2729 COLBY AVE H & R BLOCK 2024-10-24

Intake &Approval Sheet (FOR PERMIT STAFF ONLY) PERMIT# c;.gC6 ' 030 BUILDING •NNING Intake OK by: Date: Intake OK by: Assign To:Je Date:MD(21123 Intake Comments: Intake Commef: Zone M Overlay/Agreement eirro,Pedes#rtoansi'reei' ❑ Route to Commercial Building Nonresidential Use 0crc,e ❑ Route to Residential Building Residential Use t /A ❑ Make this a"W"Permit Proposed No. of Dwelling Units: N/A BIdg/TI/Addn/Rem Size 053 /3 Total No.of Dwelling Units: N/A Garage/Accessory Struct.Size 4/0 Planning/Landscape Inspection Required before Final? ❑Yes IZNo Number of Stories / "In Lieu"Fee:Type: Amount$O Basement ®No�t❑Yes, Fin/Unfin School Impact Fee: Total $ O Type of Construction (/8 Calculated: Credit: Occupancy Group ❑Everett School Dist ❑Mukilteo School Dist Occupancy Load g Park Impact Fees for permits applied for after 111/2022: Fire Sprinklers: ❑Update Existing ❑New System ®Not.Req'd Park Impact Fee Total$ 0 (net due after credit for existing uses) Reason Sprinklers Required: Fee Schedule Used For Calculation(Year): Fire Alarm: ❑Update Existing ONew System INot Req'd Permit Technician Use Only:Apply Phase-In Credit Per EMC'I9.53.200 Reason Fire Alarm Required: DYes Credit-Issued 1/1/2022-9/2/2022 RCW 64.55 MF Worksheet req'd for permit? VI No ❑ 50%Credit-Issued 0/3/2022-6/2/2023 Add'i RCW 64.55 docs required prior to final? ❑Yes RNo ❑ 0%Credit-Issued 6/3/2023 or later VALUATION CALCULATION: Total$ 60,06 Additional Notes: Approved By: Date:(oI27/23 PUBLIC WORKS • Additional Notes: Intake OK by: Date: Intake Comments: PW Worksheet Needed if: ❑Sys Dev Eval(Util/SW)❑Traffic Mit Eval Approved By...24jj ), Date: ei 00,03 ❑Site Work/Drainage DAddress Letter ❑Backflow Prevention for high hazard: • (dental,medical,animals,mortuary,hospital, FIRE DEPARTMENT supportive housing) 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(loin with this folder for permit issuance) Approved By: ' s>n Date:6 ❑Will be issued separately(Separate Green Folder,PW issued ahead of Bldg) Public Works has no scope---PW Not Required ELECTRICAL1RLUMBING Additional Notes: Additional Notes: Approved By: Date: Completed B . Date: oCr(to(to 2.e3