2502 E GRAND AVE 2025-09-30 - Laserfiche WebLink

Intake &Approval Sheet (FOR PERMIT STAFF ON,LI) PERMIT BUILDING PLANNING Intake OK by: Date: Intake OK by: Assign To: '061 Date:2 Atn 1 2v7* Intake Comments: Intake Comments: Zone 2 ❑Make this a"W"Permit ❑ SRC Required (Pre-Insp) Overlay/Agreement Bldg/TI/Addn/Rem Size Nonresidential Use Garage/Accessory Struct.Size Residential Use Number of Stories Proposed No.of Dwelling Units: Basement ❑No ❑Yes, Fin/Unfin Total No.of Dwelling Units: l Type of Construction Planning/Landscape Inspection Required before Final? ❑Yes EANo Occupancy Group "In Lieu"Fee:Type: Amount$ Occupancy Load School Impact Fee: Total $ 0 1 A Cert.of Occpuancy Required? []No ❑Yes ❑Shelf Only Calculated: Credit: Code Year 112021 112018. 112015 ❑Everett School Dist ❑Mukilteo School Dist Fire Sprinklers: ❑Update Existing ❑New System ❑Not Req'd Park Impact Fees for permits applied for after 1/112022: Reason Sprinklers Required: Park Impact Fee Total$ N 1 h (net due after credit for existing uses) Fire Alarm: ❑Update Existing ❑New System El 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$ Approved By: Date: PUBLIC WORKS Intake OK by: _Date: Intake Comments: I PW Review&Worksheet Needed if,_ ❑Sys Dev Eva[: Additional Notes: 1 ❑Water ❑Sewer ❑Storm (]Traffic Mitigation Eval Approved By: Date: / € jl]Site Work/Drainage(shown/triggered) (]Address Letter FIRE DEPARTMENT 1 1113ackflow Prevention for high hazard: Separate/Deferred Submittals Required: (dental,medical,animals,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 ❑ 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 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: C yit —u"'d i �i i(n C oS Ctt Approved By: Date: Completed By: Date: