10115 HOLLY DR BLDG A OLIN FIELDS APTS 2024-06-28

Intake & Approval Sheet 0 (FOR PERMIT STAFF ONLY) • PERMIT# 132z) ( - d7 BUILDING / PLANNING Intake OK by: Date: Intake OK by: Assign To:Je.- Date: IIJZZ/ZZ Intake Comments: Intake Commen Zone V R Overlay/Agreement AIA*ALA,S idewallc pc-'ior11 j ❑ Route to Commercial Building Nonresidential Use N/A ❑ Route to Residential Building Residential Use ("iuli".t- ra rn;lL) ❑ Make this a "W" Permit Proposed No. of Dwelling Units: N/A Bldg/TI/Addn/Rem Size 24cD -CAI- Total No. of Dwelling Units: N/A Garage/Accessory Struct. Size, — Planning/Landscape Inspection Required before Final? ❑Yes ElNo Number of Stories "In Lieu" Fee:Type: Amount$ Basement ®No ❑Yes , Fin/Unfin School Impact Fee: Total $ Type of Construction V- Calculated: Credit: Occupancy Group '--2- ❑Everett School Dist ❑Mukilteo School Dist Occupancy Load Park Impact Fees for permits applied for after 1/1/2022: Fire Sprinklers: El Update Existing ❑New System igallot Req'd Park Impact Fee Total$ (net due after credit for existing uses) Reason Sprinklers Required: Fee Schedule Used For Calculation(Year): Fire Alarm: ❑Update Existing ❑New System i2 Not Req'd Permit Technician Use Only:Apply Phase-In 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? ®Yes ❑ No 0 50%Credit-Issued 9/3/2022-6/2/2023 Add'I RCW 64.55 docs required prior to final? ❑Yes M No 0 0%Credit-Issued 6/3/2023 or later VALUATION CALCULATION: Total $ 40 roOb Additional Notes: Approved By: T-- -- s Date: 1 l IZZ.J ZZ- PUBLIC WORKS Additional Notes: Dl=c-K. et-Et Pttt '• Intake OK by: Date: Intake Comments: PW Worksheet Needed if: ESys Dev Eval(Util/SW) ❑Traffic Mit Eval Approved By: r7� Date: _/22_(;c 7 ❑Site Work/Drainage DAddress Letter 1 ❑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 CI Other: ❑This project also has a separate concurrent PW Review(Green Folder) Additional Notes: AND ❑Create Green Folder ❑Submitted Previously ❑Deferred O This Permit is Approved by Public Works Fire Dept. Fees: 0 See PW Review Worksheet and associated attached items ❑ Review of As-Built Plans- NO FIRE FEE 0 A Separate PW Permit is Required (Permit#: PW ) 0 Minimal or No Fire Scope- NO FIRE FEE AND 0 Is located in this folder O Review/Inspection Scope-ADD FIRE FEE ❑ Is in a Separate Green Folder(join with this folder for permit issuance) Approved By: Date: ❑ Will 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: Completed By: Date: