3614 SHORE AVE 2025-08-18 - Laserfiche WebLink

Intake &Approval Sheet #'OR PERMIT STAFF ONLY) PERMIT# B2-vri ` 0 01.-- BUILDING PLANNING Intake OK by: 0 Date: = ZZ Intake OK by: A Assign To:-i"Ct . DateT//i-A(2Z_ Intake Comments: Intake Comments: ❑ Route to Commercial Building ❑Attach to Project No. a-Route to Residential Building ❑ Route to Historic Reviewer ❑ Make this a"W"Permit OK to Route to Other Departments 11 I/Addn/Rem Size 31 ZQ'$ jfr Hold in Planning File Drawer garage Accessory Struct.Size C 41 Zone i;.S Number of Stories -- Overlay/Agreement Basement EINo ❑Yes, Fin/Unfin Nonresidential Use Type of Constructions Residential Use ,s-'--- Occupancy Group 1' (--t.- Proposed No.of Dwelling Units: Occupancy Load '712-'G Total No.of Dwelling Units: Fire Sprinklers: ❑Update Existing ❑New System SINot Req'd Planning/Landscape Inspection Required before Final? ❑Yes ❑No Reason Sprinklers Required: "In Lieu"Fee:Type: Amount$ Fire Alarm: ❑Update Existing El New System SNot Req'd School Impact Fee: Total $ S 1 04 g Reason Fire Alarm Required: Calculated: St 411/g ti, RCW 64.55 MF worksheet req'd for permit? ❑Yes Q'No El Everett School Dist Mukilteo School Dis cb / .r,/j Add'I RCW 64.55 docs required prior to final? ❑Yes INNo Additional Notes: 1A-t \ l�G ` J`) VALUATION CALCULATION: Total $ 463/ tt 1 far-j( trac f- t $2,3Z2,.00 : A o0S q *-1-f-_,115.0X4tc0 -- 46 423,344 0 50 I� cA , (:!,k)2 i t '►r i-o it. 3 j,z72.. Approved By: ate: g/3)/. 92...2... � NA 4 S I = 7Jj 3 '1 .r PUBLIC WORKS .Intake OK by: T1-1 Date:-712-/lot 2 Additional Notes: Intake Comments: IPW Worksheet Needed if: *.A(-aaa 5,1"-- i I Sys Dev Eval I raffic Mit Eval i it.,(..._ 5 S 20.110 O Z 6Site Work or Drainage Proposed Approved By: Date: 7/Z � ❑Backflow Prevention for high hazard: I(dental,medical,animals,mortuary,hospital, supportive housing) FIRE DEPARTMENT ❑Route this folder for PW Review at end --- PW Review Worksheet Separate/Deferred Submittals Required: ❑This project also has a separate concurrent PW Review (Green Folder) ❑Fire Sprinklers ❑Fire Alarm ❑Other: AND ❑Create Green Folder ❑Submitted Previously ❑Deferred Additional Notes: his Permit is Approved by Public 114-See PW Review Worksheet and associated attached items Fire Dept. Fees: eparate PW Permit is Required (Permit#: PW220-1--003) ❑l Review of As-Built Plans-NO FIRE FEE AND El lb Located in this folder SMinimal or No Fire Scope-N RE FEE ❑ Is in a Separate Green Folder (join with this folder for permit issuance) ria4Flew/ nspec ion cope-ADD FIRE FEE ❑ Will be issued separately (Separate Green Folder,PW issued ahead of Bldg) Approved By:k .e(cj n Date: 6%;2-;2.2 ❑ Public Works has no scope--- PW Not Required Additional Notes: ELECTRICAL/PLUMBING Additional Notes: Approved By: Date: Approved B Date: 0.7/r _1 Ls ire—