12902 19TH AVE SE ORANGE THEORY 2017-03-09

RMIT# YV\ c1i-k'D(S.o FOR OFFICE USE ONLY BUILDING PLANNING Bldg/Tl/Addn/Rem Size Zoning Classification Garage Size Overlay/Agreement VALUATION Nonresidential Use Number of Stories Residential Use Occupancy Group Proposed No. of Dwelling Units: Occupant Load Total No. of Dwelling Units: Basement Yes_ No_Fin/Unf Landscape or Planning Inspection Type of Construction needed before final? Yes_ No Existing Sprinkler System? Yes No Unk Planning Inspector: Fire Sprinkler Required Yes No Phone#: Reason Approved by: Date: Existing Fire Alarm Yes No Unk Historic Approved by: Date: Fire Alarm Required Yes_ No_ School Mitigation Reqd? Yes No Reason Everett School Dist Mukilteo School Dist Enclosure Law Applies Yes #of Net New Units: Deferred Sub,'iI Req'd Yes No_ Approved .y 17 Date: 09C //J l� Calculated School Impact Fee: Comm-'ts: School Impact Fee Credit: i p Total School Impact Fee Owed: Comments: 1 li,c V vt , -s f yi - k),",(k 0,0 pi6 frplia_ no 41e,() p > p G— z6N FEES PUBLIC WORKS Plan Check Fee Intake Checked By: Date: Building Permit Intake Comments: Surcharge Additional Plan Check PW Permit Application Submitted? Yes No Plumbing Fee PW Worksheet Required? Yes No Mechanical Fee PW REVIEW: PW Reviewer: Date: Ping Bldg Review Fee SEE PW WORKSHEET-returned to file Water Fee PW Permit Approved, PW Permit Not Required Sewer Fee Systems Dev. Fee FIRE DEPARTMENT Traffic Mitigation Fee Fire Sprinkler Required? Yes No Public Works Fee Fire Alarm Required? Yes No School Mitigation Fee APPROVAL TO ISSUE PERMITS: Yes No SEE FIRE WORKSHEET-returned to file Fire Reviewer: Date Reviewed: Reviewed Under Permit Type/#: