10115 HOLLY DR BLDG T 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: Jess Date: 11 )ZZ/ZZ- Intake Comments: Intake Comme : Zone URH Overlay/Agreement AIA;ACPt,S ide.walk pr ior-1 ❑ Route to Commercial Building Nonresidential Use 14/A ❑ Route to Residential Building Residential Use Mvlti-farnilt,, ❑ Make this a"W" Permit Proposed No. of Dwelling Units: NS/A Bldg/TI/Addn/Rem Size Z(o -fit'' Total No. of Dwelling Units: NI)A Garage/Accessory Struct. Size -- Planning/Landscape Inspection Required before Final? DYes ,®No Number of Stories 3 "In Lieu"Fee:Type: Amount$ Basement 17-gNo ❑Yes , Fin/Unfin School Impact Fee: Total $ Type of Construction V"I t Calculated: Credit: Occupancy Group - -A_. ❑Everett School Dist ❑Mukilteo School Dist Occupancy Load Park Impact Fees for permits applied for after 1/1/2022: Fire Sprinklers: ❑Update Existing El New System 4Not 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 EINot 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? tilYes ❑ No 0 50%Credit-Issued 9/3/2022-6/2/2023 Add'I RCW 64.55 docs required prior to final? ❑Yes LINo 0 0%Credit-Issued 6/3/2023 or later VALUATION CALCULATION: Total$ 46/ Additional Notes: Approved By: Date: I I f ZZI ZZ PUBLIC WORKS Additional Notes: fi' tt- Pura.; Intake OK by: Date: Intake Comments: PW Worksheet Needed if: ❑Sys Dev Eval(Util/SW)❑Traffic Mit Eval Approved By: Date: ,2-(2.212og. ❑Site Work/Drainage DAddress Letter ❑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: 0 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 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) ❑ Public Works has no scope---PW Not Required ELECTRICAL/PLUMBING Additional Notes: Additional Notes: Approved By: Date: Completed By: Date: