4730 COLBY AVE YMCA 2022-01-11 - Laserfiche WebLink

Intake & Approval Sheet (FOR PERMIT STAFF ONL1) 4 PERMIT# V1 0 OZ BUILDING PLANNING Intake OK by: Date: Intake OK by: Date: Intake Comments: Intake Comments: Assign To: ❑ Route to Commercial Building ❑Attach to Project No. ' ?V` \(9w OC:P\ ❑ Route to Residential Building ❑ Route to Historic Reviewer O Make this a"W" Permit ❑ OK to Route to Other Departments Bldg/TI/Addn/Rem Size ❑ Hold in Planning File Drawer Garage/Accessory Struct. Size Zone '- Number of Stories Overlay/Agreement Basement ❑No ❑Yes , Fin/Unfin Nonresidential Use Type of Construction Residential Use Occupancy Group Proposed No.of Dwelling Units: Occupancy Load Total No. of Dwelling Units: Fire Sprinklers: ❑Update Existing ❑New System ❑Not Req'd Planning/Landscape Insp: tion 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: otal $ Reason Fire Alarm Required: Calculated: Credit: RCW 64.55 MF worksheet req'd for permit? ❑Yes ❑ No ❑Everett School Dist ❑Mukilteo School Dist Add'I RCW 64.55 docs required prior to final? ❑Yes ❑No Additional Notes: VALUATION CALCULATION: Total$ StgulteA Q`,(f.s 4 to\becspeca\ed►as a vC.Qo btara Approved By: : Date: 1,..\ ZOAQ PUBLIC WORKS Intake OK by: Date: Additional Notes: Intake Comments: PW Worksheet Needed if: ❑Sys Dev Eval ❑Traffic Mit Eval p OSite Work or Drainage Proposed Approved By: Date: j� t-( ❑Backflow Prevention for high hazard: C (dental,medical,animals,mortuary,hospital, supportive housing) FIRE DEPARTMENT ❑Route 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) DRoute to Fire Drawer---Fire Preliminary Review Notice AND ❑Create Green Folder ❑Submitted Previously ❑Deferred ❑Sending 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 ❑ Not Req'd ❑A Separate PW Permit is Required (Permit#: PW Fire Alarm: ❑Update Existing ONew System ❑ Not Req'd AND ❑ Is located in this folder Chemical Sup: ❑Update Existing ❑New System ❑ 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: 2—