7424 BEVERLY LN 2024-10-24 - Laserfiche WebLink

Intake&Approval Sheet OFOR PERMIT STAFF ONLY) AERMIT# .12 t(03 _0®' BUILDING PLRfi]NiNG intake OK by: Date:, '4 2 L' Intake OK by: �' Assign To: Je55 Date: 03/22.I Z4 intake Comments: Intake Comme . Zone K-2. . ❑Make this a"W"Permit ❑SRC Required(Pre-Insp) Overlay/Agreement A I A Bldg/Tl/Addn/Rem Size Nonresidential Use -- Garage/Accessary Struct.Size Residential Use 5 C Number of Stories ---_. Proposed Na.of Dwelling Units: Basement No aYes, Find Unfin Total No.of Dwelling Units: ' Type of Construction V Planning/Landscape Inspection Required before Final? ❑Yes EtNo Occupancy Group 5f "in Lieu"Fee:Type: Amount$ 0 Occupancy Load School Impact Fee: Total $ 0 Cert.of Occppancy Required? ViNo DYes ❑Shell Only Calculated: Credit: Cade Year 02021 018 02015 ❑Everett School Dist ❑Mukllteo School Dist Fire Sprinklers:OUpdate Existing❑New Systemot Req'd Park Impact Fees for permits applied for after 11112022: -• Reason Sprinklers Required: Park impact Fee Total$ 0 (net due after credit far existing uses) . Fire Alarm: ❑Update Existing®New System %lot Req'd Fee Schedule Used Far Calculation(Year), n j1e11n� � .^n n u n o n n„I mn linps Reason Fire Alarm Required: RCW 64.55 MF worksheet req'd for permit? DYes P.No , Add!ROW.64.55 does required prior to final? Des to Additional Notes: • VALUATION CALCULATION: Total$, ej!a20 . . . Approved By: Date:3/Zl JZy J U PUi31..IC IN®RKS . , • . Intake OK by: Date: • Intake Comments: - {AWReview&Worksheet Needed if • ,[)]Sys Dev Eval: Additional Notes: I DWater LISewer ❑Storm IDTraffic Mitigation Eva!, Approved By:, D te: L.F7+4.- 11E1Site Work/Drainage(shown/triggered) , • ❑Address Letter • Enng ul;f'ARTI111)I11T _ C(8ackffow Prevention for high hazard: (dental,medical,animals,mortuary, Separate!Deferred Submittals Required: !hospital,supportive housing) afire Sprinklers' DFire Alarm ❑Other: I • Additional Notes: , El This Permit is Approved by Public Works ' • El See PW Review Worksheet and associated attached items Fire Dept.Fees: Q A Separate PW Permit is Required(Permit/#:PW ) • El Review of As-Built Plans-NO FIRE FEE AND ❑Is fully digital El Minimal or No Fire Scope-NO FIRE FEE a Is located in this folder D Review/Inspection Scope-ADD FIRE FEE ❑ Is in a Separate Green Folder(join with this foiderfor permit issuance) Approved By: Date: , 0 Will be issued separately(Separate Green Foider PW issued ahead of Bldg) Public Works has-no scope on this permit—PW Not Required • ' ELECTRICAL/PLUMBING dditional Notes: • Additional Notes: ` / Approved By: Date: Completed By: a Date: /J07(74 7- ' .