4302 RIDGEMONT DR 2025-08-15 - Laserfiche WebLink

Intake &Approval Sheet (FOR PERMIT STAFF ONLY) PERMIT# 303' O BUILDING .ANNING Intake OK by: Date: Intake OK by: Assign To: Date: Intake Comments: Intake Comments: Zone eg_ I Overlay/Agreement ❑ Route to Commercial Building Nonresidential Use El Route Route to Residential Building Residential Use ' l 1') ❑ Make this a"W" Permit Proposed No. of Dwelling Units: Bldg/TI/Addn/Rem Size Total No. of Dwelling Units: Garage/ ccessory Struct.Si t)EC%- — %SZ I Planning/Landscape Inspection Required before Final? ❑Yes ❑No Number o�`Starles t "In Lieu" Fee:Type: Amount$ Basement ❑No 12Yes ,04 Unfin School Impact Fee: Total $ Type of Construction 1172—L Calculated: Credit: Occupancy Group (Ix_ DEverett School Dist DMukilteo School Dist Occupancy Load C— 1��q Park Impact Fees for permits applied for after 1/1/2022: Fire Sprinklers: DUpdate Existing ❑New System allot Req'd Park Impact Fee Total$ " (net due after credit for existing uses) Reason Sprinklers Required: Fee Schedule Used For Calculation(Year): Fire Alarm: DUpdate Existing ❑New System Not Req'd Permit Technician Use Only:Apply Phase-In Credit Per EMC19.53.200 Reason Fire Alarm Required: i� 0 100%Credit-Issued 1/1/2022-9/2/2022 RCW 64.55 MF worksheet req'd for permit? ❑Yes a-No ❑ 50%Credit-Issued 9/3/2022-6/2/2023 Add'I RCW 64.55 docs required prior to final? DYes IStNo D 0%Credit-Issued 6/3/2023 or later VALUATION CALCULATION: Total$ 1 S/00© Additional Notes le (2,2) Approved By: Date: PUBLIC WORKS Additional Notes: Intake OK by: Date: Intake Comments: PW Worksheet Needed if: ❑Sys Dev Eval(Util/sW) ❑Traffic Mit Eval Approved By: (44 Date: 31 1317,2 ; ❑Site Work/Drainage DAddress Letter - ❑Backflow Prevention for high hazard: (dental,medical,animals,mortuary,hospital, FIRE DEPARTMENT supportive housing) Separate/Deferred Submittals Required: DRoute this folder for PW Review at end ---PW Review Worksheet ❑Fire Sprinklers ❑Fire Alarm ❑Other: ❑This project also has a separate concurrent PW Review(Green Folder) Additional Notes: AND ❑Create Green Folder ❑Submitted Previously ❑Deferred ❑This Permit is Approved by Public Works Fire Dept.Fees: ❑ 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 LI 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---PW Not Required ELECTRICAL/PLUMBING dditional Notes: Additional Notes: NO ?w SC P 6 Approved By: Date: Completed By: 1 Lc Date: ((3(uj Z3