1730 112TH ST SW BLDG A SAGE APARTMENTS 2025-04-07

intake & Approval Sheet (FOR PERMIT STAFF ONLY) PERMIT BUILDING PLANNING lntake OK by: Date: Intake OK by: Assign To: Date: Intake Comments: Intake Comments: ❑ Route to Commercial Building ❑ Attach to Project No. ❑ Route to Residential Building ❑ Route to Historic Reviewer ❑ Make this a"W"Permit OK to Route to Other Departments Bldg/TI/Addn/Rem Size 9Hold in Planning File Drawer Garage/Accessory Struct.Size Zone Number of Stories Overlay/Agreement Basement ❑No ❑Ye F il l Unfin Nonresidential Use . Type of Construction Residential Use Occupancy Group Proposed No.of Dwelling Units: Occupancy Load Total No,of Dwelling Units: Fire Sprinklers: ❑Update Existing ❑New System []Net Req'd Planning/Landscape Inspection Required before Final? ❑Yes []No Reason Sprinklers Required: "In Lieu"Fee:Type: Amount$ Fire Alarm: ❑Update Existing ❑New System ❑Not Req'd School Impact Fee: Total $ Reason Fire Alarm Required: Calculated: Credit: RCW 64.56 MF worksheet req'd for permit? []Yes ❑ No []Everett School Dist ❑Mukilteo School Dist Add'I RCW 64.55 does required prior to final? ❑Yes ❑No Additional Notes: VALUATION CALCULATION: Total$ Approved By: Date: PUBLIC WbkKs. Intake OK by: Date: Additional Notes: Intake Comments: I PW Worksheet Needed if. M yµII ❑Sys Dev Evai ❑Traffic'Mit Eval I El Site Work or Drainage Proposed Approved By: Date: (I L ClBackflow Prevention for high hazard: '(dental,medical,animals,mortuary,hospital, supportive housing) FIRE DEPARTMENT ❑Route this folder for PW Review at end ---PW Review Worksheet Separate I Deferred Submittals Required: ❑This project also has a separate concurrent PW Review(Green Folder) El Fire Sprinklers ❑Fire Alarm ❑Other: AND El Create Green Folder [ Submitted Previously ❑Deferred Additional Notes: ❑This Permit is Approved by Public Works ❑ See PW Review Worksheet and associated attached items Fire Dept. Fees: ❑ A Separate PW Permit is Required(Permit M PW j ❑ Review of As-Built Plans..NO TIRE FEE AND ❑ Is located in this folder ❑ Minimal or No Fire Scope-NO FIRE FEE ❑ Is in a Separate Green Folder Gobi Qh this folder for permit Issuance) ❑ Review/Inspection Scope-ADD FIRE FEE ❑ Will be issued separately(separate Green Folder,PW Issued ahead of Bldg) Approved By: Date: ❑ Public Works has no scope--- PW Not Required Additional Notes: ELECTRICAL Additional Notes: Approved By: Date: Approved By: Date: