9009 W MALL DR BUILDING 20 2021-03-30

• I • i ,-1 il iligll',VAINF- ROW 64.55 BUILDING ENVELOPE SUBMITTAL WORKISHEET CITY OF EVERETT PERMIT SERVICES . . i 3 ,lit Ceder areet, vizatetti WASS201 f . W 425-257-8810 email:evereiteps@evereilwagov website:www.everettwaelpvipermit T •:` REHABILITATIVE CONSTRUCTION, NEW CONSTRUCTION, RECORDED COVENANT OR CctJVERSfON 41 CHECK .', ONE ArfiEriNkreLL.) Mitx. ears- 2001 jeki A41...1., be, Z C? BOX % Property Name Address Butiding Number Pec trnit NUrnber '_—_-_—z, Ee REHABILITATIVE CONSTRUCTION equal to or less than 5% or less of current assessed market improvement value of specified building* .,. .i *NOTE: Applicant to provide entire cost of rehabilitative construction to the building enclosure for a ipiltiunit residential building or mixed use project per RCW 64.55.010,which may exceed the valuation for b4,Iding permit .....„ , ,j4LEA91:2U.R.E REHAB COZT:(B)MULTIPLY(A)BY i,00 i(C)ASSESSED BUILDING VALUE ,ep)plylo .?I?)by(C) .' Si )e‘q‘c/ t/i 15t4005:7 M 41 ° 4 Cl NEW CONSTRUCTION OR REHABILITATIVE CONSTRUCTION equal to more filan 5% of current assessed market improvement value of specified building* *NOTE: Per RCVV 64.55.010, RCW 64:55.020 and RCW 64:55.060 k each bui10415 etAbs,!-Te deeIRP, Oribefeenti4 to be stamped and.siLnfid by a.WarnillgtPrk St.ate-alchilect--• documents should also contain a stamped signed statement by the same architect that"the undersigrOd has provided building enclosure documents that in my professional judgment are appropriate to satisfy that requirements or RCW 64.55.005 through 64.55.090". i Final inspection or 'Certificate of Occupancy' cannot be issued by the building department prior o receipt of a signed letter from an independent inspector certifying that the building enclosure has been inspe ,ed during the course. of construction and has been constructed in substantial compliance with the building, enclosure design documents. --:: El RECORDED COVENANT OF SALE from Snohomish County (Sale Prohibition Covenant)64.55.010 Submit site plan with location of building, permit with description of work and certified copy of recorde4 covenant from the real property records of Snohomish County,Washington for specified building. .4 El TOWNHOUSES ON SINGLE PLATTE:Eq.:WS Onitlot.Subdivision), .', Can submit for building permit while concurrently seeking to obtain unit lot subdivision for each townh4me. This exemption is an alternate to-providing building enclosure design documents for the townhorne 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 unittf building. AIPC-1 5- FAIZIAS- -76)4.140,- -S-71-7 44- i , 2-0 Sgnetutv ofOwn Authorized Agent Printsdnurne ofOwner*.Authorized Agent Phone* toots Printed name of Business Address City z',, Zip Code .i, , SIGNATURE REQUIRED FOR EACH BUILDING PERMIT APPLICATION f i ,,,.