15 SW EVERETT MALL WAY MOLINA HEALTH CARE 2019-02-05

FOR OFFICE USE ONLY PERMIT# 5 IX07---erge BUILDING PLANNING Bldg/TI/Addn/Rem Size Zoning Classification C' 1 1� Garage Size Overlay/Agreement VALUATION Nonresidential Use S ltL' rin 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 V Existing Sprinkler System? Yes_ No_Unk_ Planning Inspector: Fire Sprinkler Required Yes_ No Phone#: ----- Reason — -Reason Approved b Date: (30 (1 r Existing Fire Alarm Yes_ No_Unk Historic Approved by: Date: / f Fire Alarm Required Yes No_ School Mitigation Reqd? Yes Reason Everett School Dist Mukilteo School Dist RCW 64.55 MF worksheet req'd for ermit? Yes_ No_ #of Net New Units: Add'RCW 64.55 docs required prior t final?Yes No Calculated School Impact Fee: Architectural Approved By/Date: /� 4 0 (p School Impact Fee Credit: Structural Approved By/Date: 7 Y V Total School Impact Fee Owed: Comments: 1 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 ❑ 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: