3003 W CASINO RD BLDG 40-58 2025-09-29

Intake & Approval Sheet (FOR PERMIT STAFF ONLY) PERMIT# K7-3o I BUILDING JLANNING Intake OK by: Date: Intake OK by: Assign To: Date: Intake Comments: Intake Comments: Zone Overlay/Agreement ❑ Route to Commercial Building Nonresidential Use ❑ Route to Residential Building Residential Use ❑ Make this a"W" Permit Proposed No. of Dwelling Units: Bldg/TI/Addn/Rem Size Total No. of Dwelling Units: Garage/Accessory Struct. Size Planning/Landscape Inspection Required before Final? ❑Yes No Number of Stories "In Lieu" Fee: Type: Amount$ Basement ❑No ❑Yes , Fin/Unfin School Impact Fee: Total $ Type of Construction Calculated: Credit: Occupancy Group El Everett School Dist ❑Mukilteo School Dist Occupancy Load Park Impact Fees for permits applied for after 11112022: Fire Sprinklers: ❑Update Existing ❑New System ❑Not Req'd Park Impact Fee Total (not due after credit for existing uses) Reason Sprinklers Required: Fee Schedule Used For Calculation(Year): ------------------------------------------------------------------------ Fire Alarm: El Update Existing ❑New System El Not Req'd Permit Technician Use Only:Apply Phase-In Credit Per EMC19.53.200 - - Reason Fire Alarm Required: ❑ 100%Credit-Issued 1/l/2022-9/2/2022 RCW 64.55 MF worksheet req'd for permit? ❑Yes ❑ No ❑ 50%Credit-Issued 9/3/2022-6/2/2023 Add'[RCW 64.55 docs required prior to final? ❑Yes ❑No ❑ 0%Credit-Issued 6/3/2023 or later VALUATION CALCULATION: Total $ Additional Notes: Approved By: Date: PUBLIC WORKS Additional Notes: Intake OK by: Date: E Intake Comment . ;PW Worksheet Needed if.• ❑Sys Dev Eval(UtiI/SW)❑Traffic Mit Eval Approved By: Date: 1%4 P ❑Site Work/Drainage ❑Address Letter r 61 Z�I26Z/� ;11Backflow Prevention for high hazard: `✓ ,(dental,medical,animals,mortuary,hospital, FIRE DEPARTMENT :supportive housing) :----------------------------------------- Separate/Deferred Submittals Required: ❑Route this folder for PW Review at end ---PWReview Worksheet ❑Fire Sprinklers ❑Fire Alarm ❑Other: ❑This project also has a separate concurrent PW Review(Green Folder) Additional Notes: AND ❑Create Green Folder ❑Submitted Previously ❑Deferred This Permit is Approved by Public Works Fire Dept. Fees: ❑ See PW Review Worksheet and associated attached items ❑ Review of As-Built Plans-NO FIRE FEE ❑A Separate PW Permit is Required(Permit#:PW ❑ Minimal or No Fire Scope-NO FIRE FEE AND ❑ Is located in this folder eview/Inspection Scope-ADD FIRE FEE ❑ Is in a Separate Green Folder(join with this folder for permit issuance) Approved By: Date: 1.i2 — ❑WiII be issued separately(separate Green Folder,PW issued ahead of Bldg) ❑ Public Works has no scope---PW Not Required ELECTRICAL/PLUMBING Additional Notes: Additional Notes: W1 Approved By: Date: Completed Bg Date: