5900 36TH AVE W C 2025-04-09 - Laserfiche WebLink

Intake & Approval Sheet (FOR PERMIT STAFF ON09 PERMIT#6 24(,4-" U v� BUILDING PLANNING Intake OK by: Date: Intake OK by: Assign To: Jess Date:5 Intake Comments: Intake Comme ts: 13 Zone L I Z ❑ Make this a "W" Permit ❑ SRC Required (Pre-Insp) Overlay/Agreement A I A t A CA Bldg/TI/Add em ize % 2- S/r° Nonresidential Use J��:Ge `^ vSirci0.l �4e'1L 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 Planning/Landscape Inspection Required before Final? []Yes 1RNo Occupancy Group "In Lieu" Fee:Type: Amount$ Occupancy Load d School Impact Fee: Total $ Cert.of Occpuancy Required? []No VuYes ❑Shell Only Calculated: Credit: Code Year 2021 018 02015 ❑Everett School Dist ❑Mukilteo School Dist Fire Sprinklers:in Update Existing ONew System El Not Req'd Park Impact Fees for permits applied for after 1/1/2022: Reason Sprinklers Required: Park Impact Fee Total$ (A.40 (net due after credit for existing uses) Fire Alarm: I&Pdate Existing ❑New System ❑Not Req'd Fee Schedule Used For Calculation(Year): 20 Z 4 Reason Fire Alarm Required: i'388sIr 0,so oFftctgj— t�3885�x0.Z5Clr+a�sf� q(�,alar@ho RCW 64.55 MF worksheet req'd for permit? []Yes No ^-b b�'y 0 Add'I RCW 64.55 docs required prior to final? ❑Yes RNo Additional Notes: VALUATION CALCULATION: Total$ _ Approved By: ate: Jr �? Z U Li PUBLIC WORKS Intake OK by: Date: Intake Comments: PW Review&Worksheet Needed if. ❑Sys Dev Eval Additional Notes: ❑Water ❑Sewer ❑Storm ❑Traffic Mitigation Eval Approved By: Date: ll7 y ❑Site Work/Drainage(shown/triggered) T❑Address Letter FIRE DEPARTMENT 1❑Backflow Prevention for high hazard: Separate/Deferred Submittals Required: (dental,medical,animals,mortuary, ;hospital,supportive housing) El Fire Sprinklers ❑Fire 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 ❑ Review of As-Built Plans-NO FIRE FEE AND ❑ 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 folderfor permit issuance) Approved ❑ 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: 4 4 ft7 P47 4