7929 BEVERLY BLVD 2025-07-15 - Laserfiche WebLink

Intake & Approval Sheet (FOR PERMIT STAFF ONLI) PERMIT# UZ 3U -3 BUILDING PLANNING Intake OK by: Date: Intake OK by: Assign To: CSS Date: 23 Intake Comments: Intake Comments: Zone Overlay/Agreement None ❑ Route to Commercial Building Nonresidential Use N/A ❑ Route to Residential Building Residential Use 2 un,+ CkweW%n 4 1 V"'xk- ❑ Make this a"W"Permit Proposed No.of Dwelling Units: Bldg/Tl/Addn/Rem Size Total No.of Dwelling Units: Garage/Accessory Struct.Size "-,S Planning/Landscape Inspection Required before Final? ❑Yes ®No Number of Stories Z "In Lieu"Fee:Type: Amount$ 0 Basement Wo ❑Yes , Fin/Unfin School Impact Fee: Total $ 0 Type of Construction 11-114 6 Calculated: Credit: Occupancy Group El Everett School Dist ❑Mukilteo School Dist Occupancy Load Park Impact Fees for permits applied for after 1/112022: Fire Sprinklers: ❑Update Existing ❑New System of Req'd Park Impact Fee Total$ 0 Reason Sprinklers Required: Fee Schedule Used For Calculation(Year): Fire Alarm: ❑Update Existing El New System/Mot Req'd Permit Technicians:Apply Credit Per EMC19.53.200 Reason Fire Alarm Required: ❑ 100%Credit-Issued 1/l/2022-9/2/2022 RCW 64.55 MF worksheet req'd for permit? ❑Yes M No ❑ 50%Credit-Issued 9/3/2022-6/2/2023 Add'I RCW 64.55 does required prior to final? Oyes IM10 ❑ 0%Credit-Issued 6/3/2023 or later VALUATION CALCULATION: Total$ /S6D. Additional Notes: Approved By: Date: y Z3 k PUBLIC WORKS Additional Notes: Intake OK by: _Date: Intake Comments: PW Worksheet Needed if. • []Sys Dev Eval ❑Traffic Mit Eval Approved - Date: 7�7%� []Site Work or Drainage Proposed ❑Backflow Prevention for high hazard: (dental,medical,animals,mortuary,hospital, FIRE DEPARTMENT supportive housing) Separate/Deferred Submittals Required: [--]Route 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 aoln with this folder for permit Issuance) Approved By: Date: ❑ WIII 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: JApproved By--,. j' Date: c�3 2 0 ,2v Z3