3712 COLBY AVE 2022-01-27 - Laserfiche WebLink

Intake & Approval Sheet * (FOR PERMIT STAFF ONLr PERMIT # 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 ccesso Struct.. Size ,S 9 Number o ones Basement ENNo ❑Yes , Fin / Unfin Type of Construction Occupancy Group Occupancy Load Fire Sprinklers: ❑Update Existing ❑New System ❑Not Req'd Reason Sprinklers Required: Fire Alarm: ❑Update Existing ❑New System ❑Not Req'd Reason Fire Alarm Required: RCW 64.55 MF worksheet req'd for permit? ❑Yes D No Add1 RCW 64.55 docs required prior to final? ❑Yes CRNo VALUATION CALCULATION: Total $ JR GZ eA,� 9WV-s A"6 = gtoLk(c 2 .C) � AtIX004N- A1.'s- 5Ir-. or Pub Additional Notes: ` o /S //2-c- Oct ` gL45o O Approved By: Date: C al 11 2a FIRE DEPARTMENT Separate / Deferred Submittals Required: ❑Fire Sprinklers El Fire Alarm ❑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: ELECTRICAL Additional Notes: Approved By: Date: PLANNING Intake OK by: Assign To: Date: Intake Comments: ❑ Attach to Project No. ❑ Route to Historic Reviewer ❑ OK to Route to Other Departments ❑ Hold in Planning File Drawer Zone y. Overlay/Agreement Nonresidential Use Residential Use Proposed No. of Dwelling Units: Total No. of Dwelling Units: Planning/Landscape Inspection Required before Final? ❑Yes ❑No "In Lieu" Fee: Type: Amount $ School Impact Fee: Total $ Calculated: Credit: ❑Everett School Dist ❑Mukilteo School Dist Additional Notes: A fero-f-A -5.),,,T re ji� f&,\ d n Approved By: T T�l Date: ZC)z C) I_ I PUBLIC WORKS Intake OK by. Date: .._ ............ ..........................m.-_........_. Intake Comments:=PWWorksheetNeeded if.• !OSys Dev Eval ❑Traffic Mit Eval OSite Work or Drainage Proposed €0Backflow Prevention for high hazard: ;(dental, medical, animals, mortuary, hospital, -supportive 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) ❑ Will be issued separately (Separate Green Folder, PW issued ahead of Bldg) ❑ Public Works has no scope --- PW Not Required Additional Notes: Approved By: Date: