1231 COLBY AVE 2025-01-09 - Laserfiche WebLink

• . Intake &Approval Sheet (FOR PERMIT STAFF ONLY) •ERMLT#6i0- be BUILDING PLANNING Intake OK by: Date: Intake OK by: I✓" Assign To: e,S S Date: 7[/ /2124-{ Intake Comments: Intake Comments: Zone R.—Z ❑ Make this a"W"Permit J SRC Required (Pre-Insp) Overlay/Agreement 'N/A ,Bldg/TI/Addn/Rem Size . Nonresidential Use Garage/Accessory Struct.Size , 0 Residential Use S F i2. Number of Stories I Proposed No.of Dwelling Units: -- Basement DNo ,KYes, Fin/CD Total No.of Dwelling Units: Type of Construction I KC. Planning/Landscape Inspection Required before Final? Dyes ,®No Occupancy Group t RC—. "In Lieu"Fee:Type: Amount$ CD Occupancy Load 1 PC. WA. School Impact Fee: Total $ Cert.of Occpuancy Required? �No DYes ❑Shell Only Calculated: Credit: Code Year �2021 02018. 02015 DEverett School Dist DMukilteo School Dist Fire Sprinklers: ❑Update Existing❑New System allot Req'd Park Impact Fees for permits applied for after 1/1/2022: Reason Sprinklers Required: Park Impact Fee Total$ 0 (net due after credit for existing uses) Fire Alarm: El Update Existing ❑New System PrNot Req'd . Fee Schedule Used For Calculation(Year): Reason Fire Alarm Required: -- RCW 64.55 MF worksheet req'd for permit? ❑Yes No . Add'I RCW 64.55 dots required prior to final? ❑�Y.�ess Iv�C. No Additional Notes: VALUATION CALCULATION: Total$. 1�/'U. G Approved By: ate: 7/12/z'—( PUBLIC WORKS Intake OK by: Date: Intake Comments: PW Review&Worksheet Needed if: p❑Sys Dev Eval: Additional No s' 1N tom - REfl'Icleif �C�lCfJ11F. j ❑Water ❑Sewer OStorm RXr gT,N4U 4 I l NC, / 1/L :/%1, ND Iv Q.•Fr. I OTraffic Mitigation Eval Approved By C/4-.---- Date:SJUIr 26.Zq iDSite Work/Drainage(shown/triggered) IDAddress Letter FIRE DEPARTMENT f❑Backflow Prevention for high hazard: Separate/Deferred Submittals Required: (dental,medical,animals,mortuary, 'hospital,suppportivvee housing) OFire Sprinklers ❑Fire Alarm DOther: 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 0 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(join with this folder for permit issuance) Approved By: Date: ❑Will be issued separately(Separate Green Folder,PW issued ahead of Bldg) �% Public Works has no scope on this permit---PW Not Required _. ELECTRICAL/PLUMBING .dditional Notes: Additional Notes: Approved By: Date: Completed By:.`"1--S.i Nr4,Vyl, Date: r4 (5 f z i.( 1