310 ALVERSON BLVD 2025-07-15 - Laserfiche WebLink

Intake & Approval Sheet OR PERMIT STAFF ONLY) cRMIT# BUILDING PLANNING Intake OK by: Date: Intake OK by: Assign To: ID Cz Date: 4 Dco UZ2 Intake Comments: Intake Comments: Zone R-1 ❑ Make this a"W"Permit ❑ SRC Required(Pre-Insp) Overlay/Agreement SMon l�w {�wticGnh�al S(Cfl Bldg/TI/Addn/Rem Size I Nonresidential Use Garage/Accessory Struct.Size Residential Use SFR Number of Stories Proposed No.of Dwelling Units: Basement ❑No ®Yes , Fi Unfin Total No.of Dwelling Units: Type of Construction r Planning/Landscape Inspection Required before Final? ❑Yes Wo Occupancy Group r.L,, "In Lieu"Fee:Type: Amount$ NIA Occupancy Load School Impact Fee: Total $ N IA Cert.of Occpuancy Required? 1�]No ❑Yes ❑Shell Only Calculated: Credit: Code Year ❑2021 42018 ❑2015 ❑Everett School Dist ❑Mukilteo School Dist Fire Sprinklers: ❑Update Existing ❑New System ONot Req'd Park Impact Fees for permits applied for after 11112022: Reason Sprinklers Required: Park Impact Fee Total$ ' 4 I A (net due after credit for existing uses) Fire Alarm: ❑Update Existing El New System ❑Not Req'd Fee Schedule Used For Calculation(Year): Reason Fire Alarm Required: RCW 64.55 MF worksheet req'd for permit? ❑Yes ® No Add'I RCW 64.55 does required prior to final? ❑Yes ©No Additional Notes: Eye-th%5 Ss 4 St O W& ►S 4' f N etO-t VALUATION CALCULATION: Total$ 196,n oh Fo, C Q-oz - no Approved By: , Date: 4 DLG 201,3 PUBLIC WORKS Intake OK by: Date; % I Intake Comments: PW Review&Worksheet Needed If., 1 tea tYVA roof„, ?# ) 10Sys Dev Eval: Additional Notes: ;_, ,/ ` �Li�� ❑Water ❑Sewer VStorm IIX,� (N lxv� ❑Traffic Mitigation Eval Approved By: Date: []Site Work/Drainage(shown/triggered) ❑Address Letter FIRE DEPARTMENT ❑Backflow Prevention for high hazard: Separate/Deferred Submittals Required: (dental,medical,animals,mortuary, Se p q hospital,supportive housing) ❑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 writh 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: Icompieted By: ate: ZOZ