6912 E CADY RD 2023-10-24 - Laserfiche WebLink

Intake & Approval Sheet 0(FOR PERMIT STAFF ONLY) 40 PERMIT# g2Z//-O 7-5/ 1444 BUILDING PLANNING Intake OK by: Date: '� 2�"L Z Intake OK by: Assign To: Date: Intake Comments: 11111 Intake Comments: Zone � —I Overlay/Agreement ❑ Route to Commercial Building Nonresidential Use Route to Residential Building Residential Use ❑ Make this a"W" Permit Proposed No. of Dwelling Units: Bldg/TI/Addn/Rem Size Total No. of Dwelling Units: Garage/Accessory Struct. Size, Planning/Landscape Inspection Required before Final? ❑Yes ❑No Number of Stories "In Lieu" Fee:Type: Amount$ Basement allo ❑Yes , Fin/Unfin School Impact Fee: Total $ Type of Construction _ _Tee- Calculated: Credit: Occupancy Group Sf El Everett School Dist ❑Mukilteo School Dist Occupancy Load Zf Park Impact Fees for permits applied for after 1/1/2022: Fire Sprinklers: ❑Update Existing El New System 12Not Req'd Park Impact Fee Total$ (net due after credit for existing uses) Reason Sprinklers Required: Fee Schedule Used For Calculation(Year): Fire Alarm: ❑Update Existing ❑New System Not Req'd Permit Technician Use Only:Apply Phase-In Credit Per EMC19.53.200 Reason Fire Alarm Required: 0 100%Credit-Issued 1/1/2022-9/2/2022 RCW 64.55 MF worksheet req'd for permit? ❑Yes E No 0 50%Credit-Issued 9/3/2022-6/2/2023 Add'I RCW 64.55 docs required prior to final? ❑Yes No 0 0%Credit-Issued 6/3/2023 or later VALUATION CALCULATION: Total$?3S�660 Additional Notes: ajd711 \fr2 1/27 Approved By: Date: �r /� PUBLIC WORKS Additional Notes: 7 NCI 1� V4S M •6 t Intake OK by: Date: 4 © G D d ,/L S �� Intake Comments: PW Worksheet Needed if: V.`,/T�t�-- ❑Sys Dev Eval(Util/Sw) ElTraffic Mit Eval Approved By: ' n Date: El Site Work/Drainage DAddress Letter pp Yf—[� �� ZZ'"L� ❑Backflow Prevention for high hazard: (dental,medical,animals,mortuary,hospital, FIRE DEPARTMENT supportive housing) Separate/Deferred Submittals Required: El Route this folder for PW Review at end ---PW Review Worksheet El Fire Sprinklers El Fire Alarm ❑Other: ❑This project also has a separate concurrent PW Review(Green Folder) Additional Notes: AND ❑Create Green Folder ❑Submitted Previously ❑Deferred ❑ This Permit is Approved by Public Works Fire Dept. Fees: ❑ See PW Review Worksheet and associated attached items ❑ Review of As-Built Plans- NO FIRE FEE ❑ A Separate PW Permit is Required(Permit#: PW ) ❑ Minimal or No Fire Scope-NO FIRE FEE AND ❑ Is located in this folder ❑ Review/Inspection Scope-ADD FIRE FEE ❑ Is in a Separate Green Folder(join with this folder for permit issuance) Approved By: Date: ❑ Will be issued separately(Separate Green Folder,PW issued ahead of Bldg) Public Works has no scope--- PW Not Required ELECTRICAL/PLUMBING dditional Notes: Additional Notes: Approved By: Date: Completed By: Date: ,i l tL/z.z. 2/Z