7430 BEVERLY LN 2023-09-25 - Laserfiche WebLink

Intake &Approval Sheet •(FOR PERMIT STAFF ONLY) 0 PERMIT# g 2-.2—c)2—d I 4 BUILDING . • PLANNING' . • . • Intake OK by: 4'' Date: 2/ 2 V 2o22-- Intake OK bcnYL Assign To: Date?/11/ZZ Intake Comments: Intake Comments: a ❑ Route to Commercial Building ❑Attach to Project No. Et Route to Residential Building ❑ Route to Historic Reviewer ❑ Make this a"W"Permit ❑ OK to Route to Other Departments BldgITI/Addn/Rem Size 1� g-• ❑ Hold in Planning File Drawer Garage/Accessory Struct.Size Nlfl Zone 12--2- Number of Stories 17-- Overlay/Agreement Basement ❑No ®.Yes,�Unfin Nonresidential Use Type of Construction • Q Residential Use Occupancy Group S-✓- Proposed No.of Dwelling Units: Occupancy LoadL Total No.of Dwelling Units: Fire Sprinklers: DUpdate Existing ❑New System ElNot Req'd Planning/Landscape Inspection Required before Final? ❑Yes Reason Sprinklers Required: "In Lieu"Fee:Type: Amount$ Fire Alarm: El Update Existing ❑New System ENot Req'd School Impact Fee: Total $ Reason Fire Alarm Required: Calculated: Credit: RCW 64.55 MF worksheet req'd for permit? ❑Yes 131 No ❑Everett School Dist ❑Mukilteo School Dist Add'I RCW 64.55 docs required prior to final? ❑Yes ®No Additional Notes: VALUATION CALCULATION: Total$ l2,OC)© oY,t. iY617 ��/1) t717, Approved By: Date: PUBLIC WORKS , ,-it_ Intake OK by: Date: Additional Notes: /26pPrt g- or—L /091-- r Intake Comments: PW Worksheet Needed if: /l/U CH p nlCrtit / SOO lipu tt-19 avet DSys Dev Eval ❑Traffic'Mit Eval (p /-10121,yT El Site Work or Drainage Proposed. Approved By: �/G— Date: 2/2-3/20Z2 ❑Backflow Prevention for high hazard: (dental,medical,animals,mortuary,hospital, supportive housing) FIRE DEPARTMENT ❑Route 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) ❑Fire Sprinklers El Fire Alarm ❑Other: AND ❑Create Green Folder ❑Submitted Previously ❑Deferred • Additional Notes: • ❑This Permit is Approved by Public Works • u ❑ 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 ❑ Is in a Separate Green Folder(join with this folder for permit issuance) ❑ Review/Inspection Scope-ADD FIRE FEE ❑Will be issued separately(Separate Green Folder,PW issued ahead of Bldg) Approved By: Date: ❑ Public Works has no scope---PW Not Required Additional Notes: ELECTRICAL Additional Notes: Approved By: Date: Approved By: Date: