2221 COLBY AVE 2024-02-09 - Laserfiche WebLink

PERMIT# f ti o 7-03 7Intake &Approval Sheet (FOR PERMIT STAFF ONLY BUILDING PLANNING Intake OK by: `ilk Date: 712 349 Intake OK by: Date: Intake Comments: Intake Comments: Assign To: ❑ 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 i"q Number of Stories Overlay/Agreement CV-PC Basement El No ❑Yes, Fin/Unfin Nonresidential Use Type of Construction Residential Use 6Q?r106 \ 'fig-- Occupancy Group Proposed No.of Dwelling Units: -- Occupancy Load Total No. of Dwelling Units: '.. Fire Sprinklers: ❑Update Existing El New System ❑Not Req'd Planning/Landscape Inspection Required before Final? ❑Yes Ilo Reason Sprinklers Required: "In Lieu"Fee:Type: Amou Fire Alarm: ❑Update Existing ❑New System ❑Not Req'd School Impact Fee: Total $ Reason Fire Alarm Required: Calculated: redit: RCW 64.55 MF worksheet req'd for permit? ❑Yes la No El Everett School Dist ukilteo School Dist Add'I RCW 64.55 docs required prior to final? ❑Yes I No Additional Notes: 1.(4p,6, 11— p() AO R.X�jpr'C, VALUATION CALCULATION: Total ist0oo ce�ie?ec/cr �ik%!L 'v Arty_` mon be feikiN(= t) p!i re_ WcN'KifefiT ars Approved By: Date: 1.-2 LI—)9 PUBLIC WORKS //'' Intake OK by: .,... ._,PUBLIC Date: 7r9'7� /1 Additional Notes: 2 o r S /A L T la Stec- Intake Comments: PW Worksheet Needed if: 0 ,,,,�/ ❑Sys Dev Eval ❑Traffic Mit Eval '' JC ❑Site Work or Drainage Proposed Approved By: V_ Ipl ' Date: 7(Z 1 ❑Backflow Prevention for high hazard: l /f No (�/ �j} (dental,medical,animals,mortuary,hospital, / y 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 ❑Submitted Previously ❑Deferred Additional Notes: 0 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) ❑ 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: AGLr ^✓14 <G �Z ate: .-/2 y ��1 i `( 2_12_