406 PECKS DR 2025-04-17 - Laserfiche WebLink

• • Intake & Approval Sheet (FOR PERMIT STAFF ONLY) PERMIT# 620'fb 161 BUILDING PLANNING Intake OK by: Date: Intake OK by: Assign To: Date: Intake Comments: Intake Comments: Zone 14'7%- ❑ Make this a"W"Permit ❑ SRC Required (Pre-Insp) Overlay/Agreement c.(TI/Addn/Rem Size 2 5 06 iS4iit . 0 i?&i Nonresidential Use ra /AccessoryStruct. Size 3,-1 R,y`- 0l1Bkt:•' Residential Use , Number of Stories I Proposed No. of Dwelling Units: Basement L)SINo ❑Yes , Fin/Unfin Total No. of Dwelling Units: Type of Construction .. Planning/Landscape Inspection Required before Final? ❑Yes ❑No Occupancy Group -jLL "In Lieu"Fee:Type: Amount$ Occupancy Load T PL School Impact Fee: Total $ Cert. of Occpuancy Required? ONo ❑Y;i❑Shell Only Calculated: Credit: Code Year 02021 0 2018 02015 DEverett School Dist DMukilteo School Dist Fire Sprinklers: ❑Update Existing El New System El Not Req'd Park Impact Fees for permits applied for after 1/1/2022: Reason Sprinklers Required: Park Impact Fee Total$ 1 1 OI,QO (net due after credit for existing uses) Fire Alarm: ❑Update Existing ❑New System ❑Not Req'd Fee Schedule Used For Calculation(Year): Reason Fire Alarm Required: RCW 64.55 MF worksheet req'd for permit? ❑Yes 0 No Add'I RCW 64.55 docs required prior to final? ❑Yes ONo Additi na Notes' 10 VALUATION CALCULATION: Total$ I tJ ,019-> 61 ilgir2714,t{,vt444,/ raw 0 fApproved By: / Date: PUBLIC WORKS Intake OK by: Date: Intake Comments: I PW Review&Worksheet Needed if: (�, n 104 MIN `❑Sys Dev Eva : Additional Notes: _11/ �,�n L(J ) i ❑Water ❑Sewer ❑Storm �.41 q �/� I❑Traffic Mitigation Eva' Approved By: Date: ( ,�/�(� J� �"� I❑Site Work/Drainage(shown/triggered) ti\lb VIM "`ev l �^ _ Address Letter FIRE DEPARTMENT eY7F4 ko0 4 WOW E I❑Backflow Prevention for high hazard: Separate/Deferred Submittals Required: (dental,medical,animals,mortuary, q :hospital,supportive housing) OFire Sprinklers ❑Fire Alarm DOther: Additional Notes: Uf This Permit is Approved by Public Works ri 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 0 Is fully digital Minimal or No Fire Scope-NO FIRE FEE 0 Is located in this folder ❑ Review/Inspection Scope-ADD FIRE FEE ❑ Is in a Separate Green Folder(join with this folder for permit issuance) Approved By:\ ,�'( i i l Date: CT- I2D,z3 ❑ Will be issued separately(Separate Green Folder,PW issued ahead of Bldg) 0 Public Works has no scope on this permit---PW Not Required ELECTRICAL/PLUMBING Additional Notes: Additional Notes: Approved By: Date: Completed By: Date: 0 00`2,C; '2,6Z,2j