9532 HOLLY DR 2025-07-10 - Laserfiche WebLink

Intake & Approval Sheet (FOR PERMIT STAFF ONLY) PERMIT# ,6,310 -/06 BUILDING PLANNING Intake OK by: Date: Intake OK by: Assign To: Date: Intake Comments: Intake Comments: Zone at ❑ Make this a"W"Permit ❑ SRC Required(Pre-Insp) Overlay/Agreement Bldg/TI/Addn/Rem Size7.111 f Nonresidential Use Garage/Accessory Struct. Size V Residential Use Y' Number of Stories 'Li Proposed No.of Dwelling Units: i Basement ONo ❑Yes, Fin/Unfin Total No.of Dwelling Units: r Type of Construction Z�.l Planning/Landscape Inspection Required before Final? t%OYes ❑No Occupancy Group ' "In Lieu"Fee:Type: Amount$ - Occupancy Load �� School Impact Fee: Total $ 11 / 2) r� Cert.of Occpuancy Required? ❑No [awes ❑Shell Only Calculated: Credit: Code Year 02021 1712018 02015 El Everett School Dist CE4Mukilteo School Dist Fire Sprinklers: El Update Existing El New System SNot Req'd Park Impact Feejor permits applied f54i3er 1/1/2022: Reason Sprinklers Required: Park Impact Fee Total:V/ net due a ercredit for existing uses) Fire Alarm: El Update Existing ❑New System 9KINot Req'd Fee Schedule Used For Calculation(Year): .D — 7 Reason Fire Alarm Required: RCW 64.55 MF worksheet req'd for permit? ❑Yes 1373 No Add'?RCW 64.55 docs required prior to final? ❑ JYes No Additional Notes: VALUATION CALCULATION: Total$ ,,7 ,ix I Approved By: !ifs - a Z-/' Date: / x.- 1 — PUBLIC WORKS ' Intake OK by: Date: Intake Comments: I IPWReview&Worksheet Needed if: r r �vvi zti 1/_o&j I�sys Dev Eva?: Additional Notes: AV Pa tit etk '""kh ' �5 Q OWater ❑Sewer TOStorm I /�D f S Work l❑Traffic Mitigation Eval / �J' ! I Approved By: Date: 4 17'O 7`I jgSite Work/Drainage(shown/triggered) I❑Address Letter I FIRE DEPARTMENT I❑Backflow Prevention for high hazard: (dental,medical,animals,mortuary, Separate/Deferred Submittals Required:pq !hospital,supportive housing) ❑Fire Sprinklers El Fire Alarm ❑Other: Additional Notes: This Permit is Approved by Public Works W See PW Review Worksheet and associated attached items Fire Dept.Fees: pi A Separate PW Permit is Required(Permit#: PW2gv Y-OGO ) ❑ Review of As-Built Plans-NO FIRE FEE AND 54 Is fully digital Minimal or No Fire Scope-NO FIRE FEE 0 Is located in this folder O Review/Inspection Scope-ADD FIRE FEE ❑ Is in a Separate Green Folder(join with this folder for permit issuance) Approved By: h t c.A.2n Date: ) I_) �� 0 Will be issued separately(Separate Green Folder,PW issued ahead of Bldg) I I ❑ Public Works has no scope on this permit---PW Not Required ELECTRICAL/PLUMBING Additional Notes: Additional Notes: Approved By: Date: Completed By, 'J 7se_o f ,* Date: 0 if 7 . . .zz Lt v"l