Laserfiche WebLink
RCW 64.55 MULTI -FAMILY CERTIFICATION WORKSHEET <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar Street. Everett, WA 98201 <br />425 257-8810 - FAX 425 257.8857 - www.everettwa.org <br />REHABILITATIVE CONSTRUCTION, NEW CONSTRUCTION, RECORDED COVENANT OR CONVERSION <br />CHECK ONE <br />ONE <br />�^-Greensview Apts. 1520 W. Casino Road EX6)/-/X <br />BOX <br />Property Name Address Building Number Permit Number <br />❑ <br />REHABILITATIVE CONSTRUCTION equal to or less than 5% or less of current assessed <br />market Improvement value of specified building' <br />'NOTE: Applicant to provide entire cost of rehabilitative construction to the building enclosure for a multiunit <br />residential building or mixed use project per RCW 64.55.010, which may exceed the valuation for building permit. <br />(A) ENCLOSURE REHAB COST (B) MULTIPLY (A) BY 100 (C)ASSESSED BUILDING VALUE (D) DIVIDE (B) by (C) = % <br />El <br />NEW CONSTRUCTION OR REHABILITATIVE CONSTRUCTION equal to more than 5% of <br />current assessed market Improvement value of specified building' <br />'NOTE: Per RCW 64.55.010 RCW 64.55.020 and RCW 64.55.060 <br />Each building enclosure design document is to be stamped and signed by a Washington State architect. The <br />documents should also contain a stamped signed statement by the same architect that `the undersigned has <br />provided building enclosure documents that in my professional judgment are appropriate to satisfy the requirements <br />or RCW 64.55.005 through 64.55.090". <br />Final inspection or 'Certificate of Occupancy cannot be Issued by the building department prior to receipt of a <br />signed letter from an Independent inspector certifying that the building enclosure has been Inspected during the <br />course of construction and has been constructed in substantial compliance with the building enclosure design <br />documents. <br />❑ <br />RECORDED COVENANT OF SALE from Snohomish County <br />'NOTE: Sale Prohibition Covenant per RCW 64.55.010 <br />Submit site plan with location of building, permit with description of work and certified copy of recorded covenant <br />from the real property records of Snohomish County, Washington for specified building. <br />f 1 <br />CONVERSION to condominium' <br />'NOTE: permits may be required by the City of Everett per the results of the Independent inspection report. <br />Undersigned will comply with owner independent Inspection alternative per RCW 64.55.090 and RCW 64.34.400(2). <br />Robert Nevitt, Architect 425-7'14-5600 /yz 0 <br />Signature or Owner or Authorized Agent Printed name of Owner or Authorized Agent Phone N ate <br />J2 Building Consultants, Inc. 3400 - 168th St SW, Lynnwood, WA 98037 <br />Printed name of Business Address City Zip Code <br />chklst-now com and condo (rev 423/08) FOR OFFICE USE ONLY <br />