4106 CLIFF DR 2025-04-25 - Laserfiche WebLink

Intake &Approval Sheet (FOR PERMIT STAFF ONLY) PERMIT# 8, 0 C(--'a.- BUILDING • . . , rLANNING- • - - - - ' - J Intake OK by: f-t 4 Date: t0 I y'1-1- Intake OK by: Pk Assign To: Date: It Soft L4111. Intake Comments: Intake Comments: 0 Route to Commercial Building 0 Attach to Project No. iga Route to Residential Building ❑ Route to Historic Reviewer ❑ Make this a"W Permit ❑ OK to Route to Other Departments __.------- BldgiTI/Adit/Rem 0 Hold in Planning File Drawer Garage/Accessory Struct.Size Zone g1 Number of Stories I Overlay/Agreement Basement ❑No .KIYe AP Unfin Nonresidential Use . Type of Construction - Residential Use S>rP. Occupancy Group 11-" Proposed No.of Dwelling Units: . Occupancy Load T Total No.of Dwelling Units: I Fire Sprinklers: ❑Update Existing ❑New System ' lot Req'd Planning/Landscape Inspection Required before Final? ❑Yes SiNo Reason Sprinklers Required: "In Lieu"Fee:Type: Amount$ rl(# Fire Alarm: ❑Update Existing El New System giNot Req'd School Impact Fee: Total $ NIA Reason Fire Alarm Required: Calculated: Credit: RCW 64.55 MF worksheet req'd for permit? ❑Yes Ig No ❑Everett School Dist ❑Mukilteo School Dist Add'!RCW 64.55 docs required prior to final? ❑Yes lNo Additional Notes: VALUATION CALCULATION: Total$ 7-04,000 Ey,,014 4to ?OAS tMQPtk rG14 tee ENw Ijm•110 Approved By: 31" -J, " 6 Date: $0 %pi. 201,1 PUBLIC WORKSf- Intake OK by. T2 Z . _ Date; 7.-2 Additional Notes: Intake Comments: IPW Worksheet Needed if: IDSys Dev Eval ❑TrafficMit Eval No �� IOSite Work or Drainage Proposed Approved By: (.i 1O1 7,1Date• 014 Cz2 �� Worksheet Prevention for high hazard: II I (dental,medical,animals,mortuary,hospital, ;supportive housing) - FIRE DEPARTMENT ❑Route this folder for PW Review at end ---PW Review Worksheet Separate/Deferred Submittals Required: ❑This project also has a separate concurrent PW Review(Green Folder) ❑Fire Sprinklers ❑Fire Alarm ❑Other: AND❑Create Green Folder ❑Submitted Previously ❑Deferred Additional Notes: ; 0 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 located in this folder ❑ Minimal or No Fire Scope-NO FIRE FEE 0 Is in a Separate Green Folder(join with this folder for permit issuance) ❑ Review/Inspection Scope-ADD FIRE FEE 0 Will be issued separately(Separate Green Folder,PW issued ahead of Bldg) Approved By: Date: X Public Works has no scope---PW Not Required 1 / . Additional Notes: Q ;.3 i V'7 ELECTRICAL i C� Additional Notes: Approved By: Date: Approved By: Date: