7423 LOWER RIDGE RD 2024-10-25 - Laserfiche WebLink

Intake &Approval Sheet (FOR PERMIT STAFF ONLY) S PERMIT# g2kO I 0 BUILDING PLANNING Intake OK by: Date: Intake OK by:elf Assign To: de SS Date: 3/27/Z'�1 Intake Comments: Intake Comments: Zone CZ—Z ❑ Make this a"W"Permit ❑ SRC Required(Pre-Insp) Overlay/Agreement N A BIdg/TI/Addn/Rem Size �' Nonresidential Use Garage/Accessory Struct.Size tt— Residential Use 5 Number of Stories 1 Proposed No.of Dwelling Units: Basement ❑No ®Yes, Fin/Unfin Total No.of Dwelling Units: Type of Construction 1 Planning/Landscape Inspection Required before Final? DYes !RNo Occupancy Group "In Lieu"Fee:Type: Amount$ Occupancy Load t" School Impact Fee: Total $ 0 Cert.of Occpuancy Required? tigNo ❑Yes ❑Shell Only Calculated: Credit: Code Year 02021 n2018 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 EiNot Req'd Fee Schedule Used For Calculation(Year): Reason Fire Alarm Required: RCW 64.55 MF worksheet req'd for permit? ❑Yes Q,No Add'I RCW 64.55 docs required prior to final? ❑Yes ®No Additional Notes: VALUATION CALCULATION: Total$ Approved By: D&VC....) Date:3/77IZC1 PUBLIC WORKS, Intake OK by: Date: Intake Comments: PW Review&Worksheet Needed if: OSys Dev Eval: Additional Notes: ❑Water OSewer ❑Storm ❑Traffic Mitigation Eval Approved By: L. gp_„ d Date: 3 fz izH ❑Site Work/Drainage(shown/triggered) DAddress Letter FIRE DEPARTMENT ❑Backflow Prevention for high hazard: Separate/Deferred Submittals Required: (dental,medical,r animals,houi mortuary, p q hospital,supportive housing) OFire Sprinklers DFire 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 0 Review/Inspection Scope-ADD FIRE FEE ❑ 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: Date: