6426 CADY RD 2023-07-28 - Laserfiche WebLink

Intake & Approval Sheet Aft� (FOR PERMIT STAFF ONLY) � PERMIT # �23 OZ- 0-19 BUILDING 'Intake OK by: Date: Intake Comments: ❑ Route to Commercial Building ❑ Route to Residential Building ❑ Make this a "W" Permit Bldg/TI/Addn/Rem Size Garage/Accessory Struct. Size Number of Stories 2- Basement ONo ❑Yes , Fin / Unfin Type of Construction 1DA-L Occupancy Group Occupancy Load Fire Sprinklers: El Update Existing El New System -®.Not Req'd Reason Sprinklers Required: Fire Alarm: ❑Update Existing ❑New System BNot Req'd Reason Fire Alarm Required: RCW 64.55 MF worksheet req'd for permit? ❑Yes 0-No Add'1 RCW 64.55 does required prior to final? ❑Yes ERNo VALUATION CALCULATION: Total $ V$t0OC� Additional Notes: Approved By: 41,M Date: c4 20 ZhZ FIRE DEPARTMENT Separate / Deferred Submittals Required: ❑Fire Sprinklers ❑Fire Alarm ❑Other: Additional Notes: Fire Dept. Fees: ❑ Review of As -Built Plans - NO FIRE FEE ❑ Minimal or No Fire Scope - NO FIRE FEE ❑ Review / Inspection Scope - ADD FIRE FEE Approved By: Date: ELECTRICAL/PLUMBING Additional Notes: Approved By: Date: LANNING Intake OK by: Assign To: Date: Intake Comments: Zone '(Z Overlay/Agreement Nonresidential Use Residential Use Proposed No. of Dwelling Units: Total No. of Dwelling Units: --Er Planning/Landscape Inspection Required before Final? ❑Yes ❑No "In Lieu" Fee: Type: Amount $ School Impact Fee: Total $ Calculated: Credit: ❑Everett School Dist ❑Mukilteo School Dist Park Impact Fees for permits applied for after 1/112022: Park Impact Fee Total $ (net due after credit for existing uses) Fee Schedule Used For Calculation (Year): -------------------------------------------------------------------------------- Permit Technician Use Only: Apply Phase -In Credit Per EMC19.63.200 ❑ 100% Credit- Issued 1/1/2022 - 9/2/2022 ❑ 50% Credit - Issued 9/3/2022 - 6/212023 ❑ 0% Credit- Issued 6/3/2023 or later Additional Notes: Id 1,72 Approved By: Date: PUBLIC WORKS Intake OK by: Date: ---------------------- ----- - ---- - Intake Comments: ;PW Worksheet Needed if.• ;[]Sys Dev Eval (util/SW) ❑Traffic Mit Eval :(]SiteWork/Drainage ElAddress Letter ;OBackflow Prevention for high hazard: (dental, medical, animals, mortuary, hospital, :supportive housing) '-------------------------------- ❑Route this folder for PW Review at end --- PW Review Worksheet- - ❑This project also has a separate concurrent PW Review (Green Folder) AND ❑Create Green Folder ❑Submitted Previously ❑Deferred ❑ This Permit is Approved by Public Works ❑ See PW Review Worksheet and associated attached items ❑ A Separate PW Permit is Required (Permit #: PW � AND ❑ Is located in this folder ❑ Is in a Separate Green Folder (join with this folderfor permit issuance) ❑ Will be issued separately (Separate Green Folder, PW issued ahead of Bldg) lPublic Works has no scope --- PW Not Required Additional Notes: Completed By: Date: 2 12