5612 COMMERCIAL AVE 2025-04-25 - Laserfiche WebLink

re,.)isivns aPJ.er isstAL- Intake & Approval Sheet (FOR PERMIT STAFF ONLY) PERMIT# ZZ ID —") � BUILDING p� PLANNING Intake OK by: Date: 04( >( Intake OK by: Assign To: Date: Intake Comments: Intake Comments: Zone ❑ Make this a"W"Permit ❑ SRC Required (Pre-lnsp) Overlay/Agreement Bldg/TI/Addn/Rem Size Nonresidential Use Garage/Accessory Struct.Size aj'(1 9 . Residential Use Number of Stories Proposed No. of Dwelling Units: Basement 4Z1No ❑Yes, Fin/Unfin Total No. of Dwelling Units: Type of Construction Planning/Landscape Inspection Required before Final? ❑Yes ❑No Occupancy Group yC y "In Lieu"Fee:Type: Amount$ Occupancy Load (��,(- School Impact Fee: Total $ Cert. of Occpuancy Required? .I No ❑Yes ❑Shell Only Calculated: Credit: Code Year 02021 1420182015 DEverett School Dist ❑Mukilteo School Dist Fire Sprinklers: DUpdate Existing ❑New System Not Req'd Park Impact Fees for permits applied for after 1/1/2022: Reason Sprinklers Required: Park Impact Fee Total$ (net due after credit for existing uses) Fire Alarm: ❑Update Existing ❑New System Not Req'd Fee Schedule Used For Calculation(Year): Reason Fire Alarm Required: ) RCW 64.55 MF worksheet req'd for permit? ❑ D Yes �,,"//No Add'RCW 64.55 docs required prior to final? ❑Yes I�No Additional Notes: VALUATION CALCULATION: Total$ u,,A.. a.c) yvJeJi J,1-13-44 As, 024011 2,5, Approved By: G Date: 8/2,3/./J-j PUBLIC WORKS Intake OK by: Date: Intake Comments: I PW Review&Worksheet Needed if: ❑Sys Dev Eval: Additional Notes:(r/1(A ("et-C.-Eli UZ(wl(2 5 ale✓ae DWater ❑Sewer ❑Storm -kot Cu^St vt ct , t j❑Traffic Mitigation Eval Approved By: � --� -- Date: ( ( e '(Z l❑Site Work/Drainage(shown/triggered) "� IDAddress Letter FIRE DEPARTMENT I❑Backflow Prevention for high hazard: l(dental,medical,animals,mortuary, Separate/Deferred Submittals Required: 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 Coin 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: