1605 EDGEMOOR LN 2025-04-25 - Laserfiche WebLink

Intake &Approval Sheet (FOR PERMIT STAFF ONLY) PERMIT# 13c 304i —0flf BUILDING II DINING Intake OK by: Date: Intake OK by: Vit Assign To: (f1 Date: ti tilLf Intake Comments: Intake Comments: Zone R, Overlay/Agreement ❑ Route to Commercial Building Nonresidential Use ❑ Route to Residential Building Residential Use SF it ❑ Make this a"W"Permit ,r Proposed No. of Dwelling Units: j BIdg/TI/Addn/Rem Size 1549 5�� Total No. of Dwelling Units: I Garage/Accessory Struct.Size Planning/Landscape Inspection Required before Final? ❑Yes ❑No Number of Stories "In Lieu" Fee:Type: Amount$ Basement ❑No ❑Yes , Fin/Unfin School Impact Fee: Total $ Type of Construction ItR-c- Calculated: Credit: Occupancy Group 1e-c-- ❑Everett School Dist ❑Mukilteo School Dist Occupancy Load eek,c--• Park Impact Fees for permits applied for after 1/112022: Fire Sprinklers: ❑Update Existing ❑New System Vot Req'd Park Impact Fee Total$ (net due after credit for existing uses) Reason Sprinklers Required: Fee Schedule Used For Calculation(Year): Fire Alarm: ❑Update Existing ❑New System 6Not Req'd Permit Technician Use Only:Apply Phase-In Credit Per EMC19.53.200 Reason Fire Alarm Required: LI 100%Credit-Issued 1/1/2022-9/2/2022 RCW 64.55 MF worksheet req'd for permit? ❑Yes El No ❑ 50%Credit-Issued 9/3/2022-6/2/2023 Add'l RCW 64.55 docs required prior to final? ❑Yes if No ❑ 0%Credit-Issued 6/3/2023 or later VALUATION CALCULATION: Total$_ S 1?. Additional Notes: tsrwchbv, 1( Mr -2 mn 24 , 2.1 wvs LT 5(0 K q Approved By (�1 Date: 2S )1w, �� L)'PUBLIC WORKS . • Additional Notes: Intake OK by: 6 Date: D1{ O(o 2Z'5 Intake Comments: °'yam Isc�, P/yWorksheetNeededif• t S(9 c b�Kt s)717I 1 loN S tb k1GGi / ❑Sys Dev Eval(UtillSW) ClTraffic Mit Eval Approved By: ,�Dafe: 7j[ /2`'� I ' `A' oaf 6;i, ft ❑Site Work/Drainage DAddress Letter ❑Backflow Prevention for high hazard: • C.1 V� �� • (dental,medical,animals,mortuary,hospital, F[RE DEPARTMENTht S' supportive housing) Separate/Deferred Submittals Required: ❑Route t is foTdair lor 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 N.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 ❑ 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) 0 Public Works has no scope---PW Not Required ELECTRICAL/PLUMBING Additional Not flA , \ btar� pyA Additional Notes: 1' it i,f t J i OS— 026 • Approved By: Date: Completed B} C> :7---1' ,02J 3 iiikla • 0 lI2,12a2LI