3915 COLBY AVE 2024-02-09 - Laserfiche WebLink

intake c"x.HppfOVa1 �neet (rul t-ztcivil ►/4Ii WILY) PERMIT# 0-30 Jr• ®t o BUILDING • "INNING • Intake OK by: Date: intake OK by: Assign To: JQSS Date:5/3 I23 Intake Comments: Intake Comments: Zone V R Overlay/Agreement Residervkici mixed use'orrtbc r ❑ Route to Commercial Building Nonresidential Use -- ❑ Route to Residential Building Residential Use Group houSirnexkex,de-CI ❑ Make this a"N"Permit Proposed No.of Dwelling Units: Bidg/Tl/Addn/Rem Size Total No.of Dwelling Units: Garage/Accessory Struct.Size PlanninglLandscape Inspection Required before Final? ❑Yes EINo Number of Stories 6 "in Lieu"Fee:Type: Amount$ Basement ❑No ❑Yes, Fin!Unfin School Impact Fee: Total $ Type of Construction (/-A Calculated: Credit: Occupancy Group /2-z ❑Everett School Dist ❑Mukilteo School Dist Occupancy Load Park Impact Fees for permits applied for after 1/112022: Fire Sprinklers:❑Update Existing❑New System ' NotReq`d Park Impact Fee Total$ (net due after credit for existing uses) Reason Sprinklers Required: Fee Schedule Used For Calculation(Year): Fire Alarm: El Update Existing ❑New System lot Req'd Permit Technician Use Only:Apply phase-In Credit Per EMCi9.53.200 Reason Fire Alarm Required: ❑ 100%Credit-Issued 1/1/2022-9/2/2022 RCW 64.55 MF worksheet req`d for permit? ❑Yes IN No ❑ 50%Credit-Issued 9/3/2022-6/2/2023 Add'l ROW 64.55 does required prior to final? ❑Yes EtNo ❑ 0%Credit-Issued 6/3/2023 or later VALUATION CALCULATION: Total$Z-Ji000ndt' Additional Notes:C'necked w! Ke.lseuj-- Skove, ir, / w+v►}l-purpose r•Oo' O .. Approved By: w-,-) Date: 5/3/23 PUBLIC WORKS . • Additional Notes: Intake OK by: Date: Intake Comments: PW Worksheet Needed if ❑Sys Dev Eval(Utii/SW)QTraffic Mit Eval Approved 1. � Date:O/b7/La2, ❑SiteWork/Drainage DAddress Letter DBackflow Prevention for high hazard: (dental,medical,animals,mortuary,hospital, •FIRE DEPARTMENT supportive housing) Separate/Deferred Submittals Required: ❑Route this folder for PW Review at end --PW Review Worksheet ❑Fire Sprinklers ❑Fire Alarm DOther: ❑This project also has a separate concurrent PW Review(Green Folder) Additional Notes: AND ❑Create Green Folder ❑Submitted Previously ❑Defen•ed tgl This Permit is Approved by Public Works Fire Dept Fees: ❑See PW Review Worksheet and associated attached items ❑ Review of As-Built Plans-NO FIRE FEE ❑A Separate PW Permit is Required(Permit#: PW ) ❑ Minimal or No Fire Scope-NO FiRE FEE AND ❑ Is located in this folder Review/Inspection Scope-ADD FiRE FEE ❑ Is in a Separate Green Folder(join with this folderfor permit issuance) Approved By: ,pco().6, Date:5 _ [ 3 0 Wili be issued separately(Separate Green Folder,PW issued ahead of Bldg) ❑Public Works has no scope--PW Not Required ULJ CT.RICALiRLUM$ING Additional Notes:h u Scup,. Additional Notes: ASALW iS VMACIA s oi'1 .4e o av, . Approved By: Date: Completed By Ityhttzlnj Date: 0 ((�J