2310 VIRGINIA AVE B 2025-08-19 - Laserfiche WebLink

Intake & Approval Sheet (FOR PERMIT STAFF ONLY) PERMIT# 5 Z ?b2 119 BUILDING I LANNING Intake OK by: Date: Intake OK by: #0 Assign To: Date: Intake Comments: Intake Comments: Zone J2.—Z Overlay/Agreement SWU3141- S-}rr tc.-0Vr f ❑ Route to Commercial Building Nonresidential Use ❑ Route to Residential Building Residential Use SFI2- + .DU ❑ Make this a"W"Permit Proposed No. of Dwelling Units: l Bldg/TI/Addn/Rem Size Total No.of Dwelling Units: Z Garage/Accessory Struct. Size 2go S F Planning/Landscape Inspection Required before Final? ❑Yes ❑No Number of Stories `)... "In Lieu" Fee: Type: Amount$ Basement INo ❑Yes , Fin/Unfin School Impact Fee: Total $ Type of Construction J'' Calculated: 4 ' Credit: Occupancy Group (j .L DEverett School Dist ❑Mukilteo School Dist Occupancy Load Park Impact Fees for permits applied for after 1/1/2022: Fire Sprinklers: 0 Update Existing ❑New System IZNot Req'd Park Impact Fee Total$ It 0t00 (net due after credit for existing uses) Reason Sprinklers Required: Fee Schedule Used For Calculation(Year): Fire Alarm: ❑Update Existing IgiNew System Permit Technician Use Only:Apply Phase-In Credit Per EMC19.53.200 Reason Fire Alarm Required: 1,IGj1i frv+\a, '6rp ✓164 El 100%Credit-Issued 1/1/2022-9/2/2022 RCW 64.55 MF worksheet req'd for permit? ❑ El No ❑ 50%Credit-Issued 9/3/2022-6/2/2023 Add'I RCW 64.55 dots required prior to final? ❑Yes QNo 0 0%Credit-Issued 6/3/2023 or later VALUATION CALCrrULATION: Total$ (S�L�,00 Additional Notes: Approved By: Date: 8/I ,/lzyz,s clgic (1-0o sil) = L _6na PUBLIC WORKS Additional Notes: f ((`,r(�to Intake OK by: Date: Intake Comments: PW Worksheet Needed if: ❑Sys Dev Eval(Utii/sW)[]Traffic Mit Eval Approved By: Ci(5 y Date: Mini ❑Site Work/Drainage DAddress Letter ❑Backflow Prevention for high hazard: (dental,medical,animals,mortuary,hospital, FIRE DEPARTMENT supportive housing) Separate I Deferred Submittals Required: El 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 Previously ❑Deferred RI This Permit is Approved by Public Works Fire Dept. Fees: See PW Review Worksheet and associated attached items ❑ Review of As-Built Plans-NO FIRE FEE A Separate PW Permit is Required(Permit#:PWZ30±- 00ii igLminimal or No Fire Scope-NO FIRE FEE AND IB48 located in this folder 0 Is in a Separate Green Folder(join with this folder for permit issuance) El Review/Inspection Scope-ADD FIRE FEE Approved By: tef� ,(i.0 Date:3-g;23 ❑Will be issued separately(Separate Green Folder,PW issued ahead of Bldg) 111►►►��, Lii//J^2 g 0 Public Works has no scope---PW Not Required ELECTRICAL/PLUMBING Additional Notes: Additional Notes: ,r, Approved By: Date: Completed By'>-�1� 7 ---- Date: O VI Alz(tel.