4721 BAYVIEW LN 2024-10-24 - Laserfiche WebLink

Intake &Approval Sheet • (FOR PERMIT STAFF ONLY) • PERMIT# .311 06 7 BUILDING PLANNING Intake OK by: Date: Intake OK by: Assign To: 'DG► Date:2' Dc.c 201.3 Intake Comments: Intake Comments: Zone R-S ❑ Make this a"W"Permit 0 SRC Required(Pre-Insp) Overlay/Agreement Bld•/TI A-ern Size 13.004- 72. ii&W Nonresidential Use e. •- ccessory Struct.Size s--c/ egcn Residential Use SFR Number of Stories f Proposed No.of Dwelling Units: Basement No ❑Yes, Fin/Unfin Total No.of Dwelling Units: ( Type of Construction •/fX- Planning/Landscape Inspection Required before Final? Dyes 15i1No Occupancy Group2Q. "In Lieu"Fee:Type: Amount$ NIA Occupancy Load C School Impact Fee: Total $ rJ I A Cert.of Occpuancy Required? ❑No Yes ❑Shell Only Calculated: Credit: Code Year 02021 14 018 02015 ❑Everett School Dist ❑Mukilteo School Dist Fire Sprinklers: ❑Update Existing ❑New System pNot Req'd Park Impact Fees for permits applied for after 1/1/2022: Reason Sprinklers Required: Park Impact Fee Total$ 4 IA (net due after credit for existing uses) Fire Alarm: ❑Update Existing El New System g.4.of Req'd Fee Schedule Used For Calculation(Year): Reason Fire Alarm Required: RCW 64.55 MF worksheet req'd for permit? ❑Yes ?-4 o Add'I RCW 64.55 does required prior to final? ❑Yes 1:No Additional Notes: VALUATION CALCULATION: Total$ ZI "16N '1 Approved By: �.G.,4,.. Date: 2,6 Qcc son PUBLIC WORKS Intake OK by: Date: Intake Comments: IPW Review&Worksheet Needed if: ❑Sys Dev Eval: Additional Notes. //AJ{Jam/ ,pp�� lM €(, Iy�r„ I ❑Water OSewer Storm C y'l 2-6 Al i Y DTraffic Mitigation Eval Approved By: G�, Date: gasC Site Work/Drainage(shown/triggered) V I❑Address Letter FIRE DEPARTMENT alp Gnu K flotiv^erA . `DBacktiow Prevention for high hazard: Separate Deferred Submittals Required: `� (dental,medical,por animals,houi mortuary, p q 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: 0 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 0 Is located in this folder ❑ Review/Inspection Scope-ADD FIRE FEE 0 Is in a Separate Green Folder(join 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:BVrt,4/6fj J'l vma Pate: I( 111)23