5010 VIEW DR 2025-01-14 - Laserfiche WebLink

Intake &Approval Sheet • (FOR PERMIT STAFF ONLY) • PERMIT# �1J i�I V 0 '7 BUILDING PLANNING Intake OK by: Date: Intake OK by: Assign To: Date: Intake Comments: Intake Comments: Zone 0 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 Number of Stories I Proposed No.of Dwelling Units: Basement 1:21-No ❑Yes, 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?_ No ❑Yes ❑Shell Only Calculated: Credit: Code Year ®2021 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: ❑Update Existing ❑New System '1 Not Req'd . Fee Schedule Used For Calculation(Year): Reason Fire Alarm Required: RCW 64.55 MF worksheet req'd for permit? ❑Yes E l No Add'I RCW 64.55 docs required prior to final? ❑Yes ®No Additional Notes: VALUATION CALCULATION: Total$ ) 6 71 8(It Approved By: Date: PUBLIC WORKS Intake OK by: Date: Intake Comments: PW Review&Worksheet Needed if: • i❑Sys Dev Eval: OWater ❑Sewer ❑Storm Additional Notes: D / /1/tj i❑Traf is Mitigation Eval Approved By: ( .''0 '0N\ Date: y /) !Mite Work/Drainage(shown/triggered) / ❑Address Letter FIRE DEPARTMENT 10Backflow Prevention for high hazard: Separate/Deferred Submittals Required: '(dental,medical,animals,mortuary, hospital,supportive housing) ❑Fire 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 El Minimal or No Fire Scope-NO FIRE FEE ❑ Is located in this folder ❑ Review/Inspection Scope-ADD FIRE FEE El Is in a Separate Green Folder(loin 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: