3120 COLBY AVE 2024-02-14 - Laserfiche WebLink

Intake & Approval Sheet (FOR PERMIT STAFF ONLY) PERMIT# 57-Z ( —C)S 4 BUILDING PLANNING Intake OK by: Date: Intake OK by:A5 Assign To: .f�QQ . Date: iZf 1/202-Z Intake Comments: Intake Comments: Zone Overlay/Agreement rAei(O 1YZ°6l.E. ❑ Route to Commercial Building Nonresidential Use (U� ❑ Route to Residential Building Residential Use ❑ Make this a"W" Permit Proposed No. of Dwelling Units: Bldg/TI/Addn/Rem Size Z 7J 0 )SiF Total No. of Dwelling Units: Garage/Accessory Struct. Size Planning/Landscape Inspection Required before Final? ❑Yes ❑No Number of Stories "In Lieu" Fee:Type: Amount$ Basement No ❑Yes , Fin/Unfin School Impact Fee: Total $ _ Type of Construction Calculated: No Sokaol)6e41 Credit: Occupancy Group ,£- Z_ Everett School Dist ❑Mukilteo School Dist Occupancy Load Park Impact Fees for Dermifc nplied for after 1/1/2022: Fire Sprinklers: pUpdate Existing ❑New System ❑Not Req'd Park Impact Fee Total f 3,I Z4.q2,,_(net due after credit for existing uses) Reason Sprinklers Required: Fee Schedule Used For Calculation(Year): Fire Alarm: ,Update Existing ❑New System Not Req'd Permit Technician Use Only:Apply Phase-In Credit Per EMC19.53.200 Reason Fire Alarm Required: ❑ 100%Credit-Issued 1/1/2022-9/2/2022 RCW 64.55 MF worksheet req'd for permit? ❑Yes n No ❑ 50%Credit-Issued 9/3/2022-6/2/2023 Add]RCW 64.55 docs required prior to final? ❑Yes No ❑ 0%Credit-Issued 6/3/2023 or later -- - VALUATION CALCULATION: Total $fd gDO,ov Additional Notes: Approved By:64 Date:3h p..oZ3 PUBLIC WORKS Additional Notes: Intake OK by: ( Date: A.12.g Intake Comments: PW Worksheet Needed if:• AN OVA! !?; �' ❑Sys Dev Eval(Util/SW) lhlTraffic Mit Eval Approved Bap ' 7 Date: O5//Ztc/�.a73 ESite Work/Drainage DAddress Letter ElBackflow Prevention for high hazard: (dental,medical,animals,mortuary,hospital, FIRE DEPARTMENT supportive housing) Separate/ Deferred S bmittals 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 ❑ 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 fig Review/Inspection Scope-ADD FIRE FEE 0 Is in a Separate Green Folder(join with this folder for permit issuance) Approved By:- --I � ❑ Will be issued separately(Separate Green Folder,PW issued ahead of Bldg) .Public Works has no scope--- PW Not Required ELECTRICAL/PLUMBING Additional Notes: ( .' f�+\ �tIZ/l Additional Notes: IV'Jf 1 (,W%I it ONO' '1'i D (&e.giNvergi W1 im��,j,� k„, .2 Approved By: Date: Completed By:-� ti Date: it lei f ix.z�-c"�"