3120 COLBY AVE 2024-02-14 - Laserfiche WebLink

Intake &Approval Sheet 40OR PERMIT STAFF ONLY) PERMIT# «t 3 DC-- WO BUILDING FilkINING Intake OK by: Date: intake OK by: Assign To: Date: Intake Comments: Intake Comments: Zone Overlay/Agreement ❑ Route to Commercial Building Nonresidential Use ❑ Route to Residential Building Residential Use ❑ Make this a"W"Permit Proposed No.of Dwelling Units: Bldg/TI/Addn/Rem Size 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: Credit: Occupancy Group ❑Everett School Dist ❑Mukilteo School Dist Occupancy Load Park impact Fees for permits applied for after fl11/2022: Fire Sprinklers: DUpdate Existing ❑New System ❑Not.Req'd Park Impact Fee Total$ (net due after credit for existing uses) Reason Sprinklers Required: Fee Schedule Used For Calculation(Year): Fire Alarm: DUpdate Existing ❑New System ❑Not Req'd Permit Technician Use Only:Apply Phase-In Credit Per EMC19.63.200 Reason Fire Alarm Required: ❑ 100%Credit-issued 1/1/2022-9/2/2022 RCW 64.55 MF worksheet req'd for permit? DYes El No ❑ 50%Credit-Issued 9/3/2022-6/2/2023 Add'I RCW 64.55 dots required prior to final? ❑Yes ❑No ❑ 0%Credit-Issued 6/3/2023 or later VALUATION CALCULATION: Total$ Additional Notes: Approved By: Date: PUBLIC WORKS . . Additional Notes: intake OK by: Date: Intake Comments: PW Worksheet Needed if ❑Sys Day Eval(Util/SW)OTraffic Mit Eval Approved By: Date: Mite Work/Drainage ❑Address Letter ❑9ackflow Prevention for high hazard: •FIRE DEPARTMENT • supportive housingdental,medical, ) mortuary,hospital, PP s) 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 VI,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 . eview/inspection Scope ADD FIRE FEE ❑ is in a Separate Green Folder coin with this folder for permit issuance) Approved 13y. t4a,NA)\ Date: C -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: Approved By: Date: Completed Bye /`v Date: te/z 31104