3927 RUCKER AVE BASE FILE 2018-02-23

FOR OFFICE USE ONLY PERMIT#V "'lC 1 -O�� BUILDING PLANNING Bldg/TI/Addn/Rem Size Zoning Classification f- Garage Size Overlay/Agreement VALUATION Nonresidential Use Ct{ /rc-Ft . E 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 final? Yes No Existing Sprinkler System? Yes No Unk_ Planning Inspector: Fire Sprinkler Required Yes No Phone#: Reason Approved L y7AS, Date: 0j 1 Existing Fire Alarm Yes_ No_Unk_ Historic Approved by: Date: !!! Fire Alarm Required Yes_ No_ School Mitigation Reqd? Yes_ ► Reason Everett School Dist ilteo School Dist RCW 64.55 MF worksheet req'd for permit? Yes No_ #of Net New Unit • Add'I RCW 64.55 docs required prior to final?Yes No_ Calculated . ool Impact Fee: Architectural Approved By/Date: `9I 1,�V Sch.. Impact Fee Credit: Structural Approved By/Date: rJ Total School Impact Fee Owed: Comments: Comments fixep -{-10 -96=64 4 Intake OK by: 9/141 Intake OK by: Ok to route Hold Make this a"W" ermit? Yes No 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 0 Route for Public Works Review(bldg folder, PW Worksheet) Mechanical Fee 0 Public Works Permit-Concurrent Review(separate green folder) Ping Bldg Review Fee PW REVIEW: PW Reviewer: Date: Water Fee 0 PW Permit Approved- PW Sewer Fee 0 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: I