3308 31ST DR 2018-01-16 - Laserfiche WebLink

. + . • R��W 64.55 MULTI-FAMILY CERTIFICATION WORKSHEET CITY OF EVERETT PERMIT SERVICES 3200 Cedar Street, Everett,WA 98201 425-257-8810—FAX 425-257-8857—www.everettwa.orq REHABILITATIVE {;C}NSTRUCTION, NEW CONSTRUCTIUN, RECORDED COVENANT UR CONVERS[ON CHECK oNE Riverfront - Eclipse 3308 31 st Dr., Everett, WA, 98201 1 � I(D�� "(�7� BOX Property Name Address Building Number Permit Number ❑ REHABILITATIVE CC)NSTRUCTION equal to or less than 5% or less of current assessed market improvement val�e of specified building* '`NOTE: App icant to provide entire cost of rehabilitative construction to the building enclosure for a multiunit residential building or mixed use project per RCW 64.55.010, which may exceed the valuation for building permit. (A)ENCLOSUF:E REHAB COST (B)MULTIPLY(A)BY 100 (C)ASSESSED BUILDING VALUE (D) DIVIDE(B)by(C) _% ❑ NEW CON:aTRUCTlON {�R REHABILlTATIVE CONSTRUGT[C)N equai to mare than 5°l0 of current ass,essed rrtarket improvement value ofi specified building� *NOTE: Per F:CW 64.55.010, RCW 64.55.020 and RCW 64.55.060 Each building enclosure design document is to be stamped and signed by a Washington State architect. The documents sh�uld also contain a stamped signed statement by the same architect that"the undersigned has provided build ng enclosure documents that in my professional judgment are appropriate to satisfy the requirements or RCW 64.5�.005 through 64.55.090". Final inspecticm or 'Certificate of Occupancy' cannot be issued by the building department prior to receipt of a signed letter lrom an independent inspector certifying that the building enclosure has been inspected during the course of coristruction and has been constructed in substantial compliance with the building enclosure design documents. � RECORDE� COVENANT OF SALE from Snohomish County* *NOTE: Sale Prohibition Covenant per RCW 64.55.010 Submit site pl;�n with location of building, permit with description of work and certified copy of recorded covenant from the real E>roperty records of Snohomish County, Washington for specified building. ❑ TC}WNHON ES ON SINGL.E PLATTE� LOTS* *NOTE: This�:xemption allows the applicant to submit for building permit while concurrently seeking to obtain unit lot subdivision fo-each townhome. This exemption is an alternate to providing building enclosure design documents for the townhome building. Certificate of Occupancy will not be issued until RCW 64.55 is met. The applicant accepts the risk involv�d to apply for a single platted lot exemption to RCW 64.55 for each unit of this townhome building. Q-�GI-n� ��_ �A�1'U� Alan D Pani (425) 586-7700 02/26/16 Signature of Owner or Authorized Agent Printed name of Owner or Authorized Agent Phone# Date Polygon WLH, LLC 11624 SE 5th St., Ste 100 Bellevue 98005 Printed name of Business Address City Zip Code 4 chklst-new com and condo(rev 10/15) FOR OFFICG USE ONLY