1612 33RD ST 2025-04-21 - Laserfiche WebLink

Intake &Approval Sheet (FOR PERMIT STAFF ONLY) PERMIT# BUILDING Mr OLANNING "Intake OK by: \ ✓ Date: 2 r e2.--- Intake OK by: Assign To: Date: Intake Comments: Intake Comments: Zone _ Overlay/Agre-ment ❑ Route to Commercial Building Nonresidential ► e ❑ Route to Residential Building Residential Use ❑ Make this a"W"Permit Proposed No. of Owe 'ng Units: Bld •do/Rem Size 10 J' SF- Total No.of Dwelling U 's: Gara• /Accessory Struct.Size Planning/Landscape Ins•-ction Re.,.ired before Final? ❑Yes ❑No Number of Stories 1 .- . "In Lieu"Fee: Type: Amount$ Basement o ❑Yes , Fin/Unfin School Impact Fee: Total $ Type of Construction 6 Calculated: Credit: Occupancy Group ❑Everett School Dist '•Mukilt-• School Dist Occupancy Load . Park Impact Fees for •=rmits applied fo -fter 1/1/2022: Fire Sprinklers: ❑Update Existing ❑New System Not Req'd Park Impact Fee Total '. (net due a' redit for existing uses) Reason Sprinklers Required: Fee Schedule Used ror Calculation(Year): Fire Alarm: ❑Update Existing El New System of Req'd Permit Technici. Use Only:Apply Phase-In Credit Per EMC19.53.200 Reason Fire Alarm Required: ❑ 100%Cr-dit-Issued 1/1/2022-9/2/2022 RCW 64.55 MF worksheet req'd for permit? ❑Yes ❑ No ❑ 50% redit-Issued 9/3/2022-6/2/2023 Add'I RCW 64.55 docs required prior to final? ❑Yes El No 0 0'u Credit-Issued 6/3/2023 or later VALUATION CALCULATION: Total$ Additio,al Notes: Approved By: Date: 1 • PUBLIC WORKS Additional Notes: Intake OK by: Date: Intake Comments: PW Wo, sheet Needed if. ❑S s Dev Eval(utilisW)OTraffic Mit Eval Approved ern,. � . '� Work/Drainage Site Work/Draina e Date: Z� �� DAddress Letter 0b •Backflow Prevention for high hazard: (dental,medical,animals,mortuary,hospital, FIRE DEPARTMENT supportive housing) Separate I Deferred Submittals Required: ❑Route this folder for P '-view at end ---PW Review Worksheet El Fire Sprinklers El Fire Alarm ❑Other: ❑This project also has a .epar. - concurrent PW Review(Green Folder) Additional Notes: AND ❑Create Green .Ider ❑Su. ' tt=d Previously ❑Deferred ❑This Permit is Ap%roved by Public Works Fire Dept.Fees: 0 See PW Revie Worksheet and associated attached items ❑ ew of As-Built Plans-NO FIRE FEE 0 A Separate P Permit is Required(Permit#:PW Minimal or No Fire Scope-NO FIRE FEE AND ❑ Is I. ated in this folder ❑ Is n a Separate Green Folder(join with this folder for permit issuance) El Review/Inspection Scope-ADD FIRE FEE Approved By\L " Date: Z.��„A ❑Will be issued separately(Separate Green Folder,PW issued ahead of Bldg) ❑ Public Works has no scope---PW Not Required EL. ICAL/PLUMBING Additional Notes: Additional Notes: Approved By: Date: Completed By: Date: