7511 BEVERLY BLVD 2019-01-17 - Laserfiche WebLink

Intake & Approval Sheet (FOR PERMIT STAFF ONLY) PERMIT# kg OC J BUILDINGtt PLANNING Intake OK by: Date: b1� (� Intake OK by: - Date: ' /('1 ZM Intake Comments: Intake Comments: Assign To:'-v2{"2So1/4 ❑ Route to Commercial Building Et Attach to Project No. P.E V 7 - 'k 1VQJ,\b-005-- ❑ Route to Residential Building 0 Route to Historic Reviewer ❑ Make this a"W"Permit 0 OK to Route to Other Departments Bldg/TI/Addn/Rem Size Hold in Planning File Drawer Garage/Accessory Struct. Size Zone cS "- l Number of Stories Overlay/Agreement Basement ❑No ❑Yes , Fin/Unfin Nonresidential Use \le\\'jJ ,tkc ks ito,vkGII ,\* Type of Construction Residential Use J Occupancy Group Proposed No. of Dwelling Units: Occupancy Load Total No. of Dwelling Units: Fire Sprinklers: ❑Update Existing ❑New System ❑Not Req'd Planning/Landscape Inspection Required before Final? ❑Yes ❑No Reason Sprinklers Required: "In Lieu"Fee:Type: Amount$ Fire Alarm: ❑Update Existing ❑New System ❑Not Req'd School Impact Fee: Total $ Reason Fire Alarm Required: Calculated: Credit: RCW 64.55 MF worksheet req'd for permit? ❑Yes 0 No DEverett School Dist DMukilteo School Dist. Add!RCW 64.55 docs required prior to final? ❑Yes ❑No Additional Notes: VALUATION CALCULATION: Total$ Approved By - 17 Date: 8'(' L_/j. Cp PUBLIC WORKS Intake OK by:-_ Date: cAl 61 Zol-C Additional Notes: Intake Comments: PW Worksheet Needed if: ❑Sys Dev Eval ❑Traffic Mit Eval DSite Work or Drainage Proposed Approved By: Date: e f (f I ❑Backflow Prevention for high hazard: (dental,medical,animals,mortuary,hospital, supportive housing) FIRE DEPARTMENT DRoute this folder for PW Review at end ---PW Review Worksheet Intake: (Needed for Townhomes,Alley load SFR,New Commercial) ❑This project also has a separate concurrent PW Review(Green Folder) DRoute to Fire Drawer---Fire Preliminary Review Notice AND OCreate Green Folder ❑Submitted Previously ❑Deferred ❑Sending Fire Notes to Project Team 0 This Permit is Approved by Public Works Date: (OK to Route to Other Departments) 0 See PW Review Worksheet and associated attached items Fire Sprinklers: ❑Update Existing ❑New System 0 Not Req'd 0 A Separate PW Permit is Required (Permit#: PW ) Fire Alarm: ❑Update Existing ❑New System ❑ Not Req'd AND 0 Is located in this folder Chemical Sup: ❑Update Existing ❑Ne System 0 Not Req'd 0 Is in a Separate Green Folder(join with this folder for permit issuance) Additional Notes: ❑ Will be issued separately(Separate Green Folder,PW issued ahead of Bldg) Approved By: Date: Public Works has no scope---PW Not Required Additional Notes: ELECTRICAL N I O vv `1ej1 )N\ PL Additional Notes: Approved By: Date: Approved By: ArtA" Date: Fig Z/4.