1321 COLBY AVE BASE FILE 2022-11-16

Intake &Approval Sheet •(FOR PERMIT STAFF ONLY) • PERMIT# b210 JO(D(p 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 /C(F/ 7 ElHold in Planning File Drawer Garage/Accessory Struct. Size Zone ,_ c7 Number of Stories '( 7P Overlay/Agreement Basement ❑No ❑Yes , Fin/Unfin Nonresidential Use Type of Construction 2 - A Residential Use Occupancy Group I- 02 Proposed No.of Dwelling Units: Occupancy Load id Total No.of Dwelling Units: Fire Sprinklers: gUpdate Existing ❑New System ❑Not Req'd Planning/Landscape Inspection Required before Final? ❑Yes LpNo Reason Sprinklers Required: ,'LY-' s�'1 "In Lieu" Fee: Type: Amount$ Fire Alarm: ZUpdate Existing El New System ❑Not Req'd School Impact Fee: Total $ Reason Fire Alarm Required: 5[�ili—i.)W4fhl Calculated: Credit: RCW 64.55 MF worksheet req'd for permit? ❑Yes 12iNo ❑Everett School Dist ❑Mukilteo School Dist Add'I RCW 64.55 docs required prior to final? f�❑Yes EtNo Additional Notes: yy��,]� _6\S t 00�_ reefl._ ' VALUATION CALCULATION: Total$11 tl 6(O.% ��N.t1C�v� I� Approved By: ) Date: LI•1. Z PUBLIC WORKS Intake OK by: Date: Additional Not s: Intake Comments: £PW Worksheet Needed if:: 1 ,`0 3—I\ \ €❑Sys Dev Eval ❑Traffic Mit Eval OSite Work or Drainage Proposed Approved By: Date: MC/02/ IDBackflow Prevention for high hazard: C--�1 :(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 ❑Fire Alarm ❑Other: AND ❑Create Green Folder ❑Submitted Previously ❑Deferred Additional Notes: 0 This Permit is Approved by Public Works 0 See PW Review Worksheet and associated attached items Fire Dept. Fees: ❑ 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) .Review/Inspection Scope-ADD FIRE FEE 0 Will be issued separately(Separate Green Folder,PW issued ahead of Bldg) Approved By:V, j (A) c Date: 11-6-,. ] riPublic Works has no scope--- PW�Not Required Additional Note � W c.+/it I1-43Li ELECTRICAL Additional Notes: Approved By: Date: Approved By: Date: 21Z—