3530 COLBY AVE COCOON HOUSE 2022-01-27

� 0 _' • 1 Intake & Approval Sheet (FOR PERMIT STAFF ONL � PERMIT # 0D BUILDING Intake OK b . Date: G 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 ❑No ❑Yes , Fin / Unfin Type of Construction Occupancy Group Occupancy Load Fire Sprinklers: ❑Update Existing ❑New System El Not Req'd Reason Sprinklers Required: Fire Alarm: ❑Update Existing El New System El Not Req'd Reason Fire Alarm Required: RCW 64.55 MF worksheet req'd for permit? ❑Yes ❑ No Add'I RCW 64.55 docs required prior to final? ❑Yes ❑ No VALUATION CALCULATION: Total $ Additional Notes: Approved By: Date: 10 l u FIRE DEPARTMENT Separate / Deferred Submittals Required: ❑Fire Sprinklers ❑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: Date: Intake Comments: Assign To: L l^�Q �I- /f7 Vfiv!�i�l/5-/111-Spy Z11 (fibraAttac Project No. kel`h �lP ❑ Route to Historic Reviewer OK to Route to Other Departments Hold in Planning File Drawer Zone Overlay/Agreement Nonresidential Use Residential Use Proposed No. of Dwelling Units: Total No. of Dwelling Units: Planning/Landscape Inspection Required before Final? ❑Yes 9No "In Lieu" Fee: Type: Amount $ School Impact Fee: Total $ Calculated: Credit: El Everett School Dist ❑Mukilteo School Dist Additional Notes: �, 0ZL4 Le, net enet UC c Approved B Date: g PUBLIC WORKS Intake OK by: `a Date: 4 f 7-3 , LO I. 6 ----------------------------------------- Intake Comments: Comments: ; PW Worksheet Needed if. —EwL,,.i t -66,4CA .,.r R-ov-i : ❑Sys Dev Eval ❑Traffic Mit Eval 1g000..+1D S.oCwAL-rC. ; El Site Work or Drainage Proposed y 5� SF 'j AvEp 4"A ❑Backflow Prevention for high hazard: (dental, medical, animals, mortuary, hospital, :supportive housing) : ----------------------------------------- PRoute 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) ❑ WIII be Issued separately (Separate Green Folder, PW issued ahead of Bldg) ❑ Public Works has no scope --- PW Not Required Additional Notes: Approved By'—,-)- ' �, )� Date: