PERMIT APPLICATION COMMON
Where on your property are you working?:
Onsite
Is work in the right-of-way (street or alley) required?:
No
Choose the Primary Property Use:
Single Family/Duplex
Project Value:
800000
PERMIT TRACKING COMMON
Review Level:
Full C
Application Completed Date:
10/14/2025
FLOATING RESIDENCE INFO
Is this building a Floating Residence?:
No
CONSTRUCTION VALUATION INFO
Intake Value: New:
356962
Intake Value: Alteration:
0
Total Intake Value:
356962
Issue Value: New:
356962
Issue Value: Alteration:
0
Total Issued Value:
356962
BUILDING CODE INFO
What building code was used for your design?:
2021 SBC (Struct) and SRC (Arch)
Action Type:
New
Number of Existing Building Stories:
0
Number of Existing Below-Grade Building Stories:
0
Number of Proposed Building Stories:
3
Number of Proposed Below-Grade Building Stories:
0
Number of Mezzanines:
0
Is a certificate of occupancy required?:
No
GROUND DISTURBANCE
Is your development site in an environmentally critical area (ECA)?:
No
New and Replaced Hard Surface > 750 sq ft?:
Yes
Are you doing more than 2,000 square feet of earth disturbance?:
Yes
I, the owner or owner’s authorized representative of the property referenced in this submission, give the City of Seattle Department of Planning and Development permission to conduct a Pre-Application Site Visit. I agree that: 1) electronic filing constitutes an authorizing signature; 2) I will inform all tenants of the site visit prior to the inspection being conducted; and 3) if conditions such as uncontrolled dogs or uncooperative tenants hinder the inspector’s ability to conduct the site visit, the site visit will not occur and the site visit fee may be forfeited.:
Yes
Foundation Type:
Spread Footing
LAND USE STREET ELEMENTS
Number of Curb Cuts for This Permit:
0
PARKING
# of Proposed Onsite Parking:
4
Tenant Relocation Assistance
Are there residential (non-commercial) tenants/renters currently living in the property? :
No
MECHANICAL CODE
Does your project include an HVAC mechanical system?:
No
ENERGY CODE
Is any portion of the building semi-heated or unheated?:
No
Compliance Category:
Residential
Compliance Path:
Prescriptive
ENERGY EQUIPMENT
Heating Fuel Type Proposed: Residential:
Electric Heat Pump
SIDE SEWER INFORMATION
Related New Construction Project:
7097165
Temporary Dewatering for Construction:
No
DRAINAGE INFORMATION
Drainage Type of Work:
New
Number of Other New Drainage Connections:
1
Flow Control Type:
No Control
Flow Control Standard:
None
Treatment Standard Type:
No Treatment
Discharge Point:
Combined System
Discharge Point Other Type:
(4th Ave W)
Total Disturbed Area:
5437
New Impervious Surface:
1560
New Plus Replaced Impervious Surface:
2583
Total Volume Managed by On-Site Stormwater Management (gallons):
58707
Total Area Requiring Soil Amendment:
1294
SANITARY INFORMATION
Sanitary Type of Work:
None
CONTRACTOR DISCLOSURE
Who will be performing all the work?:
Licensed Contractor
Contractor License:
MODERHL878J9