7701 HARDESON RD 2025-04-15 - Laserfiche WebLink

Intake &Approval Sheet (FOR PERMIT STAFF ONLY) PERMIT# 3 '" 0- BUILDING • } INING intake OK by: Date: Intake OK by: Assign To: 3e sS Date:(o/Z Jt3 Intake Comments: Intake Comm Zone OR Overlay/Agreement A\A),AC A ❑ Route to Commercial Building Nonresidential Use NIA ❑ Route to Residential Building Residential Use Mobil e ‘no-rrie pck k ❑ Make this a"W" Permit Proposed No.of Dwelling Units: NIA BIdgiTl/Addn/Rem Size Total No.of Dwelling Units: N IA Garage/Accessory Struct.Size Planning/Landscape Inspection Required before Final? ❑Yes giNo Number of Stories "in Lieu"Fee:Type: Amount$0 Basement ONo ❑Yes, Fin/Unfin School Impact Fee: Total $ O Type of Construction �-� Calculated: Credit: Occupancy Group C.. DEverett School Dist ❑Mukilteo School Dist Occupancy Load ;j�-� Park impact Fees for permits applied for after 1/112022: Fire Sprinklers: ❑Update Existing❑New System 1Not Req'd Park impact Fee Total$ G (net due after credit for existing uses) Reason Sprinklers Required: Fee Schedule Used For Calculation(Year): Fire Alarm: ❑Update Existing ONew System INot Req'd Permit Technician Use Only:Apply Phase-in Credit Per EMC19.53.200 Reason Fire Alarm Required: 0 100%Credit-issued 1/1/2022-9/2/2022 RCW 64.55 MF worksheet req`d for permit? ❑Yes rt No ❑ 50%Credit-Issued 9/3/2022-6/2/2023 Add'I RCW !64.55 docs required prior to final? ❑Yes No ❑ 0%Credit-issued 6/3/2023 or later VALUATION CALCULATION: Total$ —0 0 Additional Notes: Approved Byied.41-FGc�ww Date:(p J2.q/Z3 PUBLIC WORKS . • . Additional Notes: Intake OK by: Date: Intake Comments: PW Worksheet Needed If: ❑Sys Dev Eval(utii/sw)[(Traffic Mit Eval Approved By: � � Date: g'/3f -? ❑Site Work/Drainage ['Address Letter DBackflow Prevention for high hazard: (dental,medical,animals,mortuary,hospital, FIRE DEPARTMENT supportive housing) Separate/Deferred Submittals Required: ❑Route this folder for PW Review at end ---PW Review Worksheet ❑Fire Sprinklers ❑Fire Alarm DOther: ❑This project also has a separate concurrent PW Review(Green Folder) Additional Notes: AND OCreate Green Folder ❑Submitted Previously ❑Deferred • Cl This Permit is Approved by Public Works Fire Dept.Fees: in See PW Review Worksheet and associated attached items ❑ Review of As-Built Plans-NO FIRE FEE ❑A Separate PW Permit is Required(Permit#:,PW ❑ Minimal or No Fire Scope-NO FIRE FEE AND ❑ 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: Date: ❑Will be issued separately(Separate Green Folder,PW Issued ahead of Bldg) ❑Public Works has no scope---PW Not Required ELECTRICAL/PLUMBING Additional Notes: Additional Notes: Approved By: Date: Completed By:A(y/ ).e6reyz Date: 66.. /. - 2