4849 SPIRE LN 2025-10-24 - Laserfiche WebLink

Intake & Approval Sheet =0R PERMIT STAFF ONLr PERMIT # 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 Basement ❑No ❑Yes , Fin / Unfin Type of Construction Occupancy Group Occupancy Load Fire Sprinklers: ❑Update Existing ❑New System ❑Not Req'd Reason Sprinklers Required: Fire Alarm: ❑Update Existing ❑New System ❑Not Req'd Reason Fire Alarm Required: RCW 64.55 MF worksheet req'd for permit? ❑Yes ❑ No Add'I RCW 64.55 docs required prior to final? ❑Yes ❑No VALUATION CALCULATION: Total $ Additional Notes: 1`�-►tJDAor1 �N'"�`�QS Approved By: Date: 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: PLANNING Intake OK by: Assign To: Date: Intake Comments: Zone Overlay/Agreement Nonresidential Use Residential Use Proposed No. of Dwelling Units: Total No. of Dwelling Units: Planning/Landscape Inspection Required before Final? ❑Yes ❑No "In Lieu" Fee: Type: Amount $ School Impact Fee: Total $ 11_� Calculated: Credit: []Everett School Dist ❑Mukilteo School Dist Park Impact Fees for permits applied for after 11112022: Park Impact Fee Total $ 1-1 (net due after credit for existing uses) Fee Schedule Used For Calculation (Year): -------------------------------------------------------------------------------- Permit Technician Use Only: Apply Phase -In Credit Per EMC19.53.200 ❑ 100% Credit- Issued 1/l/2022 - 9/2/2022 ❑ 50% Credit - Issued 9/3/2022 - 6/2/2023 ❑ 0% Credit - Issued 6/3/2023 or later Additional Note Approved By: Date: PUBLIC WORKS Intake OK by: Date: ------------------------------------------ Intake Comments: ;PWWorksheet Needed if. ❑Sys Dev Eval (Util/SW) ❑Traffic Mit Eva[ []Site Work/Drainage ❑Address Letter ❑Backflow Prevention for high hazard: (dental, medical, animals, mortuary, hospital, ;supportive housing) : ----------------------------------------- El 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 El 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 folder for permit issuance) ❑ Will be issued separately (Separate Green Folder, PW issued ahead of Bldg) Dg-'Public Works has no scope --- PW Not Required Additional Notes: Completed By:,-W.' Date: a& to (zet � o 1 NJ\' � �p��c��P �l� 23a3-o- 2 Z(�-- AaoEA�c-o�-