2609 HOYT AVE 2025-09-30 - Laserfiche WebLink

Intake & Approval Sheet (FOR PERMIT STAFF ONLY) PERMIT# BUILDING PLANNING Intake OK by: Date: Intake OK by: Assign To: Date: Intake Comments: Intake Comments: Zone Overlay/Agreement ❑ Route to Commercial Building Nonresidential Use ❑ Route to Residential Building Residential Use ❑ Make this a"W" Permit Proposed No. of Dwelling Units: Bldg/TI/Addn/Rem Size Total No. of Dwelling Units: Garage/ ccessory Struct. Siz '7a\ S� pG(y� Planning/Landscape Inspection Required before Final? ❑Yes ❑No Number o ones 2 "In Lieu" Fee: Type: Amount$ Basement ❑No 3YeS , Fin/Unfin School Impact Fee: Total $ Type of Construction ' Calculated: Credit: Occupancy Group ❑Everett School Dist ❑Mukilteo School Dist Occupancy Load Park Impact Fees for permits applied for after 11112022: Fire Sprinklers: El Update Existing El New System El Not Req'd Park Impact Fee Total$ (net due after credit for existing uses) Reason Sprinklers Required: Fee Schedule Used For Calculation(Year): -------------------------------------------------------------------- ------------ Fire Alarm: ❑Update Existing ❑New System ❑Not Req'd Permit Technician Use Only:Apply Phase-In Credit Per EMC19.53.200 Reason Fire Alarm Required: ❑ 100%Credit-Issued 1/1/2022-9/2/2022 RCW 64.55 MF worksheet req'd for permit? ❑Yes ❑ No ❑ 50%Credit-Issued 9/3/2022-6/2/2023 Add]RCW 64.55 docs required prior to final? ❑Yes ❑No ❑ 0%Credit-Issued 6/3/2023 or later VALUATION CALCULATION: Total$ 26,5.00 Additional Notes: Z Approved By: Date: PUBLIC WORKS Additional Notes: O� Intake OK by: Date:---- Intake Comments: -- - PW Worksheet Needed if. ❑Sys Dev Eval(Util/SVV)❑Traffic Mit Eva] Approved By: (�Q 1-� Date: 2 l6 2oZ3 ❑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 El Fire Sprinklers ❑Fire Alarm ❑Other: ❑This project also has a separate concurrent PW Review(Green Folder) Additional Notes: AND ❑Create Green Folder ❑Submitted Previously ❑Deferred ❑This Permit is Approved by Public Works Fire Dept. Fees: ❑ See PW Review Worksheet and associated attached items ❑ Review of As-Built Plans-NO FIRE FEE ❑A Separate PW Permit is Required (Permit#:PW ) ❑ Minimal or No Fire Scope-NO FIRE FEE AND ❑ Is located in this folder ❑ Review/Inspection Scope-ADD FIRE FEE El Is in a Separate Green Folder Qoin with this folder for permit issuance) Approved By: Date: , ❑ Will be issued separately(Separate Green Folder,PW issued ahead of Bldg) IiSI Public Works has no scope---PW Not Required ELECTRICAL/PLUMBING tional Notes: c Additional Notes: t aF r`b-�« �J bleilrk Approved By: Date: Completed By. Date: Z, Z. 4—