4230 GRAND AVE 2025-04-17 - Laserfiche WebLink

Intake & Approval Sheet ak(FOR PERMIT STAFF ONLY + PERMIT # 32240- BUILDING Intake OK by: Date: l o t °► Z Z Intake Comments: ❑ Route to Commercial Building Route to Residential Building ❑ Make this a "W" Permit Bldg/TI/Addn/Rem Size Garage/Accessory Struct. Size Number of Stories Basement 2No ❑Yes , Fin / Unfin Type of Construction :�F_a-r_ Occupancy Group Occupancy Load �(L� Fire Sprinklers: ❑Update Existing ❑New System allot Req'd Reason Sprinklers Required: ��tt� Fire Alarm: ❑Update Existing ❑New Systemtt` ghot Req'd Reason Fire Alarm Required: RCW 64.55 MF worksheet req'd for permit? ❑Yes .9No Add'I RCW 64.55 docs required prior to final? ❑Yes 'ENO VALUATION CALCULATION: Total $ 2-f't 2i7-S 4Lt FT - Additional Notes: PEGI.4L (I�SPI C'jlC a& uOWEO Approved By: (Zlet Date: 161 19 Z6-2'Z FIRE DEPARTMENT Separate / Deferred Submittals Required: []Fire Sprinklers El Fire Alarm ❑Other: Additional Notes: Fire Dept. Fees: ❑ Review of As -Built Plans - NO FIRE FEE ❑ Minimal or No Fire Scope - NO FIRE FEE ❑ Review / Inspection Scope - ADD FIRE FEE Approved By: Date: ELECTRICALIPLUMBING Additional Notes: Approved By: Date: CANNING Intake OK by: Assign To: Date: Intake Comments: Zone Overlay/Agreement Nonresidential Use Residential Use Proposed No. of Dwelling Units: Total No. of Dwelling Units: Planning/Landscape Inspection Required before Final? ❑Yes ❑No "In Lieu" Fee: Type: Amount School Impact Fee: Total $ Calculated: Credit: El Everett School Dist ❑Mukilteo Scho Dist Park Impact Fees for permits applied for fter 111/2022: Park Impact Fee Total $ Fee Schedule Used For Calculation (Year): Permit Technicians: Apply Credit Per C19.53.200 ❑ 100% Credit- Issued 1/1/2022 - 2/2022 ❑ 50% Credit - Issued 9/3/2022 6/2/2023 ❑ 0% Credit- Issued 6/3/20 or later Additional Notes: ' Approved By: Date:0A r _1}Z� Ix P LIC WORKS Intake OK by: Date: .-------- --- --- ----------------------- Intake Comments: ;PW Worksheet Needed if.* []Sys Dev Eval ❑Traffic Mit Eval []Site Work or Drainage Proposed ❑Backfiow Prevention for high hazard: (dental, medical, animals, mortuary, hospital, supportive housing) '--- -- - --------------------------- ❑ Route this folder for PW Review at end --- PW Review Worksheet ❑This project also has a separate concurrent PW Review (Green Folder) AND [Create Green Folder ❑Submitted Previously ❑Deferred ❑ This Permit is Approved by Public Works ❑ See PW Review Worksheet and associated attached items ❑ A Separate PW Permit is Required (Permit #: PW ) AND ❑ Is located in this folder ❑ Is in a Separate Green Folder Qoin with this folder for permit issuance) ❑ Will be issued separately (Separate Green Folder, PW issued ahead of Bldg) EN Public Works has no scope --- PW Not Required Additional Notes: b1 6V_,/ Approved By: Date: 4