3528 HOYT AVE 2024-08-07 - Laserfiche WebLink

Intake & Approval Sheet *(FOR PERMIT STAFF ON09 • PERMIT #�)22Cf, — Q 0 BUILDING Intake OK by: < • Date: ?/7! LO ZZ— Intake Comments: ggM4 vll�% sJrFYJi _T4V EjuS 1-7 glSftwt. &VT ❑ 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 ❑No [QYes , I / Unfin Type of Construction Occupancy Group Occupancy Load Fire Sprinklers: ❑Update Existing ❑New System gNot Req'd Reason Sprinklers Required: Fire Alarm: ❑Update Existing ❑New System IkJot Req'd Reason Fire Alarm Required: RCW 64.55 MF worksheet req'd for permit? ❑Yes [a No Add'I RCW 64.55 docs required prior to final? 0Yes [RNo VALUATION CALCULATION: Total $ L Z' 0 60 Additional Notes: 6x tSTINi, �-1 jVt5Reo $ ft&-14 1b 12 �1�'L ZA,A K-UTC I N o y Approved By: Date: �?/L 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: ❑ Attach to Project No. ❑ Route to Historic Reviewer ❑ OK to Route to Other Departments ❑ Hold in Planning File Drawer 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 $ Calculated: Credit: ❑Everett School Dist ❑Mukilteo School Dist Additional Notes: tlC�;) j Approved By: Date: BLIC WORKS Intake OK by: Date: ................................................ ................ ............................................................. ................................. ...... Intake Comments: PW Worksheet Needed if.• ❑Sys Dev Eva] ❑Traffic Mit Eva] ❑Site Work or Drainage Proposed ❑Backflow Prevention for high hazard: ;(dental, medical, animals, mortuary, hospital, ;supportive housing) 1.. ....... ...,,,,, ........... .............. ❑ 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 folder for permit issuance) ❑ Will be issued separatel older, PW issued ahead of Bldg) Public Works has no scope --- PW Not Required Additional Notes: �, � � � h Y' 101� - h, ZyGi-�iY'l al'• WOY• (L .12 �v Approved By: Date: