1624 HOYT AVE B 2024-08-02 - Laserfiche WebLink

Intake &Approval Sheet (FOR PERMIT STAFF ONLY) PERMIT# 7730 D ' 030 BUILDING PLANNING Intake OK by: Date: Intake OK by: Assign To: Date: Intake Comments: Intake Commentsegj\i I -^q7 `1.1/1,� Zone V �!!�-/ V 1�1`� ❑ Make this a"W"Permit ❑ SRC Required (Pre-Insp) Overlay/Agreement Bldg/TI/Addn/Rem Size el 1/S' . tr-f ( Nonresidential Use Garage/Accessory Struct. Size U Residential Use Number of Stories 2 Proposed No. of Dwelling Units: Basement ❑No VlYes , Fin/Unfin Total No.of Dwelling Units: Type of Construction 1,V. " Planning/Landscape Inspection Required before Final? ❑Yes ❑No Occupancy Group lt,L "In Lieu" Fee:Type: Amount$ Occupancy Load 1/PA., School Impact Fee: Total $ Cert. of Occpuancy Required? ❑No lilies ❑Shell Only Calculated: Credit: Code Year 02021 1E12018 02015 DEverett School Dist DMukilteo School Dist Fire Sprinklers: DUpdate Existing ❑New System ,M'Not Req'd Park Impact Fees for permits applied for after 1/1/2022: Reason Sprinklers Required: Park Impact Fee Total$ IPCD O (net due after credit for existing uses) Fire Alarm: ❑Update Existing ❑New System IMNot Req'd Fee Schedule Used For Calculation(Year): Reason Fire Alarm Required: RCW 64.55 MF worksheet req'd for permit? ❑Yes O.No Add''RCW 64.55 docs required prior to final? ❑Yes No A Ilona Notesx QVALUATION CALCULATION: Total$ Oy . t1✓ ��.�i�N�" " 1 l 1 /72 *Proved By: Date: PUBLIC WORKS Intake OK by: Date: Intake Comments: PW Review 8 Worksheet Needed if: oivike4 Mir& ❑Sys Dev Eval: Additional Notes: ,� 1/}JS6- ❑Water ❑Sewer ❑Storm flyyl t(p22 Iz +o I V2-11. ❑Traffic Mitigation Eval Approved By: IA.- Date: l(,/, /23 �n ❑Site Work/Drainage(shown/triggered) alS � t U�' l'O i Address Letter y FIRE DEPARTMENT J (✓' MY 11 I_ Backflow Prevention for high hazard: Separate/Deferred Submittals Required: l totidt/ (dental, medical,animals,mortuary, hospital,supportive housing) OFire Sprinklers ❑Fire Alarm DOther: _ 1 Additional Notes: .This Permit is Approved by Public Works El 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 El Is fully digital Y�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:Ni< fi )co(,o3\ Date: -/2-.23 0 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:AettiAltf konm1) Date:QV�i 1,20 Z3