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

Intake & Approval Sheet •(FOR PERMIT STAFF ONLY) • PERMIT# �/ 2 1 I 0 61N BUILDING PLANNING Intake OK by: Date: Intake OK by: Assign To:3egg Date: II IZ2f ZZ Intake Comments: Intake Comments: Zone V R' Overlay/Agreement A1A+ACA 1 Siaewalc. priori Fci ❑ Route to Commercial Building Nonresidential Use NSA ❑ Route to Residential Building Residential Use -f artnt lu, ❑ Make this a"W"Permit Proposed No. of Dwelling Units: N/A Bld /TI/Addn/Rem Size 1 g �Ip Total No.of Dwelling Units: JJ)jj Garage/Accessory Struct. Size — Planning/Landscape Inspection Required before Final? ❑Yes Eno Number of Stories 3 "In Lieu" Fee:Type: Amount$ Basement DZINo ❑Yes , Fin/Unfin School Impact Fee: Total $ Type of Construction `/ -Q Calculated: Credit: Occupancy Group ❑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 ❑ ryaNew System Not 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? ®Yes I❑ No 0 50%Credit-Issued 9/3/2022-6/2/2023 Add'I RCW 64.55 docs required prior to final? ❑ 1 Yes Z1No 0 0%Credit-Issued 6/3/2023 or later VALUATION CALCULATION: Total$ 4o,Oov Additional Notes: Approved By: �,.� Date:1 I I az I Zz �/ PUBLIC WORKS Additional Notes: -PeC.. K gtEtS Intake OK by: Date: Intake Comments: PW Worksheet Needed if: ❑Sys Dev Eval(Util/SW) OTraffic Mit Eval Approved By: Date: 2(p.2,(2.023 ❑Site Work/Drainage OAddress Letter OBackflow 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: