4102 CLIFF DR 2025-04-14 - Laserfiche WebLink

Intake &Approval Sheet (FOR PERMIT STAFF ONLY) PERMIT# 71%3 Oil---O 2 f'j BUILDING , •ANNING / Intake OK by: Date: Intake OK by: / Assign To: es 5 Date: 0 N/Z0 Intake Comments: Intake Comme�E'1: Zone ``L-1 ~ Overlay/Agreement ❑ Route to Commercial Building Nonresidential Use N/A ❑ Route to Residential Building Residential Use A F H ❑ Make this a"IN"Permit Proposed No.of Dwelling Units: I s .,/TI/Addn//Rem Size 13 Total No.of Dwelling Units: I Garage/Acce sore ruct.Size ')11, Planning/Landscape Inspection Required before Final? ❑Yes 5No Number of Stories I '9n Lieu"Fee:Type: Amount$0 Basement ONo 131Yes, Unfin School Impact Fee: Total $0 Type of Construction tlic-- Calculated: Credit: Occupancy Group lK- ❑Everett School Dist ❑Mukilteo School Dist Occupancy Load t{�, Park Impact Fees for permits applied for after 1/1/2022: Fire Sprinklers: ❑Update Existing New System ❑Not Req'd Park Impact Fee Total$ D (net due after credit for existing uses) Reason Sprinklers Required: KW 70, C .di,.6 Fee Schedule Used For Calculation(Year): Fire Alarm: ❑Update Existing ❑New System Skot Req'd Permit Technician Use Only:Apply Phase-In Credit Per EMC19.53.200 Reason Fire Alarm Required: ❑ 100%Credit-Issued 1/1/2022-9/2/2022 RCW 64.55 MF worksheet req'd for permit? DYes ig No LI 50%Credit-Issued 0/3/2022-6/2/2023 Add'1 RCW 64.55 docs required prior to final? ❑Yes IRINo ❑ 0%Credit-Issued 6/3/2023 or later VALUATION CALCULATION: Total$ I,,cox. Additional Notes: Approved By Date: 5/3/2 3 PUBLIC WORKS • • ' • I' Additional Notes: pj�fe t' WI4 Y1/ p '5 !I Intake OK by: 9 Date: "1 I ID I�Z� ► Intake Comments: PW Worksheet Needed if l �1,_„� n„„,t,n�, Dt\c ❑Sys Dev Eval(Utii/SW) OTraffic Mit Eval Approved By: �/� Date: 10 l 03 t y j r/t '�►VJvNA J► ,66`L? ❑Site Work/Drainage DAddress Letter o 6IfU�Ww 7�. ❑Backflow Prevention for high hazard: Jl � (dental,medical,animals,mortuary,hospital, FIRE DEPARTMENT . supportive housing) Sep ate/Deferred Submittals Required: IPRoute this folder for PW Review at end --PW Review Worksheet Wire Sprinklers ❑Fire Alarm ❑Other: ❑This project also has a separate concurrent PW Review(Green Folder) Additional Notes: AND ❑Create Green Folder OSubmitted 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 0 Is located in this folder -Review/Inspection Scope-ADD FIRE FEE ❑ Is in a Separate Green Folder(loin with this folder for permit issuance) Approved By:V A Ct)/A y,n Date: /d 1 D;13 ,, CIWill be issued separately(Separate Green Folder,PW Issued ahead of Bldg) I.:APublic Works has no scope--PW Not Required ELECTRICALIRLUMBING . Additional- _ Notes: WO ap �T1Qh4.j a f pal ► Additional Notes: t716V t -) rd�/ I OkC41�} sd�,(,(,• Approved By: Date: Completed By:i�t te: NI VI V� 20