2707 COLBY AVE DAVITA NEPHROLOGY PRACTICE 2020-02-19

Intake & Approval Sheet (FOR PERMIT STAFF ONLY PERMIT# t�),--pq,, BUILDING PLANNING Intake OK by: Date: Intake OK by:_5 ,./"� _ Date: \\,'')CN."LOk.'? Intake Comments: Intake Comments: Assign To: %coket (P. M 'S 01\ \xi, - f ❑ Route to Commercial Building 0 Attach to Project No. sZE J 33•. 1 CI—IQ\ ❑ Route to Residential Building 0 Route to ' ' Reviewer ❑ Make this a"W"Permit OK to Route to Other Departments Bldg fi�Addn/Rem Size T,p0G j ,ff Hold in Planning File Drawer garage ccessory Struct. Size Zone M Number of Stories Overlay/Agreement Ytha(kap %.,Ce _\ Basement IINo ❑Yes , Fin/Unfin Nonresidential Use CVA' L Type of Construction -1;41 Residential Use ,,,,,,,,/- Occupancy Group 1 Proposed No. of Dwelling Units: Occupancy Load 20 6ZnlrfA/r SP4c0 Total No. of Dwelling Units: Fire Sprinklers: ®Update Existing ❑New System Eliot Req'd Planning/Landscape Inspection Required before Final? ❑Yes ❑No Reason Sprinklers Required: "In Lieu" Fee:Type: Amount$ Fire Alarm: Update Existing ❑New System ❑Not Req'd School Impact Fee: Total $ Reason Fire Alarm Required: to Calculated: Credit: RCW 64.55 MF worksheet req'd for permit? ❑Yes I,a-No ❑Everett School Dist ❑Mukilteo School Dist Add'I RCW 64.55 docs required prior to final? ❑Yes JR1No Additional Notes: VALUATION CALCULATION: Total$ /'Lej Ot O0 Approved BC-----v-P Date: Z.Z.,--A. 2.0\C\ PUBLIC WORKS Intake OK by: -MA Date: I I 130 I 14a Additional Notes: Intake Comments: PW Worksheet Needed if C.A.k aGL e< 'PI sc.ustEA vS�- YS. ID'S.) I F c.NA4.1b.L Ys Dev Eval raffic Mit Eval OF O'S ❑Site Work or Drainage Proposed ❑Backflow Prevention for high hazard: Approved By ,„.. Date: rOgy,,er 6FF Ic..E.—ca. e.h►�c'a1c aA.— (dental,medical,animals,mortuary,hospital, supportive housing) FIRE DEPARTMENT ❑Route this folder for PW Review at end ---PW Review Worksheet Intake: (Needed for Townhomes,Alley load SFR,New Commercial) ❑This 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: ❑Update Existing ❑New System 0 Not Req'd 0 A Separate PW Permit is Required (Permit#: PW ) Fire Alarm: ❑Update Existing :hew System 0 Not Req'd AND 0 Is located in this folder Chemical Sup: ❑U.sate Existing ❑New System 0 Not Req'd 0 Is in a Separate Green Folder(join with this folder for permit issuance) Additional Notes: a r` 1 t�a + ��s111P.tlftW\ c\�t 0 Will be issued separately(Separate Green Folder,PW issued ahead of Bldg) Approved By —.,__ R. - 9."—/5 0 Public Works has no scope---PW Not Required Additional Notes: ELECTRICAL Additional Notes: Approved By: Date: Approved By: , 6.„., 4y�4c) Date: 71(Ult? ..,,__