3015 9TH ST BLDG 4 2025-11-06 - Laserfiche WebLink

Intake &Approval Sheet (FOR PERMIT STAFF ONLY) PERMIT# 1)2.24 I` (A BUILDING PLANNING Intake OK by: Date: Intake OK by: Assign To: 3 ess Date: 11 23 ZZ Intake Comments: Intake Comm t : Zone U R3 Overlay/Agreement rj,dewa��C rtor�t ❑ Route to Commercial Building Nonresidential Use NI A ❑ Route to Residential Building Residential Use M v It;-Fcam:1 ❑ Make this a"W" Permit Proposed No. of Dwelling Units: N/A Bldg/TI/Addn/Rem Size Total No.of Dwelling Units: N/A Garage/Accessory Struct. Size Planning/Landscape Inspection Required before Final? ❑Yes JENo Number of Stories In Lieu" Fee:Type: Amount$ Basement ❑No ❑Yes , Fin/Unfin School Impact Fee: Total $ Type of Construction Calculated: Credit: Occupancy Group - Z ❑Everett School Dist ❑Mukilteo School Dist Occupancy Load Park Impact Fees for permits applied for after 1/112022: Fire Sprinklers: ❑Update Existing ❑New System Not Req'd Park Impact Fee Total$ Reason Sprinklers Required: Fee Schedule Used For Calculation(Year): Fire Alarm: ❑Update Existing ❑New System FNot Req'd Permit Technicians:Apply 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? J@Yes ❑ No ❑ 50%Credit-Issued 9/3/2022-6/2/2023 Tun Add'I RCW 64.55 docs required prior to final? ❑YeS JNNo ❑ 0%Credit-Issued 6/3/2023 or later VALUATION CALCULATION: Total$ '5100.00 Additional Notes: Approved By: Date: I,I Z3)ZZ PUBLIC WORKS Additional Notes: Intake OK by: Date: �2 -------- ------- ------------------------ Intake Comments: PW Worksheet Needed if. • ❑Sys Dev Eva[ ❑Traffic Mit Eval A roved B —� Date:O/ ;❑Site Work or Drainage Proposed PP 7 l;'%r J ❑Backflow Prevention for high hazard: (dental,medical,animals,mortuary,hospital, FIRE DEPARTMENT :supportive housing) ' - - - - --------------------------- Separate/Deferred Submittals Required: El Route this folder for PW Review at end ---PW Review Worksheet El 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 ElIs 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) tx Public Works has no scope--PW Not Required ELECTRICAL/PLUMBING Additional Notes: 1 I r Additional Notes: �Vlry�r`(/ K I�`i f24ZA--, Approved By: Date: Approved By: Date: 1rL--