4929 SOUND AVE 2025-09-19 - Laserfiche WebLink

Intake &Approval Sheet (FOR PERMIT STAFF ONLY) PERMIT# Q 2-Ao 7 S"6 BUILDING J mkNNiNG ✓1�tON. f ?ply intake OK by: F l�` Date: c/ 2 0Z 2v Intake OK by: Assign To: Date: Intake Comments: Intake Comments: Zone Overlay/Agreement ❑ Route to Commercial Building Nonresidential Use ❑ Route to Residential Building Residential Use ❑ Make this a"W"Permit Proposed No.of Dwelling Units: BldgiTl/Addn/Rem Size Total No.of Dwelling Units: 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 Calculated: Credit: Occupancy Group DEverett School Dist ❑Mukilteo School Dist Occupancy Load Park Impact Fees for permits applied for after 1/1/2022: Fire Sprinklers: ❑Update Existing ❑New System ❑Not F2eq'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 :Not Req'd Permit Technician Use Only:Apply Phase-in Credit Per EMC19.53.200 Reason Fire Alarm Required: 1—t rr--tt El 100%Credit-Issued 1/1/2022-9/2/2022 RCW 64.55 MF Worksheet req'd for permit? ❑Yes !_t No ❑ 50%Credit-Issued 0/3/2022-6/2/2023 Add'l ROW 64.55 docs required prior to final? ❑Yes ❑No ❑ 0%Credit-issued 6/3/2023 or later VALUATION CALCULATION: Total$ Additional Notes: Approved By:A Date:�'f'/ 202 PUBLIC WORKS iii / / Additional Notes: C.1-91V 21 A) vow Intake OK by: Date: RLepe,le._ d _y sf.t,, Intake Comments: PW Worksheet Needed if• WV it e/5 fir fort —5Their ❑Sys Dev EvaI(UtilfSW) )]Traffic Mit Eval Approved By: i� Date: 3/3cY2023 ❑Site Work/Drainage [(Address Letter ❑Backflow 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 ❑Other: ❑This project also has a separate concurrent PW Review(Green Folder) Additional Notes: AND OCreate Green Folder ❑Submitted Previously ❑Deferred Vi 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: 2 Ljy\ Date: —02,7-1....2 ❑Will be issued separately(Separate Green Folder,PW issued ahead of Bldg) ❑Public Works has no scope--PW Not Required EL.ECTRICAL/I?LUM.BING Additional Notes: � Additional Notes: ( kt t,4.8 A' k4e _ —_ Approved By: Date: Completed By:4uvleL WW1/ Date: ot4 b G I1.323