9512 HOLLY DR 2023-06-22 - Laserfiche WebLink

Intake &Approval Sheet •(FOR PERMIT STAFF ONLY) PERMIT# C�Zt,0 5 -- 0 f R BUILDING PLANNING Intake OK by: Date: Intake OK by: AS Assign To: -644. Date: 5/2rf� Intake Comments: Intake Comments: / ❑ Route to Commercial Building ❑ Attach to Project No. ❑ Route to Residential Building ❑ Route to Historic Reviewer ❑ Make this a"W"Permit - ❑ OK to Route to Other Departments Bldg/TI/Addn/Rem Size ❑ Hold in Planning File Drawer Garage/Accessory Struct.Size Zone , --- Number of Stories Overlay/Agreement Basement DNo DYes, Fin/Unfin Nonresidential Use Type of Construction Residential Use s-FIL. /1f4c/I-i i(Mi1kilfw'le Occupancy Group Proposed No.of Dwelling Units: Occupancy Load Total No.of Dwelling Units: Fire Sprinklers: ❑Update Existing ❑New System ❑Not Req'd Planning/Landscape Inspection Required before Final? DYes ❑No Reason Sprinklers Required: "In Lieu"Fee:Type: Amount$ Fire Alarm: El Update Existing El New System ❑Not Req'd School Impact Fee: Total $ Reason Fire Alarm Required: Calculated: Credit: RCW 64.55 MF worksheet req'd for permit? DYes ❑ No El Everett School Dist DMukilteo School Dist Add'I RCW 64.55 docs required prior to final? DYes ❑No Additional Notes: VALUATION CALCULATION: Total$ Approved By: Date: PUBLIC WORKS Intake OK by: Date: Additional Notes: Intake Comments: PW Worksheet Needed if: ❑Sys Dev Eval ❑Traffic Mit Eval ❑Site Work or Drainage Proposed Approved By: Date: `❑Backflow Prevention for high hazard: i(dental,medical,animals,mortuary,hospital, !supportive housing) FIRE DEPARTMENT ❑Route 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) El Fire Sprinklers ❑Fire Alarm ❑Other: AND ❑Create Green Folder ❑Submitted Previously ❑Deferred Additional Notes: ❑ This Permit is Approved by Public Works ❑ See PW Review Worksheet and associated attached items Fire Dept. Fees: ❑ A Separate PW Permit is Required(Permit#: PW ❑ 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: igt Public Works has no scope--- PW Not Required Additional Notes: 44.ss cw 244,s QawAy)0,Ar0.8ied 4.0 ELECTRICAL/PLUMBING Ietdvv I, r46s4-++,s' Additional Notes: 6 TS e..c2 au'r - o 5/231 207_2 C..)Approved By: Date: Approved By: Date: