3224 COLBY AVE 2023-02-06 - Laserfiche WebLink

Intake &Approval Sheet 0 (FOR PERMIT STAFF ONLY) • PERMIT# 621 Dl-002 BUILDING PLANNING . Intake OK by: Date: Intake OK by: Assign To: Date: Intake Comments: Intake Comments: a ❑ Route to Commercial Building ❑Attach to Project No. ❑ Route to Residential Building ❑ Route to Historic Reviewer ❑ Make this a"W"Permit 0 OK to Route to Other Departments Bldg/TI/Add em_ze /18 ,y'P ❑ Hold in Planning File Drawer Garage/Accessory Struct.Size v,€S Zone Number of Stories Z Overlay/Agreement Basement ,No ❑Yes, Fin/Unfin Nonresidential Use G\I (, ce.,6 ) Type of Construction t/5 Residential Use Occupancy Group .8 Proposed No.of Dwelling Units: Occupancy Load • Total No.of Dwelling Units: Fire Sprinklers:07 Update Existing ❑New System '-1"4 -i d Planning/Landscape Inspection Required before Final? ❑Yes to Reason Sprinklers Required: "In Lieu"Fee:Type: Amount$ Fire Alarm: prUpdate Existing ❑New System ';1'V.:4 • School Impact Fee: Total $ Reason Fire Alarm Required: Calculated: Credit: RCW 64.55 MF worksheet req'd for permit? ❑Yes 0 No DEverett School Dist ❑Mukilteo School Dist Add'I RCW 64.55 docs required prior to final? ❑Yes El No Additional Notes: 15 1 - fib eA / VALUATION CALCULATION: Total$_ 10 Old J- 3 Approved By: V-- Date: 46,(O» fl BLIC WORKS Intake OK by: Date: Additional Notes: Intake Comments: PW Worksheet Needed if: IDSys Dev Eval ❑Traffic Mit Eval DSite Work or Drainage Proposed. Approved B - s Date0�//// u :1]Backflow Prevention for high hazard: :(dental,medical,animals,mortuary,hospital, ;supportive housing) E FIRE DEPARTMENT ❑Route this folder for PW Review at end ---PW Review Worksheet Separate I Deferred Submittals Required: ❑This project also has a separate concurrent PW Review(Green Folder) Eiffre Sprinklers [ Ftre 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 coin with this folder for permit issuance) eview/Inspection Scope-ADD FIRE FEE ❑ Will be issued separately(Separate Green Folder,PW issued ahead of Bldg) Approved By: K , roc.e.,ri Date: a-'.7 2/ 0 Public Works has no scope--- PW Not Required Additional Notes: ELECTRICAL Additional Notes: Approved By: Date: Approved By: Date: Z/