12902 19TH AVE SE ORANGE THEORY 2017-06-07

FOR OFFICE USE ONLY PERMIT# BUILDING I LANNING Bldg/TI/Addn/Rem Size Zoning Classification Garage Size Overlay/Agreement VALUATION Nonresidential Use Comm"¢ oaf 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 Submittal Req'd Yes_ No_ Approved by: ` L' Date: T�1 Calculated School Impact Fee: Comments: School Impact Fee Credit: Total School Impact Fee Owed: Comments: 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 Update/New Sprinklers Yes No Existing Bldg._ Public Works Fee Update/New Detection Yes No Existing Bldg. School Mitigation Fee Update/ New Chemical Yes No Existing Bldg._ Update/New Fire Service Yes No Existing Bldg._ Approved by: Date: Comments: !J'V�