3124 COLBY AVE 2022-04-27 - Laserfiche WebLink

Intake &Approval Sheet • (FOR PERMIT STAFF ONLY) • PERMIT# 1321 Di...0 BUILDING PLANNING Intake OK by: Date: Intake OK by: Assign To: Date: Intake Comments: Intake Comments: ❑ Route to Commercial Building ❑ Attach to Project No. ❑ Route to Residential Building ❑ Route to Historic Reviewer ❑ 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 ONo ■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: ❑Upda • Existing ❑New System ❑Not Req'd Planning/Landscape In ection Required before Final? ❑Yes ❑No Reason Sprinklers Required: "In Lieu"Fee:Type: Amount$ Fire Alarm: ■ pdate Existing ❑New System ❑Not Req'd School Impact Fee. Total $ _ Reason Fire A:rm Required: Calculated: Credit: RCW 64.55 worksheet req'd for permit? ❑Yes ❑ No El Everett S ool Dist ❑Mukilteo School Dist Add'I RC 64.55 docs required prior to final? ❑Yes ❑No Additional otes: VALU'TION CALCULATION: Total$ Approved By: Date: PUBLIC WORKS Intake OK by: Date: Additional Notes: Intake Comments: jPWWorksheetNeeded if: 5t i vii- t. fi, 1 h , Jt P WA' ' �i 1 DSys Dev Eval ❑Traffic i Eval V"`✓� ►t6 Leo I111-0 • ' t DSite Work or Draina•: roposed Approved By: 1-1/ "wit/ Date: ?jl �� I❑Backflow Preve for high hazard: i(dental,medical,-, als,mortuary,hospital, !supportive ho - g) FIRE DEPARTMENT ❑Route this folder for PW Review at end - PW Review Worksheet Separate/Deferred Submittals Require ❑This project also has a separate con,.rrent PW Review(Green Folder) CI Fire Sprinklers El Fire Alarm Other: AND OCreate Green Folder ❑S emitted Previously ODeferred Additional Notes: ❑ This Permit is Approved bye'blic Works ❑ See PW Review Works et and associated attached items Fire Dept.Fees: ❑ A Separate PW Per • is Required (Permit#: PW ) ❑ Review of As-Bu' lans-NO FIRE FEE AND ❑ Is located • this folder ❑ Minimal or ire Scope-NO FIRE FEE ❑ Is in a separate Green Folder(join with this folder for permit issuance) ❑ Review spection Scope-ADD FIRE FEE ❑ Wil .e issued separately(Separate Green Folder,PW issued ahead of Bldg) Approved By: Date: ❑ Public i orks has no scope---PW Not Required Addition Notes: ELECTRI L Additional Notes: Approved By: Date: Approved By: Date: