2821 HOYT AVE 2025-10-03 - Laserfiche WebLink

Intake &Approval Sheet (FOR PERMIT STAFF ONLr PERMIT# BUILDING PLANNING Intake OK by: Date: Intake OK by: Assign To: �'""�^ Date: 55 1 Vf Intake Comments: Intake Comments: Zone ❑ Make this a"W"Permit ❑ SRC Required(Pre-Insp) Overlay/Agreement Aetrc, E-7/Pte 4 Bldg/TI/Addn/Rem Size S Nonresidential Use „bli^c Ptst!`aovin Garage/Accessory Struct.Size Residential Use Number of Stories Proposed No.of Dwelling Units: Basement KNo ❑Yes, Fin/Unfin Total No.of Dwelling Units: Type of Construction V-9 Planning/Landscape Inspection Required before Final? ❑Yes nNo Occupancy Group V "in Lieu"Fee:Type: Amount$ Occupancy Load ( School Impact Fee: Total $ ✓t 1.01 Cert.of Occpuancy Required? ❑No 'QYes ❑Shell Only Calculated: Credit: Code Year 1:12021 Z12018 112015 ❑Everett School Dist ❑Mukilteo School Dist Fire Sprinklers: ❑Update Ea-ting ❑New System Not Req'd Park Impact Fees for permits applied for after 11112022: Reason Sprinklers Required: N Park Impact Fee Total$ v"l-� (net due after credit for existing uses) Fire Alarm: ❑Update E Not Req'd xisting ❑New System Fee Schedule Used For Calculation(Year): Reason Fire Alarm Required: RCW 64.55 MF worksheet req'd for permit? [JYes No Add'I RCW 64.55 does required prior to final? ❑Yes ®No Additional Notes: VALUATION CALCULATION: Total -s 4-e Approved By Date: ...� �� ' PUB RKS Intake OK by: _D_ate:__ 3 �� Intake Comments: �PWReview&�Worksheet Needed if: C❑Sys Dev Eval Additional Notes: ❑Water ❑Sewer ❑Storm cJ ! J ❑Traffic Mitigation Eva] Approved B pp y: �� Date: h041 �❑Site Work/Drainage(shown/triggered) (❑Address Letter FIRE DEPARTMENT ❑Backflow Prevention for high hazard: Separate/Deferred Submittals Required: i(dental,medical,animals,mortuary, ihospital,supportive housing) ❑Fire Sprinklers ❑Fire Alarm ❑Other: i Additional Notes: aThis Permit is Approved by Public Works Lee PW Review Worksheet and associated attached items Fire Dept.Fees: E97A Separate PW Permit is Required(Permit#:PW 2-4-0 4--c)U �} ❑ Review of As-Built Plans-NO FIRE FEE AND Ehs 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 Qoin with this folderfor permit issuance) Approved By: Date: ❑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: lCompleted