4735 BAYVIEW LN 2025-10-09 - Laserfiche WebLink

Intake & Approval Sheet (FOR PERMIT STAFF ONL19 PERMIT# LW P I t o-004 BUILDING Intake OK bys Date: O428 l Intake Comments: ❑ Route to Commercial Building Rout 'Iding Make this a "W" Permit 4100. ,d00: 3/0 Garage/ ct. Size W,14 Number of Stories Z Basement ❑No UYes, Fin / nfi Type of Construction VA Occupancy Group %[- Occupancy Load Fire Sprinklers: ❑Update EAsting ❑New System ®Not Req'd Reason Sprinklers Required: Fire Alarm: ❑ Update Existing ❑New System TO Not Req'd Reason Fire Alarm Required: RCW 64.55 MF worksheet req'd for permit? ❑Yes L9 No Add1 RCW 64.55 dots required prior to final? ❑Yes FkNo VALUATION CALCULATION: Total $ 5F ,rw, DV toox SO = TV00 3/O x 12 1 = 3 7 So 0 421 S� Additional Notes: Approved By Date: pq Z'/LpZo M FIRE DEPARTMENT Separate / Deferred Submittals Required:;- ❑ Fire Sprinklers ❑Fire Alarm ❑Other: Additional Notes: Fire Dept. Fees; ❑ Review of As-Buil/Plan- FIRE FEE ❑Minimal orNo FirFIREFEE ❑Review/ InspectioDD FIRE FEE Approved By: Date: ELECTRICAL Additional Notes: Approved By: Date: PLANNING Intake OK by: Assign To: Date: 10. Z,3 q Intake Comments: ❑ Attach to Project No. ❑ Route to Historic Reviewer OK to Route to Other Departments ❑ Hold in Planning File Drawer Zone Overlay/Agreement Nonresidential Use Residential Use Proposed No. of Dwelling Units: Total No. of Dwelling Units: Planning/Landscape Inspection Required before Final? ❑Yes WNo "In Lieu" Fee: Type: Amou School Impact Fee: Total $ Calculated: Cre El Everett School Dist ❑Mukilt School Dist Additional Notes: �J� 4 r� — M �* p� `��/ .Qoflvw�— Approved By: K,De-Awl Date: PUBLIC WORKS Intake OK by: �Ir Date: _ 0 _3 _ Intake Comments: iz 2PIN Worksheet Needed if., Da*Or �Ff '� 61'N�Sss�ev Eval ❑Traffic Mit Eval S�yi,' SestSite Work or Drainage Proposed I took 04 .�1 IL P"r k 1 ElBackflow Prevention for high hazard: 81r r%jfy - :(dental, medical, animals, mortuary, hospital, "� ,supportive housing) Xoute this folder for PW Review at end — PW Review Worksheet IatThiss,,//project also has a separate concurrent PW Review (Green Folder) NI AND Create Green Folder ❑Submitted Previously ❑Deferred PWEhis Permit is Approved by Public Works ❑ See PW Review Worksheet and associated attached items ❑ A Separate PW Permit is Required (Permit #: PW ) AND ❑ Is located in this folder ❑ Is in a Separate Green Folder (loin with this folder for permit issuance) ❑ Will be issued separately (Separate Green Folder, PW issued ahead of Bldg) ❑ Public Works has no scope — PW Not Required Additional Notes: Sc6gc �.EV•6H-v .o Kn L,"6,E.u_,4[Co Approved 42,