3425 COLBY AVE 2025-01-09 - Laserfiche WebLink

Intake &Approval Sheet • (FOR PERMIT STAFF ONLY) PERMIT# ?MO 0 2i BUILDING PLANNING Intake OK by: Date: Intake OK by: Assign To: Date: Intake Comments: Intake Comments: Zone ❑ Make this a"W"Permit 0 SRC Required(Pre-Insp) Overlay/Agreement Bldgfil/Addn/Rem Size 6A Nonresidential Use Garage/Accessory Struct.Size Residential Use Number of Stories Proposed No.of Dwelling Units: Basement ❑No ❑Yes, Fin/Unfin Total No.of Dwelling Units: Type of Construction C(A Planning/Landscape Inspection Required before Final? ❑Yes ❑No Occupancy Group (fik "In Lieu"Fee:Type: Amount$ Occupancy Load School Impact Fee: Total $ Cert.of Occpuancy Required? giNo ❑Yes ❑Shell Only Calculated: Credit: Code Year It/2021 02018 02015 El Everett School Dist ❑Mukilteo School Dist Fire Sprinklers: El Update Existing El New System SNot Req'd Park Impact Fees for permits applied for after 1/1/2022: Reason Sprinklers Required: Park Impact Fee Total$ (net due after credit for existing uses) Fire Alarm: ❑Update Existing El New System KNot Req'd Fee Schedule Used For Calculation(Year): Reason Fire Alarm Required: RCW 64.55 MF worksheet req'd for permit? ®Yes ❑ No Add!RCW 64.55 docs required prior to final? ❑Yes QNo Additional Notes: VALUATION CALCULATION: Total$ Z743--0 b 0 Approved By: Date: PUBLIC WORKS Intake OK by: Date: Intake Comments: PW Review&Worksheet Needed if: I❑Sys Dev Eval: Additional Notes: ❑Water ❑Sewer ❑Storm `�..9 t V- I❑Traffic Mitigation Eval Approved By: C4 Date: S 1(7 I fJ ❑Site Work/Drainage(shown/triggered) `'� ', ❑Address Letter FIRE DEPARTMENT ❑Backflow Prevention for high hazard: Separate/Deferred Submittals (dental,medical,animals,mortuary, p Required: hospital, housing) supportivehousing) ❑Fire Sprinklers ❑Fire Alarm ❑Other: Additional Notes: 0 This Permit is Approved by Public Works ❑See PW Review Worksheet and associated attached items ❑A Separate PW Permit is Required(Permit#:PW Fire Dept.Fees: p q ) Review of As-Built Plans-NO FIRE FEE AND ❑ Is fully digital ❑ Minimal or No Fire Scope-NO FIRE FEE ❑ Is located in this folder ❑ Review/Inspection Scope-ADD FIRE FEE ❑ Is in a Separate Green Folder Qoin 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 Additional Notes: Additional Notes: Approved By: Date: Completed By: Date: