4730 COLBY AVE YMCA 2022-06-24 - Laserfiche WebLink

Intake & Approval Street 0 (FOR PERMIT STAFF ®NLr o . PERMIT # v 6m- 02� BUILDING Intake OK by: Date: Intake Comments: ❑ Route to Commercial Building ❑ Route to Residential Building ❑ Make this a "W" Permit Bld ' / ddn/Rem Size Garage/Accessory Struct. Size Number of Stories 2 Basement No ❑Yes , Fin / Unfin Type of Construction Occupancy Group Occupancy Load 2® Fire Sprinklers: nUpdate Existing ❑New System ❑Not Req'd Reason Sprinkles Required: -- ,sic S+'A-ern.,-W- Fire Alarm: Update Existing ❑New System ❑Not Req'd Reason Fire Alarm Required: tVc-%-jai V:-"tA-r- 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 $ i�50 , Additional Notes: Approved By: Date: I �j kI FIRE DEPARTMENT Intake: (Needed for Townhomes, Alley load SFR, New Commercial) [I Route to Fire Drawer --- Fire Preliminary Review Notice El Sending Fire Notes to Project Team Date: 11 (OK to Route to Other Departments) Fire Sprinklers: MJUpdate Existing El New System ❑ Not Req'd Fire Alarm: Update Existing El New System ❑ Not Req'd Chemical Sup: ❑Update Existing ❑New System ® Not Req'd Additional Notes` Approved By: A Date: ELECTRICAL Additional Notes: Approved By: Date: PLANNING Intake OK by: Date: G \"\\- `l- Intake Comments: Assign To: ❑ Attach to Project No. ❑ 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 ❑No "In Lieu" Fee: Type: Amount $ School Impact Fee: Total $ Calculated: Credit: ❑Everett School Dist ❑Mukilteo School Dist Additional Notes- �S tt*J �^"t t,9.j Approved By: Date: PUBLIC WORKS Intake OK by a Date: VII 4� ------------ ------------------------- Intake Comments: ;PIN Worksheet Needed if., ®Sys Dev Eval ❑Traffic Mit Eva] ❑Site Work or Drainage Proposed ❑Backflow 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 Qoin with this folder for permit issuance) ❑ Will be issued separately (Separate Green Folder, PIN issued ahead of Bldg) Public Works has no scope--- PW Not Required Additional Notes: �h i l l Gl✓h Approved By• t) Date: