4721 BAYVIEW LN 2026-01-16 - Laserfiche WebLink

t- v, -Q V► Si 6 n U�*r is&�,e d Intake & Approval Sheet (FOR PERMIT STAFF ONLY) PERMIT# BUILDING PLANNING intake OK by: Date: ?/ Intake OK by: Assign To: Date: Intake Comments: U Intake Comments: Zone ❑ Make this a"W"Permit ❑ SRC Required(Pre-Insp) Overlay/Agreement B1dg1TI/A do/Re ize Nonresidential Use Garage/Accessory Struct.Size Residential Use Number of Stories Proposed No,of Dwelling Units: Basement ❑No fAYes, Fin/Unfin Total No.of Dwelling Units: Type of Construction Planning/Landscape Inspection Required before Final? ❑Yes ❑No Occupancy Group "In Lieu"Fee:Type: Amount$ Occupancy Load School Impact Fee: Total $ Cert.of Occpuancy Required? Me ❑Yes []Shell Only Calculated: Credit: Code Year ❑2021 Eb—018. 1:12015 ❑Everett School Dist ❑Mukilteo School Dist Fire Sprinklers: ❑Update Existing ❑New System Q61: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 Ir5ot Req'd Fee Schedule Used For Calculation(Year): Reason Fire Alarm Required: RCW 64.55 MF worksheet req'd for permit? ❑Yes allo Add'I RCW 64.55 docs required prior to final? ❑Yes No Additional Notes: VALUATION CALCULATION: Total Approved By: Date: PUBLIC WORKS Intake OK by: Date: _ Intake Comments: PIN Review&Worksheet Needed tf.• ❑Sys Dev Eva[: Additional Notes' ❑Water ❑Sewer []Storm ❑Traffic Mitigation Eval Approved By: Date: ❑Site Work/Drainage(shown/triggered) DAddress Letter FIRE DEPARTMENT DBackflow Prevention for high hazard: Separate/Deferred Submittals Required: (dental,medical,animals,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 Qoln YAth this foiderfor permit Issuance) Appt'oVed 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: lCompleted By: Date: