1725 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'rrmit Proposed No. of Dwelling Units: Bldg/TI/Add /Rem Siz }tPvao?, 6c o Total No. of Dwelling Units: Garage/Accessory Struct. Size Planning/Landscape Inspection Required before Final? ❑Yes ❑No Number of Stories "in Lieu" Fee:Type: Amount$ Basement El No Wes , Fin/ nfi School Impact Fee: Total $ Type of Construction Calculated: Credit: Occupancy Group ❑Everett School Dist ❑Mukilteo School Dist Occupancy Load er Park Impact Fees for permits applied for after 1/112022: Fire Sprinklers: ❑Update Existing El New System 2Not Req'd Park Impact Fee Total$ (net due after credit for existing uses) Reason Sprinklers Required: Fee Schedule Used For Calculation(Year): I� -------------------------------------------------------------------------------- Fire Alarm: ❑Update Existing ❑New System-SNot Req'd Permit Technician Use Only:Apply Phase-In Credit Per EMC19.53.200 Reason Fire Alarm Required: ❑ 100%Credit-Issued 1/l/2022-9/2/2022 RCW 64.55 MF worksheet req'd for permit? ❑Yes 3-No ❑ 50%Credit-Issued 9/3/2022-6/2/2023 Add']RCW 64.55 docs required prior to final? ❑Yes nNo ❑ 0%Credit-Issued 6/3/2023 or later VALUATION CALCULATION: Total$ qb,60C-.> Additional Notes: r Approved By: Date: PUBLIC WORKS Additional Notes: Intake OK by: Date: ------------------------------------------ Intake Comments: ;PW Worksheet Needed if., OSys Dev Eval(Util/SW) OTraffic Mit Eval Approved By: Date: 311217,sys ;[]Site Work/Drainage OAddress Letter OBackflow 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 ❑ Is in a Separate Green Folder(join with this folder for permit issuance) Approved By: Date: ❑ Will be issued separately(Separate Green Folder,PW issued ahead of Bldg) ❑ Public Works has no scope--PW Not Required ELECTRICAL/PLUMBING Additional Notes: Additional Notes: Approved By: Date: Completed By: Date: