10115 HOLLY DR OLIN FIELDS APTS 2023-04-07

Intake &Approval Sheet (FOR PERMIT STAFF ONLY) PERMIT# (39-C 0 - 43 8 BUILDING PLANNING Intake OK by: Date: Intake OK by: VIs Assign To: Date: 21 Dot 242, Intake Comments: Intake Comments: Zone utt4 Overlay/Agreement ❑ Route to Commercial Building Nonresidential Use ❑ Route to Residential Building Residential Use I.Av14;•Noah) 1411•- ❑ Make this a"W" Permit • Proposed No. of Dwelling Units: Bldg/TI/Addn/Rem Size Total No.of Dwelling Units: Garage/Accessory Struct.Size — Planning/Landscape Inspection Required before Final? DYes No Number of Stories "In Lieu"Fee:Type: Amount$ Basement RI No DYes , Fin/Unfin s School Impact Fee: Total $ Type of Construction V'e= Calculated: Credit: Occupancy Group L1 ❑Everett School Dist ❑Mukilteo School Dist Occupancy Load Park Impact Fees for permits applied for after 1/1/2022: Fire Sprinklers: ❑Update Existing ONew System R1Not Req'd Park Impact Fee Total$ Reason Sprinklers Required: Fee Schedule Used For Calculation(Year): - Fire Alarm: DUpdate Existing ONew System IX Not Req'd Permit Technicians:Apply Credit Per EMC19.53.200 Reason Fire Alarm Required: 0 100%Credit-Issued 1/1/2022-9/2/2022 RCW 64.55 MF worksheet req'd for permit? DYes t1 No 0 50%Credit-Issued 9/3/2022-6/2/2023 Add'I RCW 64.55 docs required prior to final? DYes J1 No 0 0%Credit-Issued 6/3/2023 or later VALUATION CALCULATION: Total $ 41, Additional Notes: Approved By:9)„ ; . v" Date: 24.0 a 24) - . PUBLIC WORKS. Additional Notes: c'v«^•kk- ftreMt+P. e= Intake OK by:-1171-3i Date: 10 i fl `-►2Z- �,vtyvR.c resst'S Intake Comments: PW Worksheet Needed if: t1c5 ►�•& .S est?L ❑Sys Dev Eval ❑Traffic Mit Eval Approved By: Afil Date: ((./9f'2 ❑Site Work or Drainage Proposed r ❑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 El Fire Sprinklers ❑Fire Alarm ❑Other: ❑This project also has a separate concurrent PW Review(Green Folder) Additional Notes: AND ❑Create Green Folder ❑Submitted Previously ODeferred ❑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: 1�9(/V� Date: I I -O ❑Will be issued separately(Separate Green Folder,PW issued ahead of Bldg) 1YrOblic Works has no scope---PW Not Required ELECTRICAL/PLUMBING Additional Notes: Additional Notes: � i c+ Jt -t41....1.... Approved By: Date: Approved By: Date: