PERMIT APPLICATION COMMON
Where on your property are you working?:
2nd Flr SW corner of Roosevelt Square Bldg
Is work in the right-of-way (street or alley) required?:
No
Choose the Primary Property Use:
Commercial
Project Value:
100000
PERMIT TRACKING COMMON
Review Level:
Full C
Application Completed Date:
07/23/2025
Permit Issued Date:
09/09/2025
Inspections Completed Date:
10/15/2025
Permit Remarks:
Per applicants request address changed to 6401 12th Ave NE from 1027 NE 65th St., revision required
FLOATING RESIDENCE INFO
Is this building a Floating Residence?:
No
CONSTRUCTION VALUATION INFO
Intake Value: New:
0
Intake Value: Alteration:
100000
Total Intake Value:
100000
Issue Value: New:
0
Issue Value: Alteration:
100000
Total Issued Value:
100000
BUILDING CODE INFO
What building code was used for your design?:
2021 SEBC
Action Type:
Add/Alt
Is a certificate of occupancy required?:
No
GROUND DISTURBANCE
Is your development site in an environmentally critical area (ECA)?:
No
New and Replaced Hard Surface > 750 sq ft?:
No
Are you doing more than 2,000 square feet of earth disturbance?:
No
LAND USE STREET ELEMENTS
Number of Curb Cuts for This Permit:
0
PARKING
# of Existing Onsite Parking:
0
# of Existing Offsite Parking:
0
# of Existing Accessible Parking:
0
# of Proposed Onsite Parking:
0
# of Proposed Offsite Parking:
0
Offsite Parking Location:
0
# of Proposed Accessible Parking:
0
# of Existing Bicycle Parking Spots:
0
# of Proposed Bicycle Parking Spots:
0
Tenant Relocation Assistance
Are there residential (non-commercial) tenants/renters currently living in the property? :
No
CONTRACTOR DISCLOSURE
Who will be performing all the work?:
Licensed Contractor
Contractor License:
WHITITC099LG