7211 BEVERLY BLVD 2025-07-14 - Laserfiche WebLink

Intake & Approval Sheet (FOR PERMIT STAFF ONL1) PERMIT# ?�(L'�)QB -U BUILDING PLANNING Intake OK by: Date: Intake OK by: Assign To: Date:°[h7 23 Intake Comments: Intake Comments: Zone ❑ Make this a"W"Permit ❑ SRC Required(Pre-Insp) Over]ay/Agreement N/A Bldg/TI/Addn/Rem Size Nonresidential Use N/A Garage/Accessory Struct.Size Residential Use S P R. Number of Stories IL Proposed No.of Dwelling Units: N/A Basement JRNo ❑Yes, Fin]Unfin Total No.of Dwelling Units: I Type of Construction Planning/Landscape Inspection Required before Final? ❑Yes ®No Occupancy Group "In Lieu"Fee:Type: Amount$ O Occupancy Load School Impact Fee: Total $ O Cert.of Occpuancy Required? o ❑Yes ❑Shell Only Calculated: Credit: Code Year 102021 932018 ❑2015 El Everett School Dist ❑Mukilteo School Dist Fire Sprinklers: ❑Update Existing ❑New System RNot Req'd Park Impact Fees for permits applied for after 111/2022: Reason Sprinklers Required: Park Impact Fee Total$ U (net due after credit for existing uses) Fire Alarm: ❑Update Existing ❑New Systen 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']RCW 64.55 docs required prior to final? ❑Yes o Additional Notes: VALUATION CALCULATION: Total$ L%000, D p Approved By: Date:a -7 23 PUBLIC WORKS Intake OK by: Date: Intake Comments: PW Review&Worksheet Needed if., ❑Sys Dev Eval: Additional Notes: ❑Water ❑Sewer ❑Storm ❑Traffic Mitigation Eval Approved By. Date: 7e 2 3 ❑Site Work/Drainage(shown/triggered) ❑Address Letter FIRE DEPARTMENT ❑Backflow Prevention for high hazard: Separate/Deferred Submittals Required: (dental,medical,animals,mortuary, Se p q 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 Goin 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 on this permit---PW Not Required ELECTRICAL/PLUMBING Additional Notes: Additional Notes: Approved By: Date: lCompleted By: Date: