5404 BROADWAY 2017-05-15 - Laserfiche WebLink

FOR OFFICE USE ONLY PERMIT# BUILDING PLANNING Bldg/TI/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 f/1 Total No. of Dwelling Units: Basement No Yes_ Fin / Unfin 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 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 Schoo Enclosure Law Applies Yes #of Net New Units: Deferred Submittal Req'd Yes_ No2. Calculated School I ct Fee: Approved by: ��-1� Date: I School Im ee Credit: Comments: T chool Impact Fee Owed: Comments: Intake OK by:` t Intake OK by: __, PUBLIC WORKS FEES INTAKE: Checked By: Date: Plan Check Fee Comments: Building Permit Surcharge High Hazard Sites(Dental, Medical,Animals,Mortuary,etc-Review for RPBA) Additional Plan Check ❑ Public Works/Sys Dev/Traffic Mit./RPBA- NOT REQUIRED Plumbing Fee ❑ Route for Public Works Review(bldg folder, PW Worksheet) Mechanical Fee ❑ Public Works Permit-Concurrent Review separate green folder Ping Bldg Review Fee PW REVIEW: PW Reviewer: Date: Water Fee ❑ PW Permit Approved-PW Sewer Fee ❑ See PW Review Worksheet Systems Dev. Fee PW Permit Not Required Traffic Mitigation Fee Public Works Fee FIRE DEPARTMENT School Mitigation Fee Update/New Sprinklers Yes No_ Existing Bldg._ Update/New Detection Yes No Existing Bldg._ Update/New Chemical Yes No Existing Bldg._ Update/New Fire Service Yes No Existing Bldg._ Approved by: Date: Comments: " 6�