4310 COLBY AVE 300 AND 301 2022-01-14

Intake & Approval Sheet *(FOR PERMIT STAFF ON09 0 PERMIT #? 20ol ^ 03o " BUILDING � ' Intake OK by: Date: Intake Comments: ❑ Route to Commercial Building ❑ Route to Residential Building ❑ Make this a "W" Permit Bldg/TI/Addn/Rem Size Garage/Accessory Struct. Size Number of Stories Basement UVo ❑Yes , Fin / Unfin Type of Construction Occupancy Group Occupancy Load Fire Sprinklers: ❑Update Existing ❑New System Ekot Req'd Reason Sprinklers Required: Fire Alarm: Xupdate Existing ❑New System ❑Not Req'd Reason Fire Alarm Required: RCW 64.55 MF worksheet req'd for permit? ❑Yes Mo Add'] RCW 64.55 docs required prior to final? ❑Yes JRNo VALUATION CALCULATION: Total $ /a, 70 Additional Notes: Approved By Date: jq� z %duo U FIRE DEPARTMENT Separate / Deferred Submittals Required: ❑Fire Sprinklers []FireAlarm ❑Other: Additional Notes: Fire Dept. Fees: ❑ Review of As -Built Plans - NO FIRE FEE ❑ Minimal or No Fire Scope - NO FIRE FEE Review / Inspection Scope - ADD FIRE FEE Approved By: Date: 8— *Aw ELECTRICAL Additional Notes: Approved By: Date: PLANNING 1,777 Intake OK by: Assign To: Date: 1 Intake Comments: P� ❑ Attach to Project No. ❑ Route to Historic Reviewer OK to Route to Other Departments ❑ Hold in Planning File Drawer Zone Overlay/Agreement Nonresidential Use ; ;C lC&1 Residential Use Proposed No. of Dwelling Units: Total No. of Dwelling Units: Planning/Landscape Inspection Re before Final? ❑Yes o "In " ee. Type: Amount $ School Impact Fee. $ Calculated: _ edit: ❑Ever chool Dist ❑Mukilteo Schoo Ad tonal Notes. NO PJ 4iw N oflL- ('&vf eVVM Approved By:JA Date: PUBLIC WORKS Intake OK by: Date: __. ................ Intake Intake Comments: PIN Worksheet Needed if., ❑Sys Dev Eval ❑Trafric Mit Eval i ❑Site Work or Drainage Proposed ❑Backf]ow Prevention for high hazard: i(dental, medical, animals, mortuary, hospital, su_pportive housing) ...,.�.._.._...............___............................._.....,.,.........,...,... _.............. ❑Route this folder for PW Review at end --- PW Review Worksheet ❑This project also has a separate concurrent PW Review (Green Folder) AND ❑Create Green Folder []Submitted Previously ❑Deferred ❑ This Permit is Approved by Public Works " ❑ See PW Review Worksheet and associated attached items ❑ A Separate PW Permit is Required (Permit#: PW ) AND ❑ Is located in this folder ❑ Is in a Separate Green Folder (Join with this folder for permit issuance) �y ❑ Will be Issued separately (Separate Green Folder, PW issued ahead of Bldg) 1 --Public Works has no scope --- PW Not Required Additional Not [Approved By: Date: