3501 COLBY AVE 2019-08-07 - Laserfiche WebLink

Intake & Approval Sheet (FOR PERMIT STAFF ONLY) PERMIT# S(&O -03 C BUILDING PLANNING Intake OK by 1zA, Datete /p 23/WAS 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/TI/Addn/Rem Size 144 4+2 0 Hold in Planning File Drawer Garage/Accessory Struct.Size — Zone rg--S Number of Stories QD Overlay/Agreement ( ?- Basement ❑No , Yes ,Chi /Unfin Nonresidential Use Type of Construction V•fl Residential Use Occupancy Group 12.7 Proposed No. of Dwelling Units: Occupancy Load 2 Total No. of Dwelling Units: Fire Sprinklers: El Update Existing ❑New System 4Not Req'd Planning/Landscape Inspection Required before Final? ❑Yes calvo Reason Sprinklers Required: _ ,,, "In Lieu"Fee:Type: Amount$ Fire Alarm: ❑Update Existing ❑New System OiNot Req'd School Impact Fee: Total $ Reason Fire Alarm Required: rt�r Calculated: Credit: RCW 64.55 MF worksheet req'd for permit? ❑Yes I No DEverett School Dist ❑Mukilteo School Dist Add'I RCW 64.55 docs required prior to final? ❑Yes ONo Additional Notes: VALUATION CALCULATION: Total$ 1 ja-{2 AvfIi ai 14 aceei Of' 0a'n 5 Approved By: NI K� c1 Date: to-' 3.,.15 ^�'v\PUBLIC WORKS Intake OK by:„egE Date:__ 20/R. Additional Notes: CA14094 I N•-rutxrtj -I-z, Intake Comments: PW Worksheet Needed if: MOwC i.sit..szt SLpek �p S(r!,�},p ❑Sys Dev Eval ❑Traffic Mit Eval /V v "/ ❑Site Work or Drainage Proposed Approved By: 3 Date: (`j/Qeo/kes ❑Backflow h hazard: • (dental,medical,Prevention animals,mortuaryforhig,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)r0 See PW Review Worksheet and associated attached items Fire Sprinklers: ❑Update Existing ❑New System Not Req'd 0 A Separate PW Permit is Required (Permit#: PW ) Fire Alarm: El Update Existing ❑New System ,..tom Not Req'd AND 0 Is located in this folder Chemical Sup: ❑Update Existing ❑New System 'L�l Not Req'd ❑ Is in a Separate Green Folder(join with this folder for permit issuance) Additional Notes: 1 ❑ Will be issued separately(Separate Green Folder,PW issued ahead of Bldg) Approved By: 63- Date: 10/C/i6 Public Works has no scope--- PW Not Required Additional Notes: ELECTRICAL Additional Notes: Approved By: Date: Approved By: Date: 10 Q31 Utz y � z