10115 HOLLY DR BLDG S OLIN FIELDS APTS 2024-07-03

Intake &Approval Sheet (FOR PERMIT STAFF ONLY) PERMIT# BUILDING PLANNING Intake OK by: Date: Intake OK by: Assign To: Jess Date: I I I22/22 Intake Comments: Intake Comments: Zone URy Overlay/Agreement AIArAGA,S;deweAls. viori ❑ Route to Commercial Building Nonresidential Use M/A ❑ Route to Residential Building Residential Use I"Multi-eav+n t(i ❑ Make this a"W" Permit Proposed No. of Dwelling Units: 1•1/A Bldg/Tl/Addn/Rem Size 2,10 44- Total No. of Dwelling Units: N/A Garage/Accessory Struct. Size — Planning/Landscape Inspection Required before Final? ❑Yes 'No Number of Stories ✓ "In Lieu"Fee:Type: Amount$ Basement u1INo ❑Yes , Fin/Unfin School Impact Fee: Total $ Type of Construction V-1 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: DUpdate Existing ❑New System INot Req'd Park Impact Fee Total$ (net due after credit for existing uses) Reason Sprinklers Required: r� Fee Schedule Used For Calculation(Year): Fire Alarm: DUpdate Existing El New System L�INot 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? lYes ❑ No 0 50%Credit-Issued 9/3/2022-6/2/2023 Add'RCW 64.55 dots required prior to final? DYes LNo 0 0%Credit-Issued 6/3/2023 or later VALUATION CALCULATION: Total$ 40)A00 Additional Notes: Approved By: Date: i i 122/ZZ PUBLIC WORKS Additional Notes: 1t E . 4-S Intake OK by: Date: Intake Comments: PW Worksheet Needed/f: ❑Sys Dev Eval(Util/SW) ❑Traffic Mit Eval Approved By: Date: p_ivlizort3 DSite Work/Drainage DAddress Letter ❑Backflow Prevention for high hazard: (dental,medical,animals,mortuary,hospital, FIRE DEPARTMENT supportive housing) Separate I Deferred Submittals Required: El 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: