Laserfiche WebLink
RCW 64.55 BUILDING ENVELOPE SUBMITTAL WORKSHEET <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar Street, Everett,WA 98201 <br /> 425-257-8810 email.� everettepsa�everettwa.gov websife: www.everettwa._qov/permit <br /> REHABILITATIVE CONSTRUCTION, NEW CONSTRUCTION, RECORDED COVENANT OR CONVERSION <br /> CHECK r� ( . <br /> ONE �'�\1.� \.'.'� l'r51�� ��il���� ������-�4�_ �1_.�;�,T.`�� �IG�� <br /> Box Property Name Address Building Number Permit Number <br /> �J 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 (8J MULTIPLY(A)BY 100 (C)ASSESSED BUILDING VALUE (DJ DIVIDE(B) by(C) _% <br /> . . .. <br /> . <br /> � <br /> �� ��� ,;>�> ��f�;�� � , 5��� �� - J� `�,f`_'� '��� � � '"�`J ,� <br /> �� � - �� `�� -� <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 /> ❑ RE�ORDED C�VENANT �F �ALE from Snohomish County (Sale Prohibition Covenant)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 /> ❑ TOWNHOUSES ON SINGLE PLATTED LOTS (Unit Lot Subdivision) <br /> Can submit for building permit while concurrently seeking to obtain unit lot subdivision for each townhome. This <br /> exemption is an alternate to providing building enclosure design documents for the townhome building, if the unit lot <br /> subciivision is not approved. Certificate of Occupancy will not be issued without approved sutdivisian. The <br /> applicant accepts the risk involved to obtain a single platted lot exemption to RCW 64.55 for each unit of building. <br /> ���j� _ � �� . -� VI mr �C_ :� ���'�:�i �j,c�.�j j _�,�_�'�'-�°-� <br /> 1 �- � 1 ��� : ` <br /> Si nature of Owner or Authorizerd il ent Printed name of Owner r Author ed A ent Phone# Date <br /> 9 9 4� 9 <br /> I' � 1 --��''�1 I_�i`k ��������-� 1 � �,l 1 <br /> �tl.��,�: C,a,l �'�c" � ��6'\�^� t�,�I ')5 �n �_tll r�--►`�� 'r�lY��>; �� �.1��I\`:�rt�� �\ ���1�� � J <br /> Printed name of�Business Address � City � Zip Code <br /> SIGNATURE REQUIRED FOR EACH BU/LD/NG PERMIT APPLICATION <br />