8531 EVERGREEN WAY 2025-03-04 - Laserfiche WebLink

glsttA C A sSStJ A-e .I ;_,Intake & Approval Sheet (FOR PERMIT STAFF ONLY) PERMIT# `� 00R -n BUILDING PLANNING Intake OK by: Date: Intake OK by: Assign To: Date: Intake Comments: Intake Comments: Zone /it_ K ❑ Make this a"W"Permit 0 SRC Required(Pre-Irisp) Overlay/Agreement --- Bldg/TI/Addn/Rem Size Nonresidential Use r Garage/Accessory Struct. Size Residential Use - Number of Stories Proposed No.of Dwelling Units: Basement ❑No ❑Ye: , Fin/Unfin Total No.of Dwelling Units: -- Type of Construction �f Planning/Landscape Inspection Required before Final? ayes ❑No Occupancy Group �(/ "In Lieu"Fee:Type: Amount$ Occupancy Load d School Impact Fee: Total $ Cert. of Occpuancy Required o DYes ❑Shell Only Calculated: Credit: Code Year // 2021 02018 02015 ❑Eve rett School Dist DMukilteo School Dist Fire Sprinklers: Update Existi New System Not Req'd Park Impact Fees for permits applie9 for after 1/1/2022: Reason Sprinklers Re u'if)d: Park Impact Fee Total /d 7 rnet due after credit for existing uses) Fire Alarm: ❑U �JE fisting ❑New System ❑Not Req'd Fee Schedule Used For Calculation(Year): —26/2 2 q q' permit? DYes ❑ No `.. l %. -..2_.,__.......3 ( ... ........., y,... ,,. .....,,.,.,...,,,,.....,..,.....,..,,,.,.,,,,...,....,,,,.,,,. Reason Fire Alarm R ui d: � .J9 RCW 64.55 MF worksheet d for Add'I RCW 64.55 docs r uired prior to final? DYes ❑No Additional Notes: VALUATION CALCULATION: Total$ Approved By: -'------Date: ) Z - (Y - 7 j PUBLIC WORKS Intake OK by: Date: Intake Comments: PW Review&Worksheet Needed if: ❑Sys Dev Eval: Additional Notes: DWater OSewer ❑Storm I IOTraffic Mitigation Eval Approved By: 4_�� Date: Ore_ 27 j,3 IDSite Work/Drainage(shown/triggered) IDAddress Letter FIRE DEPARTMENT DBackflow Prevention for high hazard: (dSeparate/Deferred Submittals Required: .hospintal,tal, medical,r veanihousi mortuary, p q hospital,supportive housing) OFire 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 0 Is fully digital ❑ Minimal or No Fire Scope-NO FIRE FEE ❑ Is located in this folder id Review/Inspection Scope-ADD FIRE FEE 0 Is in a Separate Green Folder tofu with this folder for permit issuance) Approved By: cti1,1 Date: 1_,?_3''•:-.2__? 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>y � Date: /Z/O&/zot