1622 HOYT AVE B 2024-08-02 - Laserfiche WebLink

Intake & Approval Sheet (FOR PERMIT STAFF ONL19 PERMIT# W-Z OS - BUILDING PLANNING Intake OK by: Date: Intake OK by: Assign To: Date: Intake Comments: Intake Comments: Zone r,J ,,z, El Make this a"W"Permit El SRC Required (Pre-Insp) Overlay/Agreement Y/ Bldg/TI/Addn/Rem Size ( 3 O €%. '. 9 Nonresidential Use Garage/Accessory Struct. Size 0 Residential Use Number of Stories Z Proposed No. of Dwelling Units: Basement ❑No NYes , Fin/Unfin Total No. of Dwelling Units: Type of Construction 744- Planning/Landscape Inspection Required before Final? ❑Yes ❑No Occupancy Group 2gq, "In Lieu"Fee:Type: Amount$ Occupancy Load -LPA- School Impact Fee: Total $ / Cert. of Occpuancy Required? ❑No Yes ❑Shell Only Calculated: Credit: Code Year 02021 C242018 ❑2015 ❑Everett School Dist ❑Mukilteo School Dist Fire Sprinklers: El Update Existing ❑New System 9 Not Req'd Park Impact Fees for permitsts applieda� for after 1/1/2022:rt Reason Sprinklers Required: Park Impact Fee Total$ 2,ISO (net due after credit for existing uses) Fire Alarm: ❑Update Existing DNew System PNot Req'd Fee Schedule Used For Calculation(Year): Reason Fire Alarm Required: RCW 64.55 MF worksheet req'd for permit? ❑Yes p� No Add'I RCW 64.55 docs required prior to final? / IGI No Additional Notes:1_ Art VALUATION CALCULATION: Total $ 1`J In , "'lj'('1//) O( -)f72.) 1 Approved By: Date: PUBLIC WORKS Intakentake COomments: PWRevie t,/.1..�_��..`..`.:...(J....�......_.......... w&Worksheet Needed if: ❑Sys Dev Eval: Additional Notes: ❑Water ❑Sewer ❑Storm L ❑Traffic Mitigation Eval Approved By: l / Date: ��/1j�'/j�07it) ❑Site Work/Drainage(shown/triggered) ViAAddress Letter FIRE DEPARTMENT (m Gl OM Y'W l"e-'�VtQ t A' ❑Backflow Prevention for high hazard: Separate/Deferred Submittals Required: V I'j {1-Gc,�n-rdl• (dental,medical,animals,mortuary, hospital,supportive housing) ❑Fire Sprinklers El Fire Alarm ❑Other: Additional Notes: 0 This Permit is Approved by Public Works ligi 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 MWinimal or No Fire Scope-NO FIRE FEE ❑ Is located in this folder ❑ Review/Inspection Scope-ADD FIRE FEE ❑ Is in a Separate Green Folder(join with this folder for permit issuance) Approved By: , /, Date: C7/ ❑ 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: tuviA,Tc hkryyvykpate: o tej ,ZQ