6601 BEVERLY BLVD 2022-01-24 - Laserfiche WebLink

• Intake &Approval Sheet 1' (FOR PERMIT STAFF ONLY) PERMIT# /W 14os r 0 6L BUILDING PLANNING Intake OK by: Date: 9/t"4h Intake OK by: (* Date:V/21/1 Intake Comments: Intake Comments: Assign To: fif ❑ Route to Commercial Building ❑Attach to Project No. Route to Residential Building Route to Historic Reviewer ja Make this a"W" Permit OK to Route to Other Departments Bldg/TI/Add em ize 24 4 g ❑ Hold in Planning File Drawer Garage/Accessory Struct. Size Zone Number of Stories Z- Overlay/Agreement Basement ❑No ENYes, Fin/LON Nonresidential Use Type of Construction V Residential Use S� - Occupancy Group 4;'?'/..E,.;9 hf) Proposed No. of Dwelling Units: Occupancy Load Total No. of Dwelling Units: 1 Fire Sprinklers: ❑Update Existing ❑New System ❑Not Req'd Planning/Landscape Inspection Re ired before Final? ❑Yes o Reason Sprinklers Required: "In Lieu :Type: Amount$ Fire Alarm: ❑Update Existing ❑New System ❑Not Req'd School Impact Fe • otal $ Reason Fire Alarm Required: Calculated: Credit: RCW 64.55 MF worksheet req'd for permit? ❑Yes ❑ No ❑ ett School Dist eo School Dist Add'I RCW 64.55 docs required prior to final? ❑Yes 0 No Additional Notes: VALUATION CALCULATION: Total$ I C`!'z Cl0p 832. sa L t 600 3 c 5b d v2.Om Approved By: al Date: ,0/1 LI-/j i S 3'- c- s-v 41 4 PUBLIC WORKS Intake OK by: Date: Additional Notes: 2 0/5 Z KC_ $ led SAC. Intake Comments: PW Worksheet Needed if: 13456 0T 1$ (l J 1/4-ti-t A-017;p3LIS ❑Sys Dev Eval ❑Traf is Mit Eval rot- LAW �>l 4�C, 1 c;ic7 �4 -71-C) ❑Site Work or Drainage Proposed ApprovedT By: 40 Date: poito/1 ❑Backflow Prevention for high hazard: (dental,medical,animals,mortuary,hospital, supportive housing) FIRE DEPARTMENT DRoute this folder for PW Review at end ---PW Review Worksheet Separate/Deferred Submittals Required: ❑This project also has a separate concurrent PW Review(Green Folder) El Fire Sprinklers OFire Alarm ❑Other: AND ❑Create Green Folder ❑Submitted Previously ❑Deferred Additional Notes: 0 This Permit is Approved by Public Works 0 See PW Review Worksheet and associated attached items Fire Dept. Fees: ❑A Separate PW Permit is Required(Permit#: PW ❑ Review of As-Built Plans-NO FIRE FEE AND ❑ Is located in this folder ❑ Minimal or No Fire Scope-NO FIRE FEE 0 Is in a Separate Green Folder(loin with this folder for permit issuance) ❑ Review/Inspection Scope-ADD FIRE FEE 0 Will be issued separately(Separate Green Folder,PW issued ahead of Bldg) Approved By: Date: 14 Public Works has no scope---PW Not Required Additional Notes: ELECTRICAL Additional Notes: Approved By: Date: Approved By: -- " !1 Date: 1 2