2828 COLBY AVE 2020-06-16 - Laserfiche WebLink

Intake&Approval Sheet (FOR PERMIT STAFF ONLY) PERMIT# -c05 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 ❑Make this a"W' Permit 0 OK to Route to Other Departments Bldg/TI/Addn/Rem Size 0 Hold in Planning File Drawer Garage/Accessory Struct. Size Zone Number of Stories Overlay/Agreement Basement ❑No ❑Yes , Fin/Unfin Nonresidential Use Type of Construction Residential Use Occupancy Group Proposed No. of Dwelling Units: Occupancy Load Total No. of Dwelling Units: Fire Sprinklers: ❑Update Existing ONew System ❑Not Req'd Planning/Landscape Inspection Required before Final? ❑Yes ❑No Reason Sprinklers Required: "In Lieu" Fee: Type: Amount$__ Fire Alarm: ❑Update Existing ONew System ❑Not Req'd School Impact Fee: Total $ Reason Fire Alarm Required: Calculated: Credit: RCW 64.55 MF worksheet req'd for permit? ❑Yes 0 No ❑Everett School Dist ❑Mukilteo School Dist Add'I RCW 64.55 docs required prior to final? ❑Yes ❑No Additional Notes: VALUATION CALCULATION: Total $ Approved By: Date: PUBLIC WORKS Intake OK by: Date: Additional Notes: Intake Comments: PW Worksheet Needed If iDSys Dev Eval OTraffic Mit Eval OSite Work or Drainage Proposed ©Backflow Prevention for high hazard: Approved By: Date: :(dental,medical,animals,mortuary,hospital, :supportive housing) FIRE DEPARTMENT ❑Route this folder for PW Review at end --- PW Review Worksheet Intake: (Needed for Townhomes,Alley load SFR,New Commercial) ❑This project also has a separate concurrent PW Review (Green Folder) ❑Route to Fire Drawer---Fire Preliminary Review Notice AND ❑Create Green Folder ❑Submitted Previously ❑Deferred ❑Sending Fire Notes to Project Team 0 This Permit is Approved by Public Works Date: (OK to Route to Other Departments) 0 See PW Review Worksheet and associated attached items Fire Sprinklers: ❑Update Existing ( New System 0 Not Req'd 0 A Separate PW Permit is Required(Permit#: PW Fire Alarm: ❑Update Existing ONew System 0 Not Req'd AND 0 Is located in this folder Chemical Sup: ❑Update Existing ONew System ❑Not Req'd 0 Is in a Separate Green Folder (join with this folder for permit issuance) Additional Notes: ❑ Will be issued separately (Separate Green Folder,PW issued ahead of Bldg) Approved By: .j(0I(z,./7Z Date: /07/V/6-f 0 Public Works has no scope--- PW Not Required Additional Notes: ELECTRICAL 22 (440,15 - 07C, a 4 0$4/S67 S�Sfca.� Additional Notes: J T' Approved By: Date: Approved By: Date: i