2114 HOYT AVE B 2023-10-26 - Laserfiche WebLink

• Intake & Approval Sheet (FOR PERMIT STAFF ONL IP PERMIT# C �� Z,005 BUILDING PLANNING Intake OK by: ' Date: 2 /2-0 Intake OK b , Assign To. Ce. {. Date: G.t1-i tOtO Intake Comments: Intake Comments: 'qe_.0.k' 1 CA \\{\ &j3e...\ n`) Aszs\ a tsisktA ❑ Route to Commercial Building ❑ Attach to Project No. Route to Residential Building ❑ Route to Historic Reviewer ❑ Make this a"W"Permit tt OI<to Route to Other Departments Bldg/TI/Addn/Rem Size 68Cj S t* ❑ Hold in Planning File Drawer Garage/Accessory Struct. Size 7B2 sp. 337 st Zone ' •. Number of Stories `.- Overlay/Agreement C,iaA Basement ONo ❑Yes, Fin/Unfin Nonresidential Use Type of Construction .8' Residential Use ;ASA UWA• Occupancy Group V/(d Proposed No.of Dwelling Units: c, ,Q_, Occupancy Load Total No.of Dwelling Units: 'ante e, _ Fire Sprinklers: ❑Update Existing ONew System ONot Req'd Planning/Landscape Inspection Required before Final? ❑Yes ONo Reason Sprinklers Required: "In Lieu" Fee:Type: Amount$ Fire Alarm: CI Update Existing Chew System ❑Not Req'd School Impact Fee: Total $ Reason Fire Alarm Required: Calculated: Credit: RCW 64.55 MF worksheet req'd for permit? ❑Yes EZI No ❑Everett School Dist Mukilteo School Dist Add'I RCW 64.55 docs required prior to final? ❑Yes No Additional Notes: VALUATION CALCULATION: Total$ qs;Dell 6g,6Cal 1`330� Q 6 @ 30 Z,ESSO Approved B Date: Gp,\y..2,02A `7 a z @-4g 319 3� 2 I t c 2s ,5�Z 7s PUBLIC WORKS Intake OK by: Date: d2 //2 V Additional Notes: Z 7 /s /4C 0 k) S'gC.- Intake Comments: 1PW Worksheet Needed if.• f — j-j r Sys Dev Eval ❑Traffic Mit Eval 0/ ❑Site Work or Drainage Proposed Approved By: 'CY' Date:lie3/4,0 )4,e4e, ?/ /at JDBackflow Prevention for high hazard: •(dental,medical,animals,mortuary,hospital, supportive housing) FIRE DEPARTMENT L1Route 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) ❑Fire Sprinklers ❑Fire Alarm ❑Other: AND ❑Create Green Folder ❑Submitted Previously ❑Deferred Additional Notes: rrIl�at-This Permit is Approved by Public Works ^:' l.a'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: 0 Public Works has no scope---PW Not Required Additional Notes: ELECTRICAL Additional Notes: dr Approved By: Date: Approved By: ' Date: a212` Jib