7006 COLBY AVE 2025-08-07 - Laserfiche WebLink

Intake &Approval Sheet (FOR PERMIT STAFF ONLY) PERMIT# � 3o '0061 BUILDING 1 ANING Intake OK by: Date: Intake OK by: Assign To: Date: Intake Comments: Intake Comments: Zone Overlay/Agreement ❑ Route to Commercial Building Nonresidential Use ❑ Route to Residential Building Residential Use ❑ Make this a"W"Permit Proposed No. of Dwelling Units: BldgITI/Addn/Rem Size 2yz 7 Total No. of Dwelling Units: Garage/Accessory Struct.Size y 7 9 Planning/Landscape Inspection Required before Final? ❑Yes ONo Number of Stories / "In Lieu" Fee:Type: 5'"'runt$ Basement ' No ❑Yes , Fin/Unfin School Impact Fee: Total $ Ip20(0•c17 Type of Construction £/' Calculated: (QZ$(!• f110 Credit: Occupancy Group averett School Dist ❑Mukilteo School Dist Occupancy Load Park Impact Fees for permits apaesifor after 1/112022: Fire Sprinklers: ❑Update Existing ❑New System JNot.Req'd Park Impact Fee Total$ / 8Uexisting uses) (net due after credit for Reason Sprinklers Required: Fee Schedule Used For Calculation(Year):_2 623 Fire Alarm: ❑Update Existing ONew System NNot Req'd Permit Technician Use Only:Apply Phase-In Credit Per EMCI9.53.200 Reason Fire Alarm Required: El 100%Credit-Issued 1/1/2022-9/2/2022 RCW 64.55 MF worksheet req'd for permit? ❑Yes No 0 50%Credit-Issued 9/3/2022-6/2/2023 Addl RCW 64.55 docs required prior to final? DYes 'No 0 0%Credit-Issued 6/3/2023 or later VALUATION CALCULATION: Total$ 3 k Additional Notes: _ /Q 8W E Approved By 6-1-2 — Date: /7qk PUBLIC WORKS . • Additional Notes: Intake OK by: Date: Intake Comments: PW Worksheet Needed if: ❑Sys Day Eval(Util/SW) OTraffic Mit Eval Approved B . 74, Date: p,�7z0.67�3 OSite Work/Drainage ['Address Letter ❑Backflow Prevention for high hazard: (dental,medical,animals,mortuary,hospital, FIRE DEPARTMENT supportive housing) Separate I Deferred Submittals Required: DRoute this folder for PW Review at end ---PW Review Worksheet ❑Fire Sprinklers ❑Fire Alarm DOther: ❑This project also has a separate concurrent PW Review(Green Folder) Additional Notes: AND OCreate Green Folder OSubmitted Previously ❑Deferred This Permit is Approved by Public Works Fire Dept. Fees: J'See PW Review Worksheet and associated attached items ❑ Review of As-Built Plans-NO FIRE FEE KA Separate PW Permit is Required(Permit#: PW 23D 1{'G(S) Minimal or No Fire Scope-NO FIRE FEE AND Egr 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: j co f�� Date: 9-� ' ❑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: Approved By: Date: Completed By Date: 0 41-'1?(to7_3