5019 COLBY AVE 2024-08-02 - Laserfiche WebLink

Intake & Approval Sheet (FOR PERMIT STAFF ONLY) PERMIT# 2.-3Q7—U37 BUILDING PLANNING Intake OK by: Date: Intake OK by: Assign To: Jess Date: 7/2 7JZ 3 Intake Comments: Intake Comme ts: Zone 12- 1 Overlay/Agreement S'tcle1.40014.prior-l}- ❑ Route to Commercial Building Nonresidential Use r\VA ❑ Route to Residential Building Residential Use S F SZ ❑ Make this a"W" Permit Proposed No.of Dwelling Units: N/A Bldg/Tl/Addn/Rem Size Total No.of Dwelling Units: Garage/Accessory Struct. Size I- )(� Planning/Landscape Inspection Required before Final? ❑Yes ®No Number of Stories "In Lieu" Fee:Type: Amount$O Basement No ❑Yes , Fin/Unfin School Impact Fee: Total $ 0 Type of Construction 2 Calculated: Credit: Occupancy Group ❑Everett School Dist ❑Mukilteo School Dist Occupancy Load Park Impact Fees for permits applied for after 1/112022: Fire Sprinklers: El Update Existing ❑New System Eig Not Req'd Park Impact Fee Total$ C Reason Sprinklers Required: Fee Schedule Used For Calculation(Year): _ Fire Alarm: ❑Update Existing El New System QNot Req'd Permit Technicians:Apply Credit Per EMC19.53.200 Reason Fire Alarm Required: 0 100%Credit-Issued 1/1/2022-9/2/2022 RCW 64.55 MF worksheet req'd for permit? ❑Yes ❑ No 0 50%Credit-Issued 9/3/2022-6/2/2023 Add'I RCW 64.55 docs required prior to final? ❑Yes ❑No 0 0%Credit-Issued 6/3/2023 or later VALUATION CALCULATION: Total $ 1)-' (4 Additional Notes: Approved By: Date:-7/Z7/Z 3 PUBLIC WORKS Additional Notes: Intake OK by: Date: " 1)Et4i Intake Comments: r !PW Worksheet Needed if: `/� t „��-/,Yj t IOSys Dev Eval ❑Traffic Mit Eval Approved By: L koA � Date: 1 1 t yf! Z ((/��•�, !'�, �►�p U�/�� ,,""�"""/ ❑Site Work or Drainage Proposed -61/ C��/f v,v �v""�f l ❑Backflow Prevention for high hazard: hofi t,,,,�. p� t,_ !(dental,medical,animals,mortuary,hospital, FIRE DEPARTMENT !supportive housing) Separate/Deferred Submittals Required: DRoute this folder for P Review at end ---PW Review Worksheet ❑Fire Sprinklers El Fire Alarm ❑Other: ❑This project also has a separate concurrent PW Review(Green Folder) Additional Notes: AND� ❑Create Green Folder ❑Submitted Previously ❑Deferred L➢SI 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 0 A Separate PW Permit is Required (Permit#: PW ❑ Minimal or No Fire Scope-NO FIRE FEE AND ❑ Is located in this folder O Review/Inspection Scope-ADD FIRE FEE 0 Is in a Separate Green Folder coin with this folder for permit issuance) Approved By: Date: ❑ Will be issued separately(Separate Green Folder,PW issued ahead of Bldg) 0 Public Works has no scope--- PW Not Required ELECTRICAL/PLUMBING Additional Notes: Additional Notes: Approved By: Date: Approved By: ' /1J ifienallvi Date: 01 12a 20 7/3