2501 COLBY AVE 2023-10-20 - Laserfiche WebLink

Intake &Approval Sheet • (FOR PERMIT STAFF ONLY) IP PERMIT# `322dr--6(- l BUILDING �,�� PLANNING Intake OK by: Date: Intake OK by:yilr k Assign To: Date:41 R f z Intake Comments: Intake Comments: 4Aitt /.t ria.,, ptu rc A,1I -114 rn,s s►tibrnt ft • ❑ Route to Commercial Building ❑Attach to Project No. ❑Route to Residential Building 0 Route to Historic Reviewer ❑ Make this a"W"Permit ❑ OK to Route to Other Departments Bldg/TI/Addn/Rem Size 0 Hold in Planning File Drawer Garage/Accessory Struct.Size Zone rn() Number of Stories Overlay/Agreement Basement ❑No ❑Yes, Fin/Unfin Nonresidential Use ,1_ Type of Construction Residential Use Mk) t+l A tvt:1/6- Occupancy Group Proposed No.of Dwelling Units: Occupancy Load Total No.of Dwelling Units: Fire Sprinklers: ❑Update Existing ❑New System ❑Not Req'd Planning/Landscape Inspection Required before Final? ❑Yes ❑No Reason Sprinklers Required: "In Lieu"Fee:Type: Amount$ Fire Alarm: El Update Existing ❑New System ❑Not Req'd School Impact Fee: Total $ Reason Fire Alarm Required: Calculated: Credit: RCW 64.55 MF worksheet req'd for permit? Yes ❑ No ❑Everett School Dist ❑Mukilteo School Dist Add i RCW 64.55 does required prior to final? Yes ,No Additional Notes: VALUATION CALCULATION: Total$ 76 7 '& aD f)Vs&inleS HAI (R q 11-7 Approved By: Date: PUBLIC WORKS Intake OK by: . Date: Additional Notes: Intake Comments: _PW Worksheet Needed if: IOSys Dev Eval [(Traffic Mit Eval =DSite Work or Drainage Proposed Approved / _ Date: ,/,Z,�9 • I❑BBCkfl0 Prevention for high hazard: ` _(dental,medical,animals,mortuary,hospital, :supportive housing) FIRE DEPARTMENT 0 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) OFire Sprinklers ❑Fire Alarm ❑Other: AND OCreate 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: ❑A Separate PW Permit is Required(Permit#: PW ❑ Review of As-Built Plans-NO FIRE FEE AND 0 Is located in this folder ❑Minimal or No Fire Scope-NO FIRE FEE 0 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: 0 Public Works has no scope--PW Not Required Additional Notes: ELECTRICAL Additional Notes: Approved By: Date: Approved By: Date: