3815 COLBY AVE 2021-12-16 - Laserfiche WebLink

Intake &Approval Sheet • (FOR PERMIT STAFF ONLY) 410 PERMIT# C 1..°k01 rbC6- BUILDING PLANNING Intake OK by: `° "' Date: Intake OK by: 14 Date: 1— q — 1 Intake Comments: Intake Comments: Assign To: • ❑ Route to Commercial Building Attach t Project No. 1•..1 15"O2 1 ,t Route to Residential Building Route to Historic Reviewer ❑ Make this a"W"Permit ❑ OK to Route to Other Departments Bldg/TI/Addr to 1 jze qqha f ❑ Hold in Planning File Drawer Garage/Accessory Struct. Size Zone fi Number of Stories 7—„ Overlay/Agreement C/0 ) ceyt Basement ❑No ifiYes , in Unfin Nonresidential Use Type of Construction `,C 3 Residential Use 2 5 Occupancy Group Proposed No. of Dwelling Units: Occupancy Load Total No. of Dwelling Units: 1. Fire Sprinklers: ❑Update Existing ❑New System ❑Not Req'd Planning/Landscape Inspection Required before Final? DYes 13( o 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: edit: RCW 64.55 MF worksheet req'd for permit? ❑YesM..No DEverett School Dist ukilteo School Dist Add'I RCW 64.55 docs required prior to final? ❑Yes J No Additional Notes: in.lefloe.— ` cyl __, Az)€.7derjoe.— VALUATION CALCULATION: Total$ os, '2 v 6,Amy (Qjilkj ♦ / ; , -. j15 rAA J Approved By: V..... 1 Date: 1-q..4 y PUBLIC WORK Intake OK by:<S.2 Date: , 9 �.,@19 Additional Notes: C !�j az Al—ri C- Intake Comments: PW Worksheet Needed if:: ijaktr�o @ J ` Ai _ work ❑Sys Dev Eval ❑Traffic Mit Eval /�I� i /(�1 �(,a�►r ❑Site Work or Drainage Proposed Approved By: cy Date: dZ71 ❑Backflow Prevention for high hazard: (dental,medical,animals,mortuary,hospital, supportive housing) FIRE DEPARTMENT DRoute this folder for PW Review at end ---PW Review Worksheet Intake: (Needed for Townhomes,Alley load SFR,New Commercial) ❑This project also has a separate concurrent PW Review(Green Folder) ❑Route to Fire Drawer---Fire Preliminary Review Notice AND ❑Create Green Folder ❑Submitted Previously ❑Deferred OSending Fire Notes to Project Team ❑This Permit is Approved by Public Works Date: (OK to Route to Other Departments) ❑ See PW Review Worksheet and associated attached items Fire Sprinklers: ❑Update Existing ❑New System 0 Not Req'd 0 A Separate PW Permit is Required (Permit#: PW ) Fire Alarm: ❑Update Existing ❑New System 0 Not Req'd AND ❑ Is located in this folder Chemical Sup: ❑Update Existing 0 New System 0 Not Req'd ❑ Is in a Separate Green Folder(join with this folder for permit issuance) Additional Notes: ❑ Will be issued separately(Separate Green Folder,PW issued ahead of Bldg) Approved By: Date: Public Works has no scope---PW Not Required Additional Notes: ELECTRICAL Additional Notes: Approved By: Date: Approved By:,, Date: i/i/ n