1101 GRANDVIEW AVE 2025-08-07 - Laserfiche WebLink

vaoSi oks AFTER. .�= '`IE� 2� 9 Intake & Approval Sheet (FOR PERMIT STAFF ONLY) PERMIT# ?' -C BUILDING / PLANNING Intake OK by: r....-k.... SL Date: ZN/�t3 Intake OK by: Assign To: Date: Intake Commen /mil S 10 N -e n- Mb itE Intake Comments: j7 1 L- L ?V . Zone_ ❑ Make this a"W"Permit ❑ SRC Required (Pre-Insp) Overlay/Agreement Bldg/TI/Addn/Rem Size Nonresidential Use Garage/Accessory Struct.Size Residential Use Number of Stories _ Proposed No.of Dwelling Units: Basement ❑No ❑Yes, Fin/Unfin Total No. of Dwelling Units: Type of Construction _ --- /Z Planning/Landscape Inspection Re,uired before Final? ❑YesAo Occupancy Group YW- e-- "In Lieu" Fee:Type: Amount$ Occupancy Load 1--71L School Impact Fee: Total $ Cert.of Occpuancy Required? .No ❑Yes ❑Shell Only Calculated: Credit: Code Year 02021 INI"2018 02015 ❑Everett School Dist V.Mukilteo School Dist Fire Sprinklers: El Update Existing ❑New System •11JNot Req'd Park Impact Fees for per is applied for after 1/1/2022: Reason Sprinklers Required: Park Impact Fee Total (net due after credit for existing uses) Fire Alarm: El Update Existing ❑New System ArNot Req'd Fee Schedule Used For Cal ulation(Year): Reason Fire Alarm Required: J PO.......................... � �� ,t,h�.at� 0.kb�'''�- RCW 64.55 MF worksheet req'd for permit? ❑Yes 'No Add'I RCW 64.55 docs required prior to final? ❑Yes allo Additional Notes: gg.,,1-4 "" 0— r 4 VALUATION CALCULATION: Total$ ,a1 pr L- ©vL y. Approved By: i. Date: s�Z`I--Z3 rt/H - '--)'I 2 4 eoD e pi LE clip'• PUBLIC WORKS Intake OK by: Date: Intake Comments: PW Review&Worksheet Needed if: ❑Sys Dev Eval: Additional Notes: DWater DSewer ❑Storm /2` �J2/2c'3 ❑Traffic Mitigation Eval Approved By:A- - Date: jaW.,02.3 ❑Site Work/Drainage(shown/triggered) I❑Address Letter i FIRE DEPARTMENT I❑Backflow Prevention for high hazard: Separate/Deferred Submittals Required: !(dental,medical,animals,mortuary, p q hospital,supportive housing) ❑Fire Sprinklers DFire 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 ) O Review of As-Built Plans-NO FIRE FEE AND 0 Is fully digital ❑ Minimal or No Fire Scope-NO FIRE FEE ❑ Is located in this folder ❑ Review/Inspection Scope-ADD FIRE FEE ❑ Is in a Separate Green Folder(join with this folder for permit issuance) Approved By: Date: ❑ 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: Date: