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

Intake &Approval Sheet (FOR PERMIT STAFF ONLY) • PERMIT# !3 22 L — g/ BUILDING PLANNING Intake OK by: Date: Intake OK by:rff� Assign To: 3 e s5 Date: I\1ZZ/ZZ Intake Comments: Intake Comme Zone U Ry Overlay/Agreement hl A*ACA,$idewalk prto rl 4� ❑ Route to Commercial Building Nonresidential Use N/A ❑ Route to Residential Building Residential Use ❑ Make this a"W" Permit Proposed No. of Dwelling Units: N/A Bldg/TI/Addn/Rem Size 2_(O41- Total No. of Dwelling Units: N/A Garage/Accessory Struct. Size — Planning/Landscape Inspection Required before Final? ❑Yes EtNo Number of Stories 3 "In Lieu"Fee:Type: Amount$ Basement CZNo ❑Yes , Fin/Unfin School Impact Fee: Total $ Type of Construction V` Calculated: Credit: Occupancy Group lZ-2- ❑Everett School Dist ❑Mukilteo School Dist Occupancy Load — Park Impact Fees for permits applied for after 1/1/2022: Fire Sprinklers: ❑Update Existing ❑New System INot 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 ItNot 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 til No 0 0%Credit-Issued 6/3/2023 or later 11 VALUATION CALCULATION: Total$ `-0, 000 Additional Notes: Approved By: Date:I I /22/22 PUBLIC WORKS Additional Notes: '9EGtc, it.EP44.5 Intake OK by: Date: Intake Comments: PW Worksheet Needed if: ❑Sys Dev Eval(Util/SW) ❑Traffic Mit Eval Approved By: ,'' Date: •/a,z,)�j y3 ❑Site Work/Drainage ❑Address Letter I ❑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 ❑Other: ❑This project also has a separate concurrent PW Review(Green Folder) Additional Notes: AND ❑Create Green Folder ❑Submitted Previously ❑Deferred ❑ 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: 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: