3003 LEONARD DR 2025-04-16 - Laserfiche WebLink

Intake & Approval Sheet • (FOR PERMIT STAFF ONLY) • PERMIT# 32 IC S 0Ss BUILDING PLANNING Intake OK by: Date: Intake OK by: Assign To: Date: Intake Comments: Intake Comments: e ❑ Route to Commercial Building ❑Attach to Project No. ❑ Route to Residential BuildingRoute to Historic Reviewer ❑ Make this a"W"Permit ❑ OK to Route to Other Departments Bldg/TI/Add em Siz 410D ,(5f. ❑ Hold in Planning File Drawer Garage/Accessory Struct.Size 1170 Zone 121- Number of Stories 'Z Overlay/Agreement S x tk C.- Basement IRINo ❑Yes, Fin/Unfin Nonresidential Use Type of Construction • .ram Residential Use .Q ,.0 5ffi- Occupancy Group =72.-L Proposed No.of Dwelling Units: Occupancy Load 4 to Total No.of Dwelling Units: 1 Fire Sprinklers: 0 Update Existing ❑New System (El Not Req'd Planning/Landscape Inspection Required before Final? Yeso Reason Sprinklers Required: "In Lieu"Fee:Type: Amount$ Fire Alarm: El Update Existing ONew System*INot Req'd School Impact Fee: Total $ Reason Fire Alarm Required: Calculated: Credit: RCW 64.55 MF worksheet req'd for permit? ❑Yes 0 No DEverett School Dist ❑Mukilteo S ool Dist Add'I RCW 64.55 docs required prior to final? ❑Yes ❑No AddLiItio avl Notes: ixtz/ ' req. — W., 1;� VALUATION CALCULATION: Total$ 65IfOb aV C� J'v' C.- re,),A Approved By: )L, Date: i,w, , BLIC WORKS' Intake OK by: Date: Additional Notes: Intake Comments: 3PW Worksheet Needed if: DSys Dev Eval ❑Traffic Mit Eval i DSite Work or Drainage Proposed Approved By�,1 Date:0 ❑Backflow Prevention for high hazard: '��lr :(dental,medical,animals,mortuary,hospital, €supportive housing) FIRE DEPARTMENT ❑Route this folder for PW Review at end ---PW Review Worksheet Separate I Deferred Submittals Required: ❑This project also has a separate concurrent PW Review(Green Folder) El Fire Sprinklers OFire Alarm ❑Other: AND ❑Create Green Folder OSubmitted Previously ODeferred Additional Notes: ❑This Permit is Approved by Public Works ❑ See PW Review Worksheet and associated attached items Fire Dept.Fees: El Separate PW Permit is Required(Permit#: PW ) s. ❑ Review of As-Built Plans-NO FIRE FEE AND ❑ Is located in this folder ❑ Minimal or No Fire Scope-NO FIRE FEE ❑ Is in a Separate Green Folder(join with this folder for permit issuance) ❑ Review/Inspection Scope-ADD FIRE FEE ❑ Will be issued separately(Separate Green Folder,PW issued ahead of Bldg) Approved By: Date: ❑ Public Works has no scope---PW Not Required Additional Notes: ELECTRICAL Additional Notes: Approved By: Date: Approved By: Date: 4