5019 COLBY AVE 2025-01-15 - Laserfiche WebLink

• • Intake &Approval Sheet (FOR PERMIT STAFF ONLY) PERMIT# I524V(Q " O BUILDING PLANNING Intake OK by: Date: Intake OK by: Assign To: 'K'"^ Date: G01.0czv Intake Comments: Intake Comments: Zone ❑Make this a"W"Permit ❑ SRC Required(Pre-Insp) Overlay/Agreement Bldg/TI/Addn/Rem Size - Nonresidential Use Garage/Accessory Struct.Size , Residential Use Cj (< Number of Stories _ Proposed No.of Dwelling Units: Basement ❑No DYes, Fin/Unfin Total No.of Dwelling Units: I S✓''� Type of Construction 4.C..-1LL, Planning/Landscape Inspection Required before Final? ❑Yes EN—. Occupancy Group f iL L. "In Lieu"Fee:Type: Amount$ Occupancy Load tit.L School Impact Fee: Total $ 0 N AN Cert.of Occpuancy Required? RS1No ❑Yes ❑Shell Only Calculated: Credit: Code Year Ig12021 02018. 1:12015 ❑Everett School Dist DMukilteo School Dist Fire Sprinklers: ❑Update Existing ONew System SNot Req'd Park Impact Fees for permits applied for after 1/1/2022: Reason Sprinklers Required: Park Impact Fee Total$ 0 µ(4k (net due after credit for existing uses) Fire Alarm: ❑Update Existing ❑New System 121Not Req'd Fee Schedule Used For Calculation(Year): Reason Fire Alarm Required: RCW 64.55 MF worksheet req'd for permit? ❑Yes Lit No Add'I RCW 64.55 docs required prior to final? DYes ®No Additional Notes: "� CO✓l 1e1 -4113 _15 VALUATION CALCULATION: Total$ ik' 6101 .b� wel` - .) -5+ - ct\� cet, ' _ Approved By: ( T Date: 614 l 2oa y PUBLIC WORKS Intake OK by: Date: Intake Comments: 1PW Review&Worksheet Needed if: I❑Sys Dev Eval: ❑Water ❑Sewer ❑Storm Additional Notes: ltyo ` t (AvZ-t,., I❑Traffic Mitigation Eval Approved By: C t BEM Date: L l (a I Mot 1 El Site Work/Drainage(shown/triggered) ❑Address Letter FIRE DEPARTMENT I❑Backflow Prevention for high hazard: Separate/Deferred Submittals Required: (dental,medical,animals,mortuary, Ihospital,supportive housing) OFire Sprinklers ❑Fire Alarm DOther: I Additional Notes: 0 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 ) ❑ Review of As-Built Plans-NO FIRE FEE AND ❑ Is fully digital ❑ Minimal or No Fire Scope-NO FIRE FEE 0 Is located in this folder 0 Review/Inspection Scope-ADD FIRE FEE ❑ 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 on this permit---PW Not Required ELECTRICAL/PLUMBING Additional Notes: Additional Notes: / Approved By: Date: Completed B A-,/' Jt C�� Date: (Q/G/