2326 MCDOUGALL AVE 2025-09-12 - Laserfiche WebLink

Intake & Approval Sheet (FOR PERMIT STAFF ONLr PERMIT# 8Z367- —015 BUILDING t _ANNING Intake OK by: Date: Intake OK by: Assign To: Date: Intake Comments: Intake Comments: Zone T! Overlay/Agreement ❑ Route to Commercial Building Nonresidential Use ❑ Route to Residential Building Residential Use ❑ Make this a"W"Permit Proposed No. of Dwelling Units: Bldgm/A em - e FoC ,c 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 SlYes , Fin/Unfin School Impact Fee: Total $ Type of Construction Z dz Calculated: Credit: Occupancy Group ❑Everett School Dist ❑Mukilteo School Dist Occupancy Load Park Impact Fees for permits applied for after 11112022: Fire Sprinklers: ❑Update Existing []New System ERNot Req'd Park Impact Fee Total (net due after credit for existing uses) Reason Sprinklers Required: Fee Schedule Used For Calculation(Year): --------------------------------------------------------------- - Fire Alarm: ❑Update Existing ❑New System-mot Req'd Permit Technician Use Only:Apply Phase-In Credit Per EMC19.53.200 Reason Fire Alarm Required: ❑ 100%Credit-Issued 1/1/2022-9/2/2022 RCW 64.55 MF worksheet req'd for permit? ❑Yes No ❑ 50%Credit-Issued 9/3/2022-6/2/2023 Add'I RCW 64.55 docs required prior to final? ❑Yes 8No ❑ 0%Credit-Issued 6/3/2023 or later VALUATION CALCULATION: Total$ 000,.Z--O Additional Notes ssClC�,. 0 I-0-05,9 Shoo-5 eicisfi(L 117In„c Approved By: Date: PUBLIC WORKS Additional Notes: Intake OK by: Date: -------------------------------- Intake Comments: ;PW Worksheet Needed if. • )]Sys Dev Eval(Utiusw)[]Traffic Mit Eval Approved ,~ Dateu* Z :Site Work/Drainage []Address Letter ❑Backflow 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 —PW Review 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 ❑ Review/Inspection Scope-ADD FIRE FEE ❑ Is in a Separate Green Folder(join with this folder for pen it issuance) Approved By: Date: ❑Will be issued separately(Separate Green Folder,PW imued ahead of Bldg) Public Works has no scope--PW Not Required ELECTRICAL/PLUMBING Additional Notes: Additional Notes: _JC Wf-ZVZ 611/ �� Approved By: Date: Completed By: Date: