9512 7TH AVE SE 2025-09-16 - Laserfiche WebLink

Intake & Approval Sheet (FOR PERMIT STAFF ONL IO PERMIT# 13 21-0 Z^ U 3 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/TI/Addn/Rem Size 7i U L Nonresidential Use Garage/Accessory Struct. Size U Residential Use Number of Stories 'L Proposed No.of Dwelling Units: Basement No ❑Yes, Fin/Unfin Total No.of Dwelling Units: f Type of Construction Planning/Landscape Inspection Required before Final? fnYes ❑No Occupancy Group - "In Lieu"Fee:Type: — Amount$ ✓ Occupancy Load School Impact Fee: Total $ IAZ ` Cert.of Occpuancy Required? []No MYes []Shell Only Calculated: l/Z/ Credit: �4Q Code Year 102021 EP2018. 112015 ❑Everett School Dist OMukilteo School Dist Fire Sprinklers: ❑Update Existing ❑New System PNot Req'd Park Impact Fees for permits applied for after 1/1/2022: Reason Sprinklers Required: Park Impact Fee Total$ .3_43/— (net due after credit for existing uses) Fire Alarm: ❑Update Existing ❑New System Not Req'd Fee Schedule Used For Calculation(Year): '9 U a Reason Fire Alarm Required: RCW 64.55 MF worksheet req'd for permit? ❑Yes -No Add'I RCW 64.55 docs required prior to final? ❑Yes 15INo Additional Notes: /!�rt ��"A f/w�4- f'/ VALUATION CALCULATION: Total$ '5:7 FS r Z �� 4 �CG ff/64 (,/ Hudson° p we,kl i YN 11015 r- 7, bb =04$,1131- Ap roved By: / /', Date: y _//7 2,yK gpfag Qi— t36S F R> (0+ 2I,5to Covve' Pam- II S F ��o gIG PUBLIC WORKS Bonding rGvltwtr 1-0 vt'A�� $311,34E Intake OK by: Date: _ Intake Comments: PIN Review&Worksheet Needed if., ft 5 d"-Pee -6 r Sys Dev Eval: Additional Notes: �Q(,L h d !Ju/�u��S 1Water `Sewertorm %h'A 6 ,J a1) Traffic Mitigation Eval Approved By: Date: (Q 1 I Ll� /�r/I Site Work/Drainage(shovmftriggered) PlAddress Letter FIRE DEPARTMENT ❑Backflow Prevention for high hazard: Separate/Deferred Submittals Required: (dental,medical,animals,mortuary, Se p q hospital,supportive housing) Fire Sprinklers ❑Fire Alarm ❑Other: Additional Notes: This Permit is Approved by Public Works See PW Review Worksheet and associated attached items Fire Dept.Fees: 9A Separate PW Permit is Required(Permit#: PW m 0 - DV ) ❑ Review of As-Built Plans-NO FIRE FEE AND ❑ 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 Goinwith this folder for permit Issuance) Approved By: Q21Date: ZA ❑ 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 Date: