4310 COLBY AVE 2022-04-04 - Laserfiche WebLink

• # Intake & Approval Sheet (FOR PERMIT STAFF ONLY) PERMIT#�2U0 -O(,(` BUILDING PLANNING Intake OK by: Date: Intake OK by: AS, Assign To: Date: I l/iof ZGZ_f Intake Comments: Intake Comments: ❑ Route to Commercial Building ❑ Attach to Project No. ❑ Route to Residential Building ❑,,, Route to Historic Reviewer ❑ ke this a"W"Permit OK to Route to Other Departments BI I/ do/Rem Size F C' ) ,^, ,•-- / Hold in Planning File Drawer Garage/Accessory Struct.Size Zone Number of Stories — Overlay/Agreement Basement lallo ❑Yes, Fin/Unfin Nonresidential Use Type of Construction ✓S Residential Use h i i rvaG _ Occupancy Group 13' Proposed No.of Dwelling Units: Occupancy Load Total No.of Dwelling Units: Fire Sprinklers: El Update Existing ❑New System PNot Req'd Planning/Landscape Inspection Required before Final? ❑Yes ❑No Reason Sprinklersffrs�-Required: :In Lieu"Fee: Type: Amount$ Fire Alarm: �,IUpdate Existing El New System El Not Req'd School Impact Fee: Total $ Reason Fire Alarm Required: Calculated: Credit: RCW 64.55 MF worksheet req'd for permit? ❑Yes El No ❑Everett School Dist ❑Mukilteo School Dist _ _ Add'I RCW 64.55 docs required prior to final? ❑Yes ElNo Additional Notes: VALUATION CALCULATION: Total$ f 116, t22 Approved By: Al5 Date: I Nu /eou PUBLIC WORKS Intake OK by: Date: Additional Notes: Intake Comments: 'PWWorksheet Needed if: ❑Sys Dev Eval OTraffic Mit Eval ❑Site Work or Drainage Proposed /{ ❑Backflow Prevention for high hazard: Approved BL_____cs Date: /i/lid/'e J _(dental,medical,animals,mortuary,hospital, _supportive housing) FIRE DEPARTMENT . ❑Route 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: ❑ 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 ❑ Minimal or No Fire Scope-NO FIRE FEE ❑ Is in a Separate Green Folder(join with this folder for permit issuance) El Review/Inspection Scope-ADD FIRE FEE ❑ Will be issued separately(Separate Green Folder,PW issued ahead of Bldg) Approved By � .,, s-R ,Z D, e: li ,/�,;G/ ElPublic Works has no scope---PW Not Required Additional Notes: ELECTRICAL Additional Notes: (Approved By: Date: Approved By: Date: _2112,