3619 COLBY AVE 2025-09-09 - Laserfiche WebLink

Intake & Approval Sheet .TOR PERMIT STAFF ONLr PERMIT# �23 U � — O I5 BUILDING rLANNING Intake OK by: Date: 1 ZS W Z- > Intake OK by: Assign To: 2 SS Date: U 3 Intake Comments: Intake Commen Zone N)3 Overlay/Agreement Connec.toe 5i-rca4- VeSidenitGl Nhzed t.se ❑ Route to Commercial Building Nonresidential Use ®'Route to Residential Building Residential Use 5FZ ❑ Make this a"W" Permit Proposed No. of Dwelling Units: NSA Bldg/TI/Addn/ m Si iW Total No. of Dwelling Units: I Garage/Accessory Struct.Size Planning/Landscape Inspection Required before Final? ❑Yes—mo Number of Stories '� "In Lieu"Fee:Type: Amount$ Basement ❑No EgYes , Fin Unfin School Impact Fee: Total $ N o � Type of Construction IV—C— Calculated:NJ o Wea- Credit: Occupancy Group 5V__L ❑Everett School Dist Mukilteo S hool Dist Occupancy Load 1�- Park Impact Fees for rmits applied fo after 1/112022: Fire Sprinklers: ❑Update Existing ❑New System-QNot Req'd Park Impact Fee Total IV O i- (net ue after credit for existing uses) Reason Sprinklers Required: Fee Schedule Used Fo Calculation(Year): �r ---------------------- --------------- ---------------------------- Fire Alarm: El Update Existing ❑New System LlNot Req'd Permit Technician Use Only:Appl ase-In Credit Per EMC�9.53.200 Reason Fire Alarm Required: ❑ 100%Credit-Issued 1/1/2022-9/2/2022 RCW 64.55 MF worksheet req'd for permit? ❑Yes No ❑ 50%Credit-Issued 9/3/2022-6/2/2023 Add'I RCW 64.55 dots required prior to final? Dyes -QNo ❑ 0%Credit-Issued 6/3/2023 or later VALUATION CALCULATION: Total$ 3 S,O©G Additional Notes: Approved By: Date:03 ),H �23 PUBLIC WORKS Additional Notes: Intake OK by: Date: 2-t -------------------------- Intake Comments: ;PW Worksheet Needed if: ------------- (]Sys Dev Eval(utiusvv)(]Traffic Mit Eval Approved By: e4q Date: '15 2013 E]Site Work/Drainage ❑Address Letter I]Backfiow Prevention for high hazard: (dental,medical,animals,mortuary,hospital, FIRE DEPARTMENT ALGA"e' i ' ;supportive housing) YWVAS- :----------------------------------------- Separate I 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 ❑ Is located in this folder ❑ Review/Inspection Scope-ADD FIRE FEE ❑ Is in a Separate Green Folder Coin 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---PW Not Required ELECTRICAL/PLUMBING Additional Notes: Additional Notes: I vV(2Q 23 Approved By: Date: Completed ByV Date-