5611 COLBY AVE 2024-02-09 - Laserfiche WebLink

Intake &Approval Sheet • (FOR PERMIT STAFF ONLY) • PERMIT#\32ic3-05 , BUILDING PLANNING Intake OK by: Date: 6 1 Intake OK by: Assign To: Date: Intake Comments: Intake Comments: ` ,�, If Al ,� e-l 6 & ' ❑ 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 BldgilluiRem Size `444. -st...'0' ❑ Hold in Planning File Drawer Garage/Accessory Struct. Size __ Zone Number of Stories -- Overlay/Agreement Basement ®No ❑Yes, Fin/Unfin Nonresidential Use Type of Construction 1(Z..C.— Residential Use A-X j i 1\ F 1-_ Occupancy Group ,R-C. Proposed No.of Dwelling Units: Occupancy Load Total No.of Dwelling Units: �+ Fire Sprinklers: ❑Update Existing El New System IN Not Req'd Planning/Landscape Inspection Required before Fina a ❑Yes 12 Jo Reason Sprinklers Required: "In Lieu"Fee:Type: Amoun Fire Alarm: ❑Update Existing ❑New System %1 Not Req'd School Impact Fee: Total $ Reason Fire Alarm Required: fvI Calculated: Credit: RCW 64.55 MF worksheet req'd for permit? ❑Yes L^J No Cl Everett School Dist ❑Mukilteo S Col Dist Add'I RCW 64.55 docs required prior to final? ❑Yes INo Additional Notes: VALUATION CALCULATION: Total$ 1 boy 000ina‘ �\��Z, Aer=0.4 cc-) IN61-ej V-oe Approved By: `1. ,� Date: '7 • 2-1 I— PUBLIC WORKS Intake OK by: Date: Additional Notes: Intake Comments: 1rPW Worksheet Needed if: • ❑Sys Dev Eval ❑Traffic Mit Eval I❑Site Work or Drainage Proposed Approved By: Date: 0 i 2(2 D2t =❑Backfiow Prevention for high hazard: (dental,medical,animals,mortuary,hospital, :supportive housing) FIRE DEPARTMENT El 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 El 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: 0 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) ❑ 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: liclrek Date: 9 f' i' t