15 SW EVERETT MALL WAY MOLINA HEALTH CARE 2018-05-21

� � IJ _ FOR OFFICE USE ONLY PERMIT# � l l0 I�� BUILDING PLANNING Bldg/TI/Addn/Rem Size ' � 2, 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 No� Yes Fin / Unfin Landscape or Planning Inspection Type of Construction _ � needed before finai? 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 qd? Yes No Reason � Everett School D' t Mukilteo School Dist Enclosure Law Applies Yes #of Net New its: Deferred Submittal � eq'd Yes No Calculated S ool Impact Fee: Approved by: Date: - j - � School Imp ct Fee Credit: Comments: /� Total School Impact Fee Owed: l Comments: � / n/ Q ��O (� �- , �, � Intake OK by: Intake OK by: PUBLIC WORKS FEES INTAKE: Checked By: Date: Plan Check Fee Comments: � , Building Permit � 1 "U��Ut� � 6 r `�� l�✓ Surc harge Hig h Hazar d Si tes(Den ta l, Me d!a l,Anima ls, Mo nuary,e tc-Review for R P B A) 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 reen 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: � �