9009 W MALL DR BUILDING 11 2021-03-30

+ t , • 0 i, , 1 4110te,:ri, ri . RCW 64.55 BUILDING ENVELOPE SUBMITTAL WORkSHEET :waggly Nolici CITY Of EVERETT PERMIT SERVICES , 3200 CedarStreeti Evere4,WA 88204 ) i 425-257-8810 email:everetteps@everettwa,gov webs/to:www.everetbAta:Veviperink ',.. REHABILITATIVE CONSTRUCTION, NEW CONSTRUCTION, RECORDED COVENANT OR C VERSION CHECK , - 4 °NE i ex) 94e....tc i 0 ' ALL be- 1 _.---- BOX - Property Name Address Building Number emit Number E/ REHABILITATIVE CONSTRUCTION equal to or less than 5% or less of current ssessed market improvement value of specified building* . *NOTE: Applicant to provide entire cost of rehabilitative construction to the building enclosure for a Opultiunit residential building or mixed use project per RCW 64.55.010,which may exceed the valuation forbt.4Iding permit. )ENCLOSURE REHAB COST A MULTiPLY 0)BY 100 1(C)ASSESSED BUILDING VALUE (D)DiNODE tE3)hY(Z) Otei6s ),61c6Titot ::: /,04010 , 1 . ' A 0 NEW CONSTRUCTION OR REHABILITATIVE CONSTRUCTION equal to more tl-On 5% of current assessed market improvement value of specified building* *NOTE: Per.RCW 64.55,010, RCW 64,55.020 and RCW 64.55.060 • - Each buildki enclosure design.clocursent is to be stamped aod sed by a Washloatop State athti The documents should also contain a stamped signed statement by the same architect that"the undersigried has provided building enclosure documents that in my professional judgment are appropriate to satisfy thq requirements or RCW 64.55.005 through 64.55.090% Final inspection or 'Certificate of Occupancy' cannot be issued by the building department prior to receipt of a signed letter from an independent inspector certifying that the building enclosure has been inspe4ed during the course of construction and has been constructed in substantial compliance with the Wilding en4losure design 'documents. o RECORDED COVENANT OF SALE from Snohomish County (Sale Prohibition Coven it)64.55.010 ‘• Submit site plan with location of building, permit with description of work and certified copy of recorde 'covenant from the real property records of Snohomish County,Washington for specified building. : O TOWNHOUSES ON SINGLE PLATTED LOTS (Unit Lot Subdivision)• Can submit for building permit while concurrently seeking to obtain unit lot subdivision for each townhgme. This exemption is an alternate to,providing building enclosure design documents for the townhome building,if the unit lot subdivision is not approved._Certificate of Occupancy will not be issued without approved subdivision, The applicant accepts the risk involved to obtain a single platted lot exemption to RCW 64.55 for each unit0 building. .....**......**•••••*.* •Ara.....14.4••••••t*wri•••••o‘c••••••••.... ',. Z • j 24-- signature°Mime r Authorizali Agerit Printed ntIlie of Owner or Authorted Agent Ptione* Akite It i 11: W 4. g42-10-1.°14 ' -4g1V-i- gg---40edita4,-.1.- .- Printed name of Business Address Ci -', Zi Code SIGNATURE REQUIRED FOR EACH BUILDING PERMIT APPLICATION EV 1