1330 COLBY AVE IRG PHYSICAL THERAPY 2023-09-25

Intake &Approval Sheet (FOR PERMIT STAFF ONLI9 PERMIT# BUILDING PLANNING Intake OK by: Date: Intake OK by: Assign To: Date: Intake Comments: Intake Comments: ❑ Route to Commercial Building Ittach to Project No. 1?...o)J 1121 — a I ❑ Route to Residential Building ❑ Route to Historic Reviewer ❑ Ma this a"W"Permit El OK to Route to Other Departments Bldj2ddn/Rem Size f �l� El Hold in Planning File Drawer Garage/Accessory Struct.Size Zone 12—/— Number of Stories I Overlay/Agreement Basement IgNo ❑Yes , Fin/Unfin Nonresidential Use 04114,— ciL.i L Type of Construction v.? Residential Use Occupancy Group 13 Proposed No.of Dwelling Units: Occupancy Load /7 r Total No.of Dwelling Units: Fire Sprinklers: El Update Existing ❑New System usNot Req'd Planning/Landscape Inspection Required before Final? ❑Yes , No Reason Sprinklers Required: � "In Lieu"Fee:Type: Amount$ Fire Alarm: ❑Update Existing ❑New System 6d'Not Req'd School Impact Fee: Total $ Reason Fire Alarm Required: Calculated: Credit: RCW 64.55 MF worksheet req'd for permit? ❑Yes No El Everett School Dist ❑Mukilteo School Dist Addi RCW 64.55 dots required prior to final? Dyes � No Additional Notes: ow., e2)112,E-oil VALUATION CALCULATION: Total$ pYJ`Oae �� v f Approved By: t, Date: 1 i,,_2Z 4 PUBLIC WORKS Intake OK by: . Date: Additional Notes: Intake Comments: IPW Worksheet Needed if: 'OSys Dev Eval ❑Traffic Mit Eval `OSite Work or Drainage Proposed Approved By:<�_./ Date: G6�� ❑Backflow Prevention for high hazard: _(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 OSubmitted 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) El-Review/Inspection Scope-ADD FIRE FEE 0 Will be issued separately(Separate Green Folder,PW issued ahead of Bldg) Approved By: ;(2),Cp0,v.p Date:k2„,2 —�,1 Public Works has no scope---PW Not Required Additional Notes: ELECTRICAL Additional Notes: Approved By: Date: Approved By: g Date: