4807 WILMINGTON AVE 2025-08-20 - Laserfiche WebLink

Intake & Approval Sheet (FOR PERMIT STAFF ONLY) PERMIT# le. bib 1 O45 BUILDING PLANNING Intake OK by: Date: Intake OK by: Assign To: tJe5S Date: 1I/ ?/Z 3 Intake Comments: Intake Comments: Zone R-1 ❑ Make this a"W"Permit 0 SRC Required (Pre-Insp) Overlay/Agreement a+clew°Mt.. Pr';ar;1-6. Bldg/TI/Addn/Rem Size fJ 1A- Nonresidential Use !WA Garage ccessory Struct. Size 43 S Residential Use S F(z Number of Stories I Proposed No.of Dwelling Units: N/A Basement 14.No ❑Yes, Fin/Unfin Total No. of Dwelling Units: I Type of Construction I ke Planning/Landscape Inspection Required before Final? ❑Yes ONo Occupancy Group "In Lieu"Fee:Type: Amount$0 Occupancy Load --- School Impact Fee: Total $ Cert. of Occpuancy Required? igNo ❑Y s ❑Shell Only Calculated: Credit: Code Year 02021 'R018 02015 El Everett School Dist ❑Mukilteo School Dist Fire Sprinklers: El Update Existing El New System SNot Req'd Park Impact Fees for permits applied for after 1/1/2022: Reason Sprinklers Required: rli`t.-l: , Park Impact Fee Total$ J (net due after credit for existing uses) Fire Alarm: El Update Existing DNew System !Not Req'd Fee Schedule Used For Calculation(Year): Reason Fire Alarm Required: fcCfrt,cjbke, RCW 64.55 MF worksheet req'd for permit? ❑Yes El No Add'I RCW 64.55 docs required prior to final? ❑Yes No Additional Notes: s)eed co br\rto, to q I►Z ( U vr+e le%r VALUATION CALCULATION: Total $ ci.'C tc lirwoua\ sae./house or•tertia.'ci on. Approved By: Date:q//,h / 3 4615r x S6`1 sF 4 5 42y A PUBLIC WORKS Intake OK by: y"$ Date: ............................... Intake Comments: IPW Review 8 Worksheet Needed if: JI IRSys Dev Eval: Additional Notes: gdC, RstAtuid LOE ❑Water ❑Sewer, C Storm !❑Traffic Mitigation Eval Approved By: .k18 Date: (1 /C/fJ.)' ❑Site Work/Drainage(shown/triggered) / I❑Address Letter FIRE DEPARTMENT jOBackflow Prevention for high hazard: i(dental,medical,animals,mortuary, Separate/Deferred Submittals Required: !hospital,supportive housing) ❑Fire Sprinklers El Fire Alarm ❑Other: Additional Notes: IR This Permit is Approved by Public Works laSee PW Review Worksheet and associated attached items Fire Dept. Fees: ❑ A Separate PW Permit is Required (Permit#: PW ) ❑ Review of As-Built Plans-NO FIRE FEE AND 0 Is fully digital El-Minimal or No Fire Scope-NO FIRE FEE ❑ Is located in this folder 0 Review/Inspection Scope-ADD FIRE FEE ❑ Is in a Separate Green Folder(join with this folder for permit issuance) Approved By:Ksetxtih Date: 9.321 72/ ❑ 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:,, Date: tcyg _/9 _ ,