2825 COLBY AVE VINTAGE LIBATIONS 2023-12-07

Intake &Approval Sheet iFOR PERMIT STAFF ONLY) PERMIT# E © S""0' BUILDING FaINING Intake OK by: Date: intake OK by: Assign To: Date: intake Comments: Intake Comments: Zone 1 1 ►U Overlay/Agreement ❑ Route to Commercial Building Nonresidential Use 1Z J t- ❑ Route to Residential Building Residential Use ❑ Make this a"W"Permit Proposed No.of Dwelling Units: Bidg/TllAddn/Rem Size Total No.of Dwelling Units: Garage/Accessory Struct.Size PIanning/Landscape inspection Required before Final? ❑Yes ❑No Number of Stories "In Lieu"Fee:Type: Amount$ Basement El No ❑Yes, Fin/Unfin School Impact Fee: Total $ / Type of Construction Calculated: Credit: Occupancy Group 3 ❑Everett School Dist ❑Mukilteo School Dist Occupancy Load Park Impact Fees for permits applied for after 1/1/2022: Fire Sprinklers:,Update Existing ONew System ❑Not Req'd Park Impact Fee Total$ / (net clue after credit for existing uses) Reason Sprinklers Required: Fee Schedule Used For Calculation(Year): Fire Alarm: / lpdate Existing :New System ONot Req'd Permit Technician Use Only:Apply Phase-In Credit Per ENIC19.53.200 Reason Fire Alarm Required: ❑ 100%Credit-issued 1/1/2022-9/2/2022 ROW 64.55 MF worksheet req'd for permit? ❑Yes 12 No ❑ 50%Credit-Issued 9/3/2022-6/2/2023 Add'I ROW 64.55 does required prior to final? ❑Yes No 0 0%Credit-Issued 6/3/2023 or later VALUATION CALCULATION: Total$3;OOc>,bD Additional Notes: ( f 1Ql Approved By: Date: PUBLIC WORKS . . . Additional Notes: intake OK by: Date: Intake Comments: PW Worksheet Needed if Qsys Dev Eval(Util/sw) ❑Traffic Mit Eval Approved B Date:Q6/Z. 7�2� ❑Site Work/Drainage 1_7Address Letter I QBackflow Prevention for high hazard: (dental,medical,animals,mortuary,hospital, FIRE DEPARTMENT supportive housing) Separate!Deferred Submittals Required: ❑Route this folder for PW Review at end --PW Review Worksheet ❑Fire Sprinklers ❑Fire Alarm ❑Other: ❑This project also has a separate concurrent PW Review(Green Folder) Additional Notes: AND ❑Create Green Folder ❑Submitted Previously ❑Deferred 0 This Permit is Approved by Public Works Fire Dept.Fees: 0 See PW Review Worksheet and associated attached items ❑ Review of As-Built Plans-NO FIRE FEE ❑A Separate PW Permit is Required(Permit#: PW Minimal or No Fire Scope-NO FIRE FEEL AND ❑ Is located in this folder !.a eeti n Coop ",^D F:RE FEE ❑ Is in a Separate Green Folder(join with this folder for permit issuance) Approved By:\.<‘9 1Y7 Date: 6— 7 2 ❑Will be issued separately(Separate Green Folder,PW issued ahead of Bldg) Public Works has no scope--PW Not Required ELECTRICAL/PLUMBING Additional Notes: Additional Notes: vc (1A1_ -e, ©& Approved By: Date: Completed By:- (_J D e: 0 it 10Z 26t.3