12222 19TH AVE SE 2018-02-27 - Laserfiche WebLink

FOR OFFICE USE ONLY PERMIT# t'—I�0 ` V-09 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 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 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 RCW 64.55 MF worksheet req'd for permit? Yes_ No #of Net New Units: Add]RCW 64.55 docs required prior to final?Yes_ No Calculated School Impact Fee: Architectural Approved By/Date: School Impact Fee Credit: Structural Approved By/Date: Total School Impact Fee Owed: Comments: Comments: Intake OK by: Intake OK by: Ok to route Hold Make this a"W" Permit? 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 0 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 0 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: c au