5403 COLBY AVE 2025-01-14 - Laserfiche WebLink

Intake &Approval Sheet 0 (FOR PERMIT STAFF ONLY) . PERMIT# ( 2.)-C364 BUILDING PLANNING Intake OK by: Date:Z%'2/Z O Intake OK by: Assign To: Date: Intake Comments: Intake Comments: ❑ Route to Commercial Building ❑ Attach to Project No. Route to Residential Building El Route to Historic Reviewer Make this a"W"Permit ❑ OK to Route to Other Departments Bldg/TI/Addn/Rem Size 0 Hold in Planning File Drawer Garage/Accessory Struct.Size Zone ,:, Number of Stories t Overlay/Agreement Basement ❑No ®Yes, Fin nfin Nonresidential Use Type of Construction 713 Residential Use i i ' ♦ `rr-- Occupancy Group 12-- Proposed No.of Dwelling Units: Occupancy Load Total No.of Dwelling Units: Fire Sprinklers: ❑update Existing ❑New System IgNot Req'd Planning/Landscape Inspection Required before Final? 6 Yes ,KINo Reason Sprinklers Required: "In Lieu"Fee:Type: Amount$ Fire Alarm: ❑Update Existing ONew System IZNot Req'd School Impact Fee: Total $ Reason Fire Alarm Required: Calculated: Credit: RCW 64.55 MF worksheet req'd for permit? ❑Yes Z1 No DEverett School Dist ❑Mukilteo Soho', Dist Add'I RCW 64.55 docs required prior to final? ❑Yes No Additional Notes: c6G, .,— 0-C�_ VALUATION CALCULATION: Total$ /Oi OOO fu,e(vca \"b c1J..151 Onk, heffrosei Approved By: Date: 7 _ i2_2.v y PUBLIC WORKS Intake OK by: . Date: ��i2/�ZO Additional Notes: ZQ/6- /2G 4i �j1/S�C Intake Comments:in�Quj�/ /,(d _PW Worksheet Needed if: A/5iVE .{ Ds E ❑Sys Dev Eval ❑Traffic Mit Eval ertak D thart ❑Site Work or Drainage Proposed Approved By: Date: 7,/,� Zoo ;�Backflow Prevention for high hazard: q /0 �iy,J� w/A� �`fJY�. _(dental,medical,animals,mortuary,hospital, (tM ( �[•�� !supportive housing) FIRE DEPARTMENT ❑Route this folder for PW Review at end ---PW Review Worksheet Separate/Deferred Submittals Required: ❑This project also has a separate concurrent PW Review(Green Folder) ❑Fire Sprinklers ❑Fire Alarm DOther: AND ❑Create Green Folder OSubmitted Previously ❑Deferred Additional Notes: ❑ 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 located in this folder ❑ Minimal or No Fire Scope-NO FIRE FEE 0 Is in a Separate Green Folder(join with this folder for permit issuance) ❑ Review/Inspection Scope-ADD FIRE FEE 0 Will be issued separately(separate Green Folder,PW issued ahead of Bldg) Approved By: Date: 104 Public Works has no scope--- PW Not Required Additional Notes: ELECTRICAL Additional Notes: i Approved By: Date: Approved By: �,Ort 'S` Date: V/0,77,4900