5131 HARBOR LN 2025-01-10 - Laserfiche WebLink

Intake &Approval Sheet • (FOR PERMIT STAFF ONLY) fa PERMIT# 6 2M D 0.21p BUILDING PLANNING ` Intake OK by: Date: Intake OK by: Assign To ()""A", Date: S/i`l/Z11 Intake Comments: Intake Comments: Zone 7 ❑Make this a"W"Permit 0 SRC Required (Pre-Insp) Overlay/Agreement Bldg/TI/Addn/Rem Size Nonresidential Use Garage/Accessory Struct.Size , Residential Use S--F� Number of Stories Proposed No.of Dwelling Units: ( ('e.tc � t ) Basement El No ❑Yes, Fin/Unfin _ Total No.of Dwelling Units: 1 Type of Construction Planning/Landscape Inspection Required before Final? ❑Yes FiNo Occupancy Group VZ-G "In Lieu Fee:Type: Amount$ Occupancy Load CIL School Impact Fee: Total $ e) ' Cert.of Occpuancy Required? pNo ❑Yes ❑Shell Only Calculated: O Credit: Code Year fej2021 02018. 02015 ❑Everett School Dist ❑Mukilteo School Dist Fire Sprinklers: ❑Update Existing ONew 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: El Update Existing ❑New System ONot Req'd . Fee Schedule Used For Calculation(Year): Reason Fire Alarm Required:RCW 64.55 MF worksheet req'd for permit? ❑Yes n.No Add'I RCW 64.55 docs required prior to final? ❑Yes ®No Additional Notes: LecL crop2,113- O \ GtS•—tyuE71-S f VALUATION CALCULATION: Total$ 2 {tO q,i4 ,6er>eaS 6a4-=- 4 26c'( Approved By: Date: d//2 20 Z.( G �J'o S /5r_ )3 '06 f�.6 PUBLIC WORKS . . Intake OK by: Date: Intake Comments: PW Review&Worksheet Needed if CISys Dev Eval: Additional Notes: ❑Water ❑Sewer ❑Storm -- I r -A I(]Traffic Mitigation Eval Approved By: r A k „,rM Date: (Q/-)i f Lu\. ❑Site Work/Drainage(shown/triggered) b I DAddress Letter FIRE DEPARTMENT ILiBackflow Prevention for high hazard: Separate/Deferred Submittals Required: (dental,medical,animals,mortuary, 'hospital,supportive housing) ['Fire Sprinklers ❑Fire Alarm ❑Other: Additional Notes: 0 This Permit is Approved by Public Works 0 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 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 ' . dditional Notes: Additional Notes: Approved By: Date: Completed By: '1---\i dyy,�/a 1 Date: 0 /Li/Zo 21,E