417 TAMARACK AVE 2025-08-19 - Laserfiche WebLink

Intake &Approval Sheet WOR PERMIT STAFF ONLY) PERMIT# 3 2711 2— 0 4-(p BUILDING PLANNING Intake OK by: Date: Intake OK by: Assign To: Date: Intake Comments: Intake Comments: Zone 12.-,-2 Overlay/Agreement ❑ Route to Commercial Building Nonresidential Use ❑ Route to Residential Building Residential Use 6--4"--4--- ❑ Make this a"W"Permit Proposed No. of Dwelling Units: 1:Id•); I/Addn/Rem Size 1,562 SF Total No. of Dwelling Units: `Garag-Accessory Struct. Size SO4 SF Planning/Landscape Inspection Required before Final? ❑Yes ❑No Number of Stories 1 "In Lieu"Fee: Type: Amount$ Basement f,�No ❑Yes , Fin/Unfin School Impact Fee: Total $ -0- Type of Construction I-9-C- Calculated: Credit: Occupancy Group ❑Everett School Dist ❑Mukilteo School Dist Occupancy Load T—e'C'e Park Impact Fees for permi applied for after 1/1/2022: Fire Sprinklers: El Update Existing ❑New System SNot Req'd Park Impact Fee Total (net due after credit for existing uses) Reason Sprinklers Required: Fee Schedule Used For Calculation(Year): Fire Alarm: El Update Existing DNew System allot Req'd Permit Technician Use Only:Apply Phase-In Credit Per EMC19.53.200 Reason Fire Alarm Required: 0 100%Credit-Issued 1/1/2022-9/2/2022 RCW 64.55 MF worksheet req'd for permit? ❑Yes ® No 0 50%Credit-Issued 9/3/2022-6/2/2023 Add'I RCW 64.55 docs required prior to final? ❑Yes ®No 0 0%Credit-Issued 6/3/2023 or later Q c - W(Q,-----' VALUATION CALCULATION: Total$ 24127556 Additional Notes: uvit3 - tS62. SF Q it166Isc 4'2S912.92 6A¢A6E- Soy SF a 41661sF - .t33,26.y Approved By: Date: PUBLIC WORKS Additional Notes: Intake OK by: Date: Intake Comments: PW Worksheet Needed if: t I ❑Sys Dev Eval(Util/SW)[]Traffic Mit Eval Approved By: gs`t'1y Date: �/1/2. 7-1 ❑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 ❑Create Green Folder ❑Submitted Previously ODeferred P2 This Permit is Approved by Public Works Fire Dept. Fees: ►'i1 See PW Review Worksheet and associated attached items ❑ Review of As-Built Plans-NO FIRE FEE Vi A Separate PW Permit is Required (Permit#:PW 'Z-V l•Q(2i ) pa Minimal or No Fire Scope-NO FIRE FEE AND 0 Is located in this folder ADD FIRE FEE 1'' Is in a Separate Green Folder(join with this folder for permit issuance) El Review/Inspection Scope Approved By: V` CAX\ Date: ca., -g,5 ❑ Will be issued separately(Separate Green Folder,PW issued ahead of Bldg) ❑ Public Works has no scope---PW Not Required ELECTRICAL/PLUMBING Additional Notes: Additional Notes: Approved By: Date: Completed By: Date:7 , Z, ,,,„.