3407 GRAND AVE 2025-09-30 - Laserfiche WebLink

Intake &Approval Sheet (FOR PERMIT STAFF ON,L) PERMIT BUILDING I .NNING 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 �Go .g X Total No.of Dwelling Units: Garage/Accessory Struct.Size — PIanning/Landscape Inspection Required before Final? ❑Yes ❑No Number of Stories In Lieu"Fee:Type: Amount$ Basement []No WYes, Fin/Unfin School Impact Fee: Total $ Type of Construction c_ Calculated: Credit: Occupancy Group lK'C_ El Everett School Dist ❑Mukilteo School Dist Occupancy Load 19-G. Park Impact Fees for permits applied for after 1/112022: Fire Sprinklers: []Update Existing ❑New System XNot 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 Not 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'1 RCW 64.55 does required prior to final? ❑Yes No ❑ 0%Credit-Issued 6/3/2023 or later VALUATION CALCULATION: Total$ 3 0, GaU Additional Notes: Approved By: Date: f P Z-02- PUBLIC WORKS Additional Notes: Intake OK by: Date: ;-----� --------- -------::--------------- Intake Comments: ;PWWorksheetNeeded if- []Sys Dev Eval(Util/sw) OTraffic Mit Eval Approved By: Date: ,fig i[]Site Work/Drainage ElAddress Letter ❑Backflow Prevention for high hazard: (dental,medical,animals,mortuary,hospital, FIRE DEPARTMLNT ;supportive housing) `----------------------------------------- Separate 1 Deferred Submittals Required: ❑Route this folder for PW Review at end —PWRevlew 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 folderfor permit issuance) Approved By: Date: ❑Will be issued separately(Separate Green Folder,PW issued ahead of Bldg) WTVublic Works has no scope—PW Not Required ELECTRICAL/PLUMBING Additional Notes: Additional Notes: Approved By: Date: Completed)3 Date; e o tS