5101 BEAUMONT DR 2024-07-02 - Laserfiche WebLink

* 0 Intake &Approval Sheet (FOR PERMIT STAFF ONLY) PERMIT# U 2-I 1 1 — d 4 a BUILDING PLANNING Intake OK by: Date: Intake OK by: Assign To: Date: Intake Comments: Intake Comments: ❑ Route to Commercial Building ❑Attach to Project No. ■ Route to Residential Building ❑ Route to Historic Reviewer `d ake this a"W"Permit ❑ OK to Route to Other Departments Bldg/Tl/Addn/Rem Size 3ia t CO ❑ Hold in Planning File Drawer Garage/Accessory Struct.Size Zone Pi Number of Stories a Overlay/Agreement Basement ❑No AYes, Fi 41111fp Nonresidential Use Type of Construction Iri-e, Residential Use lilt- ftkom) 116 -k Occupancy Group V- Proposed No.of Dwelling Units: Occupancy Load y'— Total No.of Dwelling Units: t Fire Sprinklers: CI Update Existing ONew System �%Not Req'd Planning/Landscape Inspection Required before Final? ❑Yes'>No Reason Sprinklers Required: "In Lieu"Fee:Type: Amount$ Fire Alarm: ❑Update Existing El New System I"Not Req'd School Impact Fee: Total $ Reason Fire Alarm Required: �j Calculated: Credit: RCW 64.55 MF worksheet req'd for permit? ❑Yes L1 No ❑Everett School Dist ❑Mukilteo School Dist Add i RCW 64.55 does required prior to final? ❑Yes 15INo Additional Notes: A ffrtAT�I_ 1sej � y2lr co C� VALUATION CALCULATION: Total$ �JaGG' - I e Approved By: '4-•1 Date: b.16P'Z` . BLIC WORKS ' r , Intake OK by: . Date: Additional Notes: ✓<-�'"` ntake Comments: PW Worksheet Needed if•.,..,_,.,.,_..._..,___.._,. `r"nGcvD s /has �h�SHrnti� I�� 'OSys Dev Eval ❑Traffic Mit Eval pl�� Uc .It OSite Work or Drainage Proposed Approved By: 40 2 Date: 4-/A/a,Z ❑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) El Fire Sprinklers ❑Fire Alarm ❑Other: AND ❑Create Green Folder ❑Submitted Previously ❑Deferred Additional Notes: ®This Permit is Approved by Public Works ❑ See PW Review Worksheet and associated attached items I Fire Dept.Fees: 0 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: igi Public Works has no scope---PW Not Required Additional Notes: ,, ,A�,,11 ��T ELECTRICAL All 1�e1o�I Ylo-rhi J overIOW 'e 'V1�its/ y j Additional Notes: Approved By: Date: Approved By:v �,�,(/j��tk �Q(�� J Date: a . gA)l..62z/