9536 HOLLY DR 2025-07-10 - Laserfiche WebLink

Intake & Approval Sheet (FOR PERMIT STAFF ONLY) PERMIT# 3 3 D r ' (a--' BUILDING PLANNING Intake OK by: Date: Intake OK by: Assign To: Date: Intake Comments: Intake Comments: Zone ❑ Make this a"W"Permit ❑ SRC Required(Pre-Insp) Overlay/Agreement Bldg/Tl/AddnlRem Size ? Q& Nonresidential Use Garage/Accessory Struct.Size 41 0 Residential Use Number of Stories 2 1 Proposed No. of Dwelling Units: Basement ONo ❑Yes , Fin/Unfin Total No.of Dwelling Units: Type of Construction Y IZ i( Planning/Landscape Inspection Required before Final? ❑Yes ❑No Occupancy Group i "In Lieu"Fee:Type: Amount$ Occupancy Load • 1 School Impact Fee: Total $ / /2/ Cert.of Occpuancy Required? ❑No 14,,Y,,es ❑Shell Only Calculated: // .�l Credit: �)� Code Year 02021 1 12018 02015 ❑Everett School Dist SMukilteo School Dist Fire Sprinklers: ❑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$ 33J/ (net due after credit for existing uses) Fire Alarm: ❑Update Existing ❑New System Not Req'd Fee Schedule Used For Calculation(Year): cc ,20 2 Reason Fire Alarm Required: RCW 64.55 MF worksheet req'd for permit? ❑Yes EU No Add'I RCW 64.55 docs required prior to final? ❑Yes Additional Notes: VALUATION CALCULATION: Total$ 79 6 20 '�-ir' Approved By: Bete: Bate: PUBLIC WORKS Intake OK by: Date: Intake Comments: IPWReview&Worksheet Needed if: I�Sys Dev Eval: Q � �12-Nay-�5� �- ( ❑Water ❑Sewer,Storm Additional Notesl��1`►f►�G�1 �,� f, � �� - {L1- S;Te_ u;=) 1L I OTraffic Mitigation Eva! Approved By: Date: � 'U�, )' 1Work/Drainage(shown/triggered)�' ' ' ��ite gg ) I❑Address Letter FIRE DEPARTMENT I❑Backflow Prevention for high hazard: Separate/Deferred Submittals Required: (dental,medical,animals,mortuary, p q hospital,supportive housing) ❑Fire Sprinklers ❑Fire Alarm ❑Other: Additional Notes: This Permit is Approved by Public Works pa See PW Review Worksheet and associated attached items Fire Dept.Fees: pn A Separate PW Permit is Required(Permit#: PW'YO1/'-OSc? ) ❑ Review of As-Built Plans-NO FIRE FEE AND 10 Is fully digital ,Minimal or No Fire Scope-NO FIRE FEE ❑ 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: Vo/vA Date: �_JLI,3 ❑ Will be issued separately(Separate Green Folder,PW issued ahead of Bldg) ❑ Public Works has no scope on this permit---PW Not Required ELECTRICAL/PLUMBING Additional Notes: Additional Notes: Approved By: Date: Completed By: y �p _ Date: 0,/_7(, z;Ll