611 ALVERSON BLVD 2025-07-15 - Laserfiche WebLink

Intake & Approval Sheet (FOR PERMIT STAFF ONLY PERMIT# BUILDING PLANNING Intake OK by: Date: Intake OK by: Assign To: D fA Date:28 N" 241,3 Intake Comments: Intake Comments: Zone V,�1 ❑ Make this a"W"Permit ❑ SRC Required(Pre-Insp) Overlay/Agreement Bldg/TI/Addn/Rem Size 022 AVM - fb�tb✓dU *nresidential Use Garage/Accessory Struct.Size '�f-P�- -eet5 Residential Use Number of Stories t Proposed No.of Dwelling Units: Basement ❑No qYes, Fin/Unfin Total No.of Dwelling Units: 1 Type of Construction Planning/Landscape Inspection Required before Final? ❑Yes 13No Occupancy Group C "In Lieu"Fee:Type: Amount$ (A Occupancy Load School Impact Fee: Total $ ,I]A Cert.of Occpuancy Required? No ❑Yes []Shell Only Calculated: Credit: Code Year 02021 ❑2018 ❑2015 []Everett School Dist ❑Mukilteo School Dist Fire Sprinklers: ❑Update Existing ❑New System Mot Req'd Park Impact Fees for permits applied for after 1/112022: Reason Sprinklers Required: Park Impact Fee Total$ ' 4 1 A (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? ❑Yes ❑ No Add'I RCW 64.55 docs required prior to final? ❑Yes []No Additional Notes: VALUATION CALCULATION: Total$ l7-'O Approved By: Date: f�p� PUBLIC WORKS Intake OK by: Date: 10 2-777, Intake Comments: PW Review$Worksheet Needed if: ❑Sys Dev Eval: Additional Notes: Afrav4l w ❑Water []Sewer ❑Storm A, l jK46yi ► ► k ❑Traffic Mitigation Eval Approved By: Date: 1 w�YW14W r MI []Site Work/Drainage(shown/triggered) ❑Address Letter FIRE DEPARTMENT ❑Backflow Prevention for high hazard: Separate/Deferred Submittals Required: (dental,medical,animals mortuary, p q 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 M 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 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; lCompleted By: Date: 1 2, 2,3