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

Intake & Approval Sheet (FOR PERMIT STAFF ONLY) PERMIT# BUILDING PLANNING Intake OK by: Date: _ Intake OK by: Assign To:cl 2j5 Date: II /22122 Intake Comments: Intake Commen s: Zone U R N Overlay/Agreement AIA ;ACA,s1ae.wall4 ❑ Route to Commercial Building Nonresidential Use N/A ❑ Route to Residential Building Residential Use Multi - fa m;I y ❑ Make this a"W" Permit Proposed No. of Dwelling Units: (v/A Bldg/TI/Addn/Rem Size Z(O ;4' Total No. of Dwelling Units: N/A Garage/Accessory Struct. Size — Planning/Landscape Inspection Required before Final? ❑Yes 123No Number of Stories "In Lieu" Fee:Type: Amount$ ��yyy Basement IA.INo ❑Yes , Fin/Unfin School Impact Fee: Total $ Type of Construction V' Calculated: Credit: Occupancy Group ,Z ❑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 Not 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 DNew System niNot Req'd Permit Technician Use Only:Apply Phase-In Credit Per EMC19.53.200 Reason Fire Alarm Required: ❑ 100%Credit-Issued 1/1/2022-9/2/2022 RCW 64.55 MF worksheet req'd for permit? IYeS ❑ No 0 50%Credit-Issued 9/3/2022-6/2/2023 Add'I RCW 64.55 docs required prior to final? ❑Yes No ❑ 0%Credit-Issued 6/3/2023 or later VALUATION CALCULATION: Total $ `40,DOd Additional Notes: Approved By: Date: II I zz/ZZ PUBLIC WORKS Additional Notes: 'P Ft>`?At RS Intake OK by: Date: Intake Comments: PW Worksheet Needed if: ❑Sys Dev Eval(Util/SW) DTraffic Mit Eval Approved By: )v$ Date: 2 : �1h.0wv, ❑Site Work/Drainage DAddress Letter I DBackflow 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 El Fire Alarm El Other: ❑This project also has a separate concurrent PW Review(Green Folder) Additional Notes: AND ❑Create Green Folder ❑Submitted Previously ❑Deferred 0 This Permit is Approved by Public Works Fire Dept. Fees: 0 See PW Review Worksheet and associated attached items O Review of As-Built Plans-NO FIRE FEE ❑ A Separate PW Permit is Required (Permit#: PW O Minimal or No Fire Scope-NO FIRE FEE AND ❑ Is located in this folder O Review/Inspection Scope-ADD FIRE FEE 0 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) 0 Public Works has no scope---PW Not Required ELECTRICAL/PLUMBING Additional Notes: Additional Notes: Approved By: Date: Completed By: Date: