1302 HOYT AVE 2022-07-20 - Laserfiche WebLink

• Intake & Approval Sheet • (FOR PERMIT STAFF ONLI9 PERMIT# i `A OG -00 C BUILDING � / PLANNING Intake OK by: 1, Date: 6/�'4/19 Intake OK by: 03 Date: (,/4/1 e Intake Comments: Intake Comments: Assign To: fr,�iX iI' - `st°ria dv to -f- Nc5 co fff cje91 cri/1 ;/2.4/11 0 Route to Commercial Building ElAttach to Project No. E1 Route to Residential Building ❑ Route to Historic Reviewer ❑ Make this a"W"Permit aOK to Route to Other Departments BldglTl/Addn/Rem Size ❑ Hold in Planning File Drawer Garage Accessory Struct. Size 'ef 31 Sr, Zone 4--Z Number o ries ( Overlay/Agreement Basement IBNo ❑Yes, Fin/Unfin Nonresidential Use Type of Construction 74' Residential Use 5-Pg- Occupancy Group k.A. Proposed No. of Dwelling Units: Occupancy Load Total No.of Dwelling Units: 1 Fire Sprinklers: ❑Update Existing ❑New System ❑Not Req'd Planning/Landscape Inspection Required befor Final? ❑Yes, No Reason Sprinklers Required: "In Lieu" Fee:Type: ount$ Fire Alarm: ❑Update Existing ❑New System ❑Not Req'd School Impact Fee: Total $ Reason Fire Alarm Required: Calculated: Credit: RCW 64.55 MF worksheet req'd for permit? = -s NI No DEverett School Dist Mukilteo School Dist Add'I RCW 64.55 does required prior to final. ❑Yes X No Additional Notes: fie; n-)- S 1JNe,11_ Peel Ui( 0r to VALUATION CALCULATION: Total I2tct (0o i&rvltvt- ilrs �,.+ai ,,rr � p�17 Approved By: UV15 Date: q /4/1 I PUBLIC WORKS Intake OK by:7 1J Date: to ( 4 I ze,, 9 Additional Notes: Z o IS- 112C... Intake Comments: PW Worksheet Needed if: 1'441 Fitt-ItSl.fANC&": 12.4Tx✓J toAL-L e4Evu C vC c.o Q32#❑Sys Dev Eval ❑Traffic Mit Eval L.As'S 7(0.1.3 S I-or` F�� P2o P. t,nt. N %.,� —F44 4"., ari as, 13249f Site Work or Drainage Proposed q� / Approved By: 11t�- Date: 7/// {�' RA.r... ❑Backflow Prevention for high hazard: `/' 66 .L-7. - 'Deus.tsvb.aas (dental,medical,animals,mortuary,hospital, supportive housing) FIRE DEPARTMENT EgRoute this folder for PW Review at end ---PW Review Worksheet ' Separate/Deferred Submittals Required: ❑This project also has a separate concurrent PW Review(Green Folder) OFire Sprinklers ❑Fire Alarm ❑Other: AND ❑Create Green Folder ❑Submitted Previously ❑Deferred Additional Notes: This Permit is Approved by Public Works In See PW Review Worksheet and associated attached items Fire Dept. Fees: NA Separate PW Permit is Required (Permit#: PW 19 t 0- 03 W ) ❑ Review of As-Built Plans-NO FIRE FEE AND .Is located in this folder ❑ Minimal or No Fire Scope-NO FIRE FEE ❑ Is in a Separate Green Folder(join with this folder for permit issuance) ❑ Review/Inspection Scope-ADD FIRE FEE ❑ Will be issued separately(Separate Green Folder,PW issued ahead of Bldg) Approved By: Date: ❑ Public Works has no scope---PW Not Required Additional Notes: ELECTRICAL Additional Notes: Approved By: Date: Approved Date: /p hako a 9