4004 COLBY AVE 2019-03-14 - Laserfiche WebLink

Intake & Approval Sheet (FOR PERMIT STAFF ONLY PERMIT# o 1, Ot (o BUILDING. PLANNING Intake OK by: Date: 9/ I 4- I 8 Intake OK by: Date: Intake Comments: Intake Comments: Assign To: ❑ Route to Commercial Building 0 Attach to Project No. ❑ Route to Residential Building 0 Route to Historic Reviewer ❑ Make this a"W"Permit 0 OK to Route to Other Departments Bldg f�Addn/Rem Size 402-c•-4-2- 0 Hold in Planning File Drawer Garage/Accessory Struct. Size -- Zone .. f4"4 Number of Stories I. Overlay/Agreement 4 L/oCfi(! Basement 121No ❑Yes , Fin/Unfin Nonresidential Use el,jyN c- Type of Construction Y•f!' Residential Use Occupancy Group -ej Proposed No. of Dwelling Units: Occupancy Load P--2.. Total No. of Dwelling Units: Fire Sprinklers: ❑Update Existing ❑New System NNot Req'd Planning/Landscape Inspection Required before Final? ❑Yeslo Reason Sprinkl rs Required: 1iD�,y, jy , p�'R;4,4Zim. "In Lieu"Fee:Type: Amount$ Fire Alarm: Update Existing ONew System ❑Not Req'd School Impact Fee: Total $ Reason Fire Alarm Required: Calculated: Credit: RCW 64.55 MF worksheet req'd for permit? ❑Yes 21 No ❑Everett School Dist ❑Mukilteo School Dist > Add'I RCW 64.55 docs required prior to final? ❑Yes � t No Additional Notes: . k-"' Ons !!! v. Ons.y er,,p /ty VALUATION CALCULATION: Total$ 40.., acD K W) `- o,i v Approved By: .g.,\ Date: c ,i li_1( PUBLIC WORKS Intake OK by: Date: Additional Notes: Intake Comments: PW Worksheet Needed if: ❑Sys Dev Eval ❑Traffic Mit Eval ❑Site Work or Drainage Proposed ‘ V Approved By: ` . Date: $ ❑Backflow Prevention for high hazard: /�� (dental,medical,animals,mortuary,hospital, Usupportive housing) FIRE DEPARTMENT 0 Route this folder for PW Review at end ---PW Review Worksheet Intake: (Needed for Townhomes,Alley load SFR,New Commercial) OThis project also has a separate concurrent PW Review(Green Folder) ❑Route to Fire Drawer---Fire Preliminary Review Notice AND ❑Create Green Folder ❑Submitted Previously ❑Deferred ❑Sending Fire Notes to Project Team 0 This Permit is Approved by Public Works Date: (OK to Route to Other Departments) 0 See PW Review Worksheet and associated attached items Fire Sprinklers:,EUpdate Existing ❑New System 0 Not Req'd 0 A Separate PW Permit is Required (Permit#: PW ) Fire Alarm: J2Update Existing ❑New System 0 Not Req'd AND 0 Is located in this folder Chemical Sup: ❑Update Existing 0 New System jaNot Req'd 0 Is in a Separate Green Folder(join with this folder for permit issuance) Additional Notes: ❑ Will be issued separately(Separate Green Folder,PW issued ahead of Bldg) Approved By:inJ,_44.— Date: 9/�//� Public Works has no scope---PW Not Required A ditional Notes: ELECTRICAL ail IW dlwevy of v Additional Notes: Approved By: Date: Approved By: Date: