7808 BEVERLY BLVD 2025-05-28 - Laserfiche WebLink

Intake &Approval Sheet (FOR PERMIT STAFF ONLY) PERMIT# 3p� S OS— BUILDING _NNING Intake OK by: Date: Intake OK by: Assign To: Je 55 Date: rj/2(-{/23 Intake Comments: Intake Comme ts: Zone R Overlay/Agreement N/A ❑ Route to Commercial Building Nonresidential Use N/A ❑ Route to Residential Building Residential Use SF R ❑ Make this a"W" Permit \ O 90 DiJ �oposed No. of Dwelling Units: N/A Bldg/TI/Addn/Rem Size Z _ /S'F ;.tal No. of Dwelling Units: I Garage/Accessory Struct.Size YES ►.,1 , � Planning/Landscape Inspection Required before Final? ❑Yes No Number of Stories � r "In Lieu"Fee:Type: Amount$ 0 Basement ENo ❑Yes , Fin/Unfin School Impact Fee: Total $ 0 Type of Construction X C Calculated: Credit: Occupancy Group L/2 c ❑Everett School Dist ❑Mukilteo School Dist Occupancy Load /d Park Impact Fees for permits applied for after 1/112022: Fire Sprinklers: ❑Update Existing ❑New System pNotReq'd Park Impact Fee Total$ 0 (net due after credit for existing uses) Reason Sprinklers Required: Fee Schedule Used For Calculation(Year): Fire Alarm: ❑Update Existing ONew System t3Not Req'd Permit Technician Use Only:Apply Phase-In Credit Per EMC'I9.53.200 Reason Fire Alarm Required: 0 100%Credit-Issued 1/1/2022-9/2/2022 RCW 64.55 MF worksheet req'd for permit? DYes ® No 0 50%Credit-Issued 9/3/2022-6/2/2023 Add'I RCW 64.55 docs required prior to final? ❑Yes JNo 0 0%Credit-Issued 6/3/2023 or later VALUATION CALCULATION: Total$ Q%, Additional Notes: Approved ByG/�o � Date:5/2c{/23 �'�" PUBLIC WORKS Additional Notes: Intake OK by: Date: Intake Comments: PW Worksheet Needed if: ❑Sys Dev Eval(Util/sW) DTraffic Mit Eval Approved B Date: /ze OSite Work/Drainage DAddress Letter Pp Y 1 Ocs 2l 77 ElBackflow Prevention for high hazard: (dental,medical,animals,mortuary,hospital, •FIRE DEPARTMENT supportive housing) Separate/Deferred Submittals Required: DRoute this folder for PW Review at end --PW Review Worksheet ❑Fire Sprinklers ❑Fire Alarm ❑Other: ❑This project also has a separate concurrent PW Review(Green Folder) Additional Notes: AND ❑Create Green Folder ❑Submitted Previously ❑Deferred This Permit is Approved by Public Works Fire Dept.Fees: .See PW Review Worksheet and associated attached items ❑ Review of As-Built Plans-NO FIRE FEE ❑A Separate PW Permit is Required (Permit#: PW ❑ Minimal or No Fire Scope-NO FIRE FEE AND ❑ Is located in this folder ❑ Review/Inspection Scope-ADD FIRE FEE ❑ Is in a Separate Green Folder(join with this folder for permit issuance) Approved By: Date: ❑Will be issued separately(Separate Green Folder,PW issued ahead of Bldg) ❑ Public Works has no scope---PW Not Required ELECTRICAL/PLUMBING Additional Notes: Additional Notes: ,�,�� Approved By: Date: Completed B = 1f Date: dx5(v.