3200 CEDAR ST PANAMA BLDG 2025-09-10

Intake $ Approval Sheet (FOR PERMIT STAFF ONLI) ERMIT# 5 so?. �. BUILDING PLANNING Intake OK by: Date: 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 q Nonresidential Use Garage/Accessory Struct. Size Residential Use Number of Stories Proposed No.of Dwelling Units: Basement 19No ❑Yes, Fin/Unfin Total No.of Dwelling Units: Type of Construction Planning/Landscape Inspection quired before Final? ❑Yes ❑No Occupancy Group "In Lieu"Fee:Type: Amount$ Occupancy Load School Impact Fee: Total Cert.of Occpuancy Required? No ❑Yes ❑Shell Only Calculated: Credit: Code Year 102021 E2018 02015 ❑Everett School Dis ❑Mukilteo School Dist Fire Sprinklers: ❑Update Existing ❑New system SNot Req'd Park Impact Fees or permits applied for after 1/1/2022: Reason Sprinklers Required: Park Impact Fee T tal$ (net due after credit for existing uses) Fire Alarm: El Update Existing ❑New System E JNot Req'd Fee Schedule ed 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 IB No Additi nal Notes: VALUATION CALCULATION: Total$_ Ors,. p Approved By: Date: Zo -c3 PUBLIC WORKS Intake OK by: Date: _ Intake Comments: PW Review&Worksheet Needed if., []Sys Dev Eval: Additional Notes: ❑Water []Sewer ❑Storm ❑Traffic Mitigation Eval Approved By: tip Date-, ([ 11 )-j []Site Work/Drainage(shoym/triggered) ❑Address Letter FIRE DEPARTMENT ❑Backflow Prevention for high hazard: (dental,medical,animals Separate/Deferred Submittals Required: mortuary, 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 45 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(loin with this folder for permit Issuance) Approved By: Date: _ El 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: