4330 CRESCENT AVE 2025-07-31 - Laserfiche WebLink

Intake & Approval Sheet (FOR PERMIT STAFF ONLY) PERMIT# V 2`-kO 3 r`39 < tz , �. .max�� ..'._ ._tlnz 4i:',7 ,7A..a.....aa rO tt .� M Intake OK by: Date: Intake OK by: Assign To: Date: Intake Comments: Intake Comments: Zone (/L D M this F"} Petm t 1E3 SR t cd(t re4 )i Overlay/Agreement �� Bldg/TI/Addn/Rem Size t u9it Nonresidential Use lt/ Garage/Accessory Struct. Size ttb9 Residential Use Y Number of Stories I. Proposed No.of Dwelling Units: f' Basement ®'No ❑Yes , Fin/Unfin Total No.of Dwelling Units: L_.- Type of Construction '�k s Planning/Landscape Inspection Required before Fin I? , Yes ❑No Occupancy Group ` R , "In Lieu"Fee: Type: --� Amount Occupancy Load a--t.{,u School Impact Fee: Total $ �pe2 p Cert.of Occpuancy Required? ❑No 5Yes ❑Shell Only Calculated: a..z fil Credit: .v1,-- Code Year 02021 p.2018 02015 123Everett School Dist ❑Mukilteo School Dist Fire Sprinklers: El Update Existing ❑New System Not Req'd Park Impact Fees for permits applied for after 1/1/2022: Reason Sprinklers Required: Park Impact Fee Total$ 333( (net due after credit for existing uses) Fire Alarm: (3 Update Existing ONew System ITINot Req'd Fee Schedule Used For Calculation(Year): _..2dz " Reason Fire Alarm Required: RCW 64.55 MF worksheet req'd for permit? ❑Yes ® No Add'I RCW 64.55 docs required prior to final? ❑Yes No Additional Notes: VALUATION CALCULATION: Total$ 24FA Q-6, / Approved By: e" Date: X & `ey I(�� y L z`PU u rr�,C '�2y`� R tl9k t 94 Intake OK by: Date: t( 9`61.1t = dfOt b Intake Comments: FPW Review&Worksheet Needed if. ?k�4I.k = tik, 1iCisys Dev Eval: ❑Water Chewer OStorm Additional Notes: i I❑Traffic Mitigation Eval Approved By: c., p_ ' Date: Yin/)1 'Mite Work/Drainage(shown/triggered) 'XJ- I❑Address Letter II:Ir #.01,4410-#0,:Wall I,Backflow Prevention for high hazard: '(dental,medical,animals,mortuary, Separate/Deferred Submittals Required: !hospital,supportive housing) El Fire Sprinklers ❑Fire Alarm ❑Other: j Additional Notes: This Permit is Approved by Public Works See PW Review Worksheet and associated attached items Fire Dept. Fees: h A Separate PW Permit is Required (Permit#: PW ) ❑ Review of As-Built Plans-NO FIRE FEE AND 0 Is fully digital ❑ Minimal or No Fire Scope-NO FIRE FEE ZIs located in this folder ❑ Review/Inspection Scope-ADD FIRE FEE ❑ Is in a Separate Green Folder aoin 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 on this permit--- PW Not Required e° ..ECTR[CAt/J?UU•M3[Ni ' ,iiki Additional Notes: Additional Notes: Approved By: Date: Completed By: Date: 5 l,-t (24 L4