2902 COLBY AVE 2021-11-02 - Laserfiche WebLink

Intake & Approval Sheet A (FOR PERMIT STAFF ONLY) • PERMIT# 0 I (0-C3i BUILDING PLANNING Intake OK by:_ ----- Date: Intake OK by: Assign To: Date: Intake Comments: Intake Comments: i ❑ Route to Commercial Building 0 Attach to Project No. ❑ Route to Residential Building ❑ Route to Historic Reviewer ❑ Make this a"W"Permit 0 OK to Route to Other Departments Bldg/Tl/Addn/Rem Size 011k ❑ Hold in Planning File Drawer Garage/Accessory Struct.Size "' Zone Number of Stories 1/I A Overlay/Agreement Basement ❑No tYes, Fin Unfin Nonresidential Use Type of Construction , .r—A Residential Use Occupancy Group _JR Proposed No.of Dwelling Units: Occupancy Load /V./& Total No.of Dwelling Units: Fire Sprinklers:ZUpdate Existing ❑New System ❑Not Req'd Planning/Landscape Inspection Required before Final? ❑Yes ❑No Reason Sprinklers Required: "In Lieu"Fee:Type: Amount$ Fire Alarm: Update Existing ❑New System ❑Not Req'd School Impact Fee: Total $ Reason Fire Alarm Required: Calculated: Credit: RCW 64.55 MF worksheet req'd for permit? ❑Yes 151 1 , No 0 Everett School Dist ❑Mukilteo School Dist Add'I RCW 64.55 docs required prior to final? ❑Yes iLINo Additional Notes: �/ �� VALUATION CALCULATION: Total$ ( le �/f7G LCJL- 2E' v -Approved By: Zs' Date: 2_30 ) f/G/u -4ii #A-Dp 7i a- � `` I 1 /Oar PUBLIC WORKS O_,,++� V�© (j�� . �� Intake OK by: Lam,- Date: Additional Notes: Intake Comments: IPW Worksheet Needed if: DSys Dev Eval OTraffic Mit Eval 'DSite Work or Drainage Proposed Approved By: /�3 Date: ,g3 rep/ IDBackflow Prevention for high hazard: (dental,medical,animals,mortuary,hospital, :supportive housing) FIRE DEPARTMENT DRoute 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 OFire Alarm ❑Other: AND ❑Create Green Folder ❑Submitted Previously ❑Deferred Additional Notes: 0 This Permit is Approved by Public Works " 0 See PW Review Worksheet and associated attached items Fire Dept.Fees: 0 A Separate PW Permit is Required (Permit#: PW ) ❑ Review of As-Built Plans-NO FIRE FEE AND ❑ Is located in this folder 'El Minimal or No Fire Scope-NO FIRE FEE 0 Is in a Separate Green Folder(join with this folder for permit issuance) 0 Review/Inspection Scope-ADD FIRE FEE 0 Will be issued separately(Separate Green Folder,PW issued ahead of Bldg) Approved By: Date: ,2 S 126 Public Works has no scope---PW Not Required Additional Notes: ELECTRICAL Additional Notes: Approved By: Date: Approved By: y - Date: aaro` 19