worksheet Needed if: ❑Sys Dev Eval ❑Traffic Mit Eval El Site Work or Drainage Proposed 1❑Backflow Prevention for high hazard: Approved By: Date: JJJ ` ;(dental,medical,animals,mortuary,hospital, 'supportive housing) FIRE DEPARTMENT DRoute this folder for PW Review at end ---PW Review Worksheet Separate/Deferred Submittals Required: ❑This project also has a separate concurrent PW Review(Green Folder) El Fire Sprinklers ❑Fire Alarm ❑Other: AND ❑Create Green Folder ❑Submitted Previously ODeferred 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 ❑ Is located in this folder ❑ Minimal or No Fire Scope-NO FIRE FEE ❑ Is in a Separate Green Folder coin with this folder for permit issuance) Review/Inspection Scope-ADD FIRE FEE ❑ Will be issued separately(Separate Green Folder,PW issued ahead of Bldg) Approved By: t NA Date:5—,-.3,22 ❑ Public Works has no scope--- PW Not Required Additional Notes: ELECTRICAL Additional Notes: Approved By: Date: Approved By: Date: