5301 COLBY AVE 2022-12-30 - Laserfiche WebLink

• •Intake & Approval Sheet (FOR PERMIT STAFF ONLY) PERMIT# ES 2 2 d //3lc 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 Ve'�✓ Number of Stories Overlay/Agreement Basement ❑No • es , Fin/Unfin Nonresidential Use Type of Construction Residential Use Occupancy Group /�--.0'74- Proposed No.of Dwelling Units: Occupancy Load Total No.of Dwelling Units: Fire Sprinklers: El Update •xisting ❑New System ❑Not Req'd Planning/Landscape Inspection Required before Final? ❑Yes No Reason Sprinklers -•.uired: "In Lieu"Fee:Type: Amount$ Fire Alarm: 2 Update Existing El New System El Not Req'd School Impact Fee: Total $ Reason F' Alarm Required: Calculated: Credit: RC .4.55 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: . iC On‘n 7 VALUATION CALCULATION: Total $ L 0 6'07 `2 Approved By: �.. \ Date: \ , 6, Zz PUBLIC WORKS ?,. Intake OK by: Date: Additional Notes: Intake Comments: PW Worksheet Needed if: ❑Sys Dev Eval ❑Traffic Mit Eval ❑Site Work or Drainage Proposed Approved By:1� F5�5' Date: `1/�'6/�4"' €❑Backflow Prevention for high hazard: 6` ;(dental,medical,animals,mortuary,hospital, i 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: ❑ This Permit is Approved by Public Works ❑ 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 ❑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: