1321 COLBY AVE 2ND FLOOR 2021-02-17

Intake &Approval Sheet (FOR PERMIT STAFF ONLY) PERMIT#S‘ `0 J - 02-0 BUILDING PLANNING Intake OK by: /// Date: Intake OK by: Date: Intake Comments: Intake Comments: Assign To: ❑ Route to Commercial Building 0 Attach to Project No. ❑ Route to Residential Building 0 Route to Historic Reviewer ❑ M e this a"W" Permit ❑ OK to Route to Other Departments Bldg ddn/Rem Size q.i'w SF 0 Hold'in Planning File Drawer • Garage/Accessory Struct. Size /f/ „a Zone Number of Stories Overlay/Agreement Basement ❑No rtYes , Fin/Unfin Nonresidential Use Type of Construction 9 Residential Use / Occupancy Group ._- Z. Proposed No.of Dwelling Units: / � Occupancy Load �6 Total No. of Dwelling Units: Fire Sprinklers: Rupdate Existing ❑New System El Not Req'd Planning/Landscape Ins.-ction Required before Final? ❑Yes ❑No Reason Sprinklers Required: - "In Lieu" Fee:Type: Amount$ Fire Alarm: Update Existing ❑New System El Not Req'd School Impact Fee: Total $ Reason Fire Alarm Required: Calculated: Credit: r� RCW 64.55 MF worksheet req'd for permit? ❑Yes J No ❑Everett S• ool Dist ❑Mukilteo School Dist Add'I RCW 64.55 docs required prior to final? DYes 5iiNo Addition Notes: VALUATION CALCULATION: Total; 74S 910.00 Approved By: Date:Tj r+- l ci PUBLIC WORKS Intake OK by: 17H1- Date: Additional Notes: Intake Comments: PW Worksheet Needed if: ❑Sys Dev Eval ❑Traffic Mit Eval ❑Site Work or Drainage Proposed Approved B Date:dsno,,,q ❑Backflow Prevention for high hazard: (dental,medical,animals,mortuary,hospital, supportive housing) FIRE DEPARTMENT ❑Route this folder for PW Review at end ---PW Review Worksheet Separate I Deferred Submittals Required: ❑This project also has a separate concurrent PW Review(Green Folder) Fire Sprinklers Fire Alarm ❑Other: AND ❑Create Green Folder ❑Submitted Previously ❑Deferred Additional Notes: 0 This Permit is Approved by Public Works ❑ See PW Review Worksheet and associated attached items Fire Dept. Fees: ❑ A Separate PW Permit is Required (Permit#: PW ) ❑ Review of As-Built Plans-NO FIRE FEE AND 0 Is located in this folder ❑ Minimal or No Fire Scope-NO FIRE FEE 0 Is in a Separate Green Folder(join with this folder for permit issuance) �� Review/Inspection Scope-ADD FIRE FEE 0 Will be issued separately(Separate Green Folder,PW issued ahead of Bldg) Approved By: K.13 ro c.,v n Date: 7-4,2—j t k Public Works has no scope PW Not Required Additional Notes: ELECTRICAL Additional Notes: Approved By: Date: Approved By: Date: