2614 COLBY AVE 2025-01-09 - Laserfiche WebLink

Intake &Approval Sheet ink (FOR PERMIT STAFF ONLY) PERMIT# Ec t i ©ref BUILDING IIP OLANNING Intake OK by: Date: Intake OK by: Assign To: .32SS Date: II J231Z2 Intake Comments: Intake Comme ts: Zone MU Overlay/Agreement Mretro,Pedestrlav, si-ree)r ❑ Route to Commercial Building Nonresidential Use Food 2%bevevaga. es'Iabt:st+meni_ ❑ Route to Residential Building Residential Use NJA ❑ Make this a" " 'ermit - Proposed No. of Dwelling Units: N/A Bldg/TI/Addn 'em Size Z, 7Ad1' Total No.of Dwelling Units: NIA Garage/Accessory truct.Size //b Planning/Landscape Inspection Required before Final? ❑Yes Jlo Number of Stories "In Lieu"Fee:Type: Amount$ Basement No� ❑Yes , Fin/Unfin School Impact Fee: Total $ Type of Construction V48 Calculated: Credit: Occupancy Group ,Q LC--f ❑Everett School Dist ❑Mukilteo School Dist Occupancy Load ZS Park Impact Fees for permits applied for after 1/1/2022: Fire Sprinklers: ❑Update Existing ❑New System Not°Req'd Park Impact Fee Total$ (net due after credit for existing uses) Reason Sprinklers Required: Fee Schedule Used For Calculation(Year): Fire Alarm: ❑Update Existing ❑ Mot System lot Req'd Permit Technician Use Only:Apply Phase-In 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 M No ❑ 50%Credit-Issued 9/3/2022-6/2/2023 Add!RCW 64.55 docs required prior to final? ❑Yes 'No ❑ 0%Credit-Issued 6/3/2023 or later VALUATION CALCULATION: Total$3 0 0 . 00 Additional Notes:No o4-s}reek par1en regv,red per EMC Ici.34.O5O.A.t.et. Approved By: Date:i 1 I2312Z PUBLIC WORKS Additional Notes: Intake OK by:_19--- Date: l 1 bt j'2 2?J Intake Comments: PW Worksheet Needed if: OSys Dev Eval(Util/SW) ❑Traffic Mit Eval Approved B Date:6Z�/'T/ 7'J ❑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 El Fire Sprinklers ❑Fire Alarm ❑Other: ❑This project also has a separate concurrent PW Review(Green Folder) Additional Notes: AND ❑Create Green Folder ❑Submitted Previously ❑Deferred ❑ 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 El Is located in this folder Review/Inspection Scope-ADD FIRE FEE ❑ Is in a Separate Green Folder(join with this folder for permit issuance) Approved By: Ki13 row n Date: J,Z 7/ ❑Will be issued separately(Separate Green Folder,PW issued ahead of Bldg) Public Works has no scope---PW Not Required ELECTRICAL/PLUMBING Additional Notes: /� Additional Notes: `��,�,� U j4Jt( /kitU t l'CM-- 2e .2 Approved By: Date: Completed By: Date: