7929 BEVERLY BLVD 2025-07-15 - Laserfiche WebLink

Intake &Approval Sheet (FOR PERMIT STAFF ON09 PERMIT BUILDING PLANNING Intake OK by: Date: Intake OK by: Assign To U1""7 Date: 6 Z�ZOl y Intake Comments: Intake Comments: Zone 70-1 ❑Make this a"W"Permit ❑ SRC Required (Pre•Insp) Overlay/Agreement Bldg/TI/Addn/Rem Size Nonresidential Use Garage/Accessory Struct.Size Residential Use 1:511:5 7:7-1 Number of Stories Proposed No,of Dwelling Units: -f— 44( Basement []No ❑Yes, Fin/Unfin Total No.of Dwelling Units: 5-AZ i- H Type of Construction Planning/Landscape Inspection Required before Final? ❑Yes No Occupancy Group "in Lieu"Fee:Type: Amount$ Occupancy Load School Impact Fee: Total $ 0 Cert.of Occpuancy Required? ❑No ❑Yes []Shell Only Calculated: Credit: Code Year ❑2021 112018. ❑2015 ❑Everett School Dist ❑Mukilteo School Dist Fire Sprinklers: []Update Existing❑New system ❑Not Req'd Park Impact Fees for permits applied for after 1/112022: Reason Sprinklers Required: Park Impact Fee Total S (net due afiercredit for existing uses) Fire Alarm: El Update Existing El New System ❑Not Req'd Fee Schedule Used For Calculation(Year): Reason Fire Alarm Required: RCW 64.55 MF worksheet req'd for permit? ❑Yes ❑ No Add'I RCW 64.55 docs required prior to final? ❑Yes []No Additional Notes: pf d Q J r:bbU VALUATION CALCULATION: Total$ (f Approved By: A Date: 7 ?11Zy PUBLIC WORKS Intake OK by: Date: Intake Comments: PW Review d WorksheetNeeded 1f.• IE]Sys Dev Eval: Additional Notes: ❑Water ❑Sewer ❑Storm ❑Traffic Mitigation Eval Approved By: Date: *dressLetter ❑Site Work/Drainage(show/nitriggered) G{//10I' OA FIRE DEPARTMENT ❑Backflow Prevention forhigh hazard: Separate/Deferred Submittals Required: (dental,medical,animals,mortuary, hospital,supportive housing) ❑Fire Sprinklers ❑Fire Alarm []Other: Additional Notes: This Permit is Approved by Public Works 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 fully digital Minimal or No Fire Scope-NO FIRE FEE ❑ Is located in this folder ❑ Review/Inspection Scope-ADD FIRE FEE ❑ Is in a Separate Green Folder Qoln with this folder for permit issuance) Approved By: t Date: ❑Will be issued separately(Separate Green Folder,PW Issued ahead of Bldg) ❑ Public Works has no scope on this permit---PW Not Required ELECTRICAUPL:UMBING Additional Notes: fM to tx p� low Fr Additional Notes: E4h} AQZ:-T929 BEVE'iy Blvd 41f 8 Approved By: Date: lCompleted By. Date: