3120 COLBY AVE 2024-02-14 - Laserfiche WebLink

Intake &Approval Sheet (FOR PERMIT STAFF ONLY) PERMIT# 6-a3'016--0/9 BUILDING • "PLANNING 6; tcj —0-V 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't/112022: 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 EMC19.53.200 Reason Fire Alarm Required: ❑ 100%Credit-Issued 1/1/2022-9/2/2022 RCW 64.55 MF worksheet req'd for permit? ❑Yes ❑ No CI 50%Credit-Issued 9/3/2022-6/2/2023 Add'I ROW 64.55 docs required prior to final? ❑Yes ❑No ❑ 0%Credit-Issued 6/3/2023 or later VALUATION CALCULATION: Total$ Additional Notes: Approved By; Date: PUBLIC WoRlts . . . • Additional Notes: Intake OK by: Date: Intake Comments: PW Worksheet Needed if ❑Sys Dev Eval(util/Sin)1_ITraffic Mit Eva( Approved By: Date: ❑Site Work/Drainage DAddress Letter ❑Backf(ow Prevention for high hazard: FIRE DEPARTMENT housingdental,medical, ) mortuary,hospital, supportive9) 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 OCreate Green Folder ❑Submitted Previously ❑Deferred El• 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: \<,&-®WA\ Date:G 423 ❑Will be issued separately(Separate Green Folder,PW Issued ahead of Bldg) ❑Public Works has no scope---PW Not Required ELECTRICAL.IPLUMBING • Additional Notes: Additional Notes: Approved By: Date: Completed By: Date: