2923 COLBY AVE 2024-10-24 - Laserfiche WebLink

E r CC5 Intake &Approval Sheet • (FOR PERMIT STAFF ONL19 0 PERMIT;6220 BUILDING PLANNING Intake OK by: Date: Intake OK by: Assign To: Date: Intake Comments: Intake Comments: ❑ Route to Commercial Building ❑Attach to Project No. ❑ Route to Residential Building 0 Route to Historic Reviewer El e this a"W"Permit ElOK to Route to Other Departments B6/Tl/A dnllem Size 1 W Al?' El Hold in Planning File Drawer Garage/Accessory Struct.Size44 Zone , Number of Stories I Overlay/Agreement Basement ❑No lYes, FBI/Unfin Nonresidential Uses Type of Construction 1/-i Residential Use Occupancy Group 'OfA- 1--- Proposed No.of Dwelling Units: Occupancy Load 11 Total No.of Dwelling Units: Fire Sprinklers: ❑Update Existing IZINew System [Not Req'd Planning/Landscape Inspection Required before Final? ❑Yes ►1fo Reason Sprinklers Required: "In Lieu"Fee:Type: Amount$ Fire Alarm: El Update ExistingANew System El Not Req'd School Impact Fee: Total $ Reason Fire Alarm Required: Calculated: Credit: RCW 64.55 MF worksheet req'd for permit? DYes I No ❑Everett School Dist ❑Mukilteo School Dist Add'1 RCW 64.55 docs required prior to final? ❑Yes ,'lo Additional Notes: VALUATION CALCULATION: Total Sal Do0, 0D Approved By: i' — I Date: C6► C,'7,2__ P,I;.. LIC WORKS Intake OK by: INA, Date: it /11,07;1/ Additional Notes: Intake Comments: IPW Worksheet Needed if: ❑Sys Dev Eval DTraffic Mit Eval IDSite Work or Drainage Proposed yG • �� Date: Q/ t3/7.dtV =OBackflow Prevention for high hazard: Approved B / )(dental,medical,animals,mortuary,hospital, !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 ODeferred Additional Notes: ❑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 ) El Review of As-Built Plans-NO FIRE FEE AND ❑ Is located in this folder El Minimal or No Fire Scope-NO FIRE FEE ❑ Is in a Separate Green Folder (loin with this folder for permit issuance) TS-Review/Inspection Scope-ADD FIRE FEE El Will be issued separately (Separate Green Folder,PW issued ahead of Bldg) Approved By:-K,R��cpate: ._ 0 Public Works has no scope--- P Not Required .,,:� W J�3 Additional Notes: ELECTRICAL/PLUMBING Additional Notes: ' ff ftl ' ,w f o ft" G e, of " e ` Approved By: Date: Approved By: . Date:D'b`O2 "772—