3107 COLBY AVE 2021-03-31 - Laserfiche WebLink

411. Intake & 4 ppiovaI Sheet (FOR PERMIT STAFF ONLY) 0 PERMIT# 32O01'b71 . BUILDING f PLANNING Intake OK by: _,...` Date: I (t5 oZ0a9 Intake OK by: it Assign To: ylDate: 1/]s'/Z0 Intake Comme ® Intake Comments:- €- s cn 41101.s sly'" ❑ Route to Commercial Building ❑Attach to Project No. ❑ Route to Residential Building ❑ Route to Historic Reviewer ❑ Make this a"W"Permit e n K to Route to Other Departments Bld /TI/Jddn/Rem Size • Hold in Planning File Drawer Garage/Accessory Struct. Size Zone U H Number of Stories I Overlay/Agreement Basement ❑No mYes, Fin/Unfin Nonresidential Use Type of Construction X Residential Use Occupancy Group 6 Proposed No.of Dwelling Units: Occupancy Load Total No. of Dwelling Units: Fire Sprinklers: ®'Update Existing ❑New System ❑Not Req'd Planning/Landscape Inspection Required before Final? ❑Yes ATNo Reason Sprinklers Required: "In Lieu"Fee:Type: Amount$ Fire Alarm: 12Update Existing [hew System ❑Not Req'd School Impact Fee: Total $ Reason Fire Alarm Required: Calculated: Credit: RCW 64.55 MF worksheet req'd for permit? ❑Yes JR No ❑Everett School Dist ❑Mukilteo School Dist Add'!RCW 64.55 does required prior to final? ❑Yes Sallo Additional Notes: VALUATION CALCULATION: Total$ 786"t V c _ Approved By: lL Ale o Date: 5-f2-z.6z , PUBLIC WORKS Intake OK by: Date: Additional Notes: Intake Comments: i PW Worksheet Needed if.: ❑Sys Dev Eval ❑Traffic Mit Eva! 1❑Site Work or Drainage Proposed pp /4 ®��o//o� ❑Backflow Prevention for high hazard: Approved Date: I(dental,medical,animals,mortuary,hospital, ;supportive housing) FIRE DEPARTMENT ❑Route this folder for PW Review at end ---PW Review Worksheet Separate/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: i ❑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 ❑ Is in a Separate Green Folder(join with this folder for permit El-Review/Inspection Scope-ADD FIRE FEE ❑ Will be issued separately(Separate Green Folder,PW issued ahead of Bldg) Approved By: K k� i L>,(-) Date: / --c,Z/-sG Public Works has no scope---PW Not Required Additional Notes: ,k„` ,,,.t-r.!ti a, . o, ...4_ ELECTRICAL. dz-/jr /-z.az,., Additional Notes: Approved By: Date: Approved By: Date: _