244 HEATHER RD 2024-06-12 - Laserfiche WebLink

11) Intake &Approval Sheet (FOR PERMIT STAFF ONLY) PERMIT#132-4-°1 0 2— BUILDING PLANNING Intake OK by: Date: Intake OK by: Assign To:/fi1 t, - Date: I Zb'?J-f Intake Comments: Intake Comments: ,wed /ocatiof Photos revered do nn�"tick Silt p/tin /prCrtds. Zone �. ❑ Make this a"W"Permit ❑ SRC Required (Pre-Insp) Overlay/Agreement Bldg/TI/Addn/Rem Size MA- Nonresidential Use yeS Garage/Accessory Struct.Size Residential Use Number of Stories Proposed No.of Dwelling Units: 4-0 Basement ❑No ❑Yes, Fin/Unfin _ Total No.of Dwelling Units: Type of Construction Planning/Landscape Inspection Required before Final? ❑Yes iK1No Occupancy Group r Rte. "In Lieu"Fee:Type: Amount$ Occupancy Load School Impact Fee: Total $ Cert.of Occpuancy Required? MNo ❑Yes ❑Shell Only Calculated: Credit: Code Year 02021 153,2018. 02015 ❑Everett School Dist ❑Mukilteo School Dist Fire Sprinklers: ❑Update Existing ❑New System .Not Req'd Park Impact Fees for permits applied for after 1/1/2022: Reason Sprinklers Required: Park Impact Fee Total$ (net due after credit for existing uses) Fire Alarm: ❑Update Existing El New System ElNot Req'd Fee Schedule Used For Calculation(Year): Reason Fire Alarm Required: RCW 64.55 MF worksheet req'd for permit? ❑Yes pi No Add!RCW 64.55 docs required prior to final? Dyes RINo Additional Notes: VALUATION CALCULATION: Total$ y, /OO Approved By:'"T� �`,m Date: Z/2/Jy y PUBLIC WORKS j Intake OK by: CkOIVIA not 1449W'fi dircren a 1- 1• •• .610 Intake Comments: PW Review&Worksheet Needed if: 9e t ' IDSys Dev Eval: Additional Notes: isl j OWater ❑Sewer ❑Storm AAA?',t� ,.&iv• DTraffic Mitigation Eval Approved By:/vg:;. �( Date: Z,//2/z, DSite Work/Drainage(shown/triggered) f� P'•+ IDAddress Letter FIRE DEPARTMENT 10Backflow Prevention for high hazard: Separate/Deferred Submittals Required: .ho!hosal,pital, medical,por animals,houi mortuary, .hospital,supportive housing) ❑Fire Sprinklers ❑Fire Alarm ❑Other: 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 fully digital ❑ Minimal or No Fire Scope-NO FIRE FEE ❑ Is located in this folder ❑ Review/Inspection Scope-ADD FIRE FEE ❑ Is in a Separate Green Folder(loin with this folder for permit issuance) Approved By: Date: ❑Will be issued separately(Separate Green Folder,PW issued ahead of Bldg) ❑ Public Works has no scope on this permit---PW Not Required ELECTRICAL/PLUMBING Additional Notes: Additional Notes: Approved By: Date: Completed By: Date: