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APPLICATIQ"1 FOR CONSTRUCT''1N PERMIT �
<br /> TO BE COMPLETED IN BLACK INK-PLEASE PRINT
<br /> - HEATING SYSTEM: ❑GAS �'ELECTRIC ❑
<br /> BUILDING DEPARTMENT
<br /> --- --- ----- - ----- -- --- i --
<br /> 259-8810
<br /> ^-- _ ' j I I I _ ^ � ^ ❑ DEMOLITION ❑ COMBINATION fJ�BUILDING ❑MECHANICAL LUMBING ❑ SIGN
<br /> _ . � . . . CITV ZIP PHONE ^`
<br /> MRIL ADDRESS F��'Q.d , � ) /L 3(/7� ��G
<br /> U liV(I I
<br /> PHONE
<br /> - - - - F y��s, ae .r ,- ; � r - , , � i I _ AttaChmellt C �tQ� �u�s S��wn�(-z Sr� P e�k Q� Z�� ,•.
<br /> i � � ' i � I � I ;____I_ ' j ; ! ' j � � � ���� �
<br /> . . . . , ' I i I i I --- TENANT MAILADDRESS CIN ^
<br /> 5��, CITV OF EVERETT
<br /> �......yyyy����4 1 i , 'I -- , F� Plens Examiner-fill out lhis glazing secdon or attach a window schedule to this checklist. Inspector-verffy window in• c,TM z�v PHONE
<br /> , � I , � I ' � � � � _ � w � tormallonduringfieldinspecNons. lndudeskylights� 9 ARCNITE�SESIGNER �S�AILADORE55 �A � CONSTRUCTION Tp POST�"�r -��-�—
<br /> - ---- ' - �-- - - -,- - � � ' Ci�e �Gf�eA � � lass doors and all other glazing on ihis fortn.Use rough openhig C r- /y�'OU W LIC �rc>�6r�w�.• d ,e��ftEl
<br /> ` �y 4 I �� Plans Exam�ner and I ector Ch�R/�''� �ealO�l.�ICUI$�IOIIS. GENE ALCONiRACTOR MAILADDRE55 GTV 21P PHONE �ATE����,C ��� PERMIT ,
<br /> � � I Tl ,,,) Z'r!'9^��0
<br /> __ ____ ___ ' ��iLD.QwA�}.� �'1 - ' —'•-'— ��---r3� � �^�� 21P PNONE STATELICENSEI
<br /> -v" � ' ' � CR�'�� 1IJ�4.�cC��t1A r cm '"
<br /> � f� PE KS D/_ MECHNIICALCONTR�GTOR MAILADDRE55 ppDRES3 FILE CO
<br /> __ ._ �4:f, ! � �� - 2 z--'- - PermH No. 4 074 I Address Size Quantity Aroa U-ValuelManutacture� VeNfled /� pr •
<br /> Q PHOIJE STATEIICENSE1 p�rmit Number: C40741
<br /> °�� f" � � �3` -- ---------- ,—�--- �s� �l� /T cm zir SEPA Numbers (,
<br /> ___'__ _ ' _ ___ __r _ i I ' . . i PLU INGCONiRACTOR MAILA,DPESS Lsu� Datas .
<br /> Plms Examinar: Chedc,write in WA, or fill in value on shaded boxes.
<br /> �e ! ^, i � e� Job l�ddr�u: 517 PECICS DR �rchitect/D��iqn�r ; ,�. I
<br /> _ _ � � ' ' - Inspector. Chedc oH boxes at IeR as items are tound to comply. . '� owner T•nane
<br /> i �
<br /> —•-"-'- - . � `•� '� ' , ' ' . . � � . , ' CONTRACT PRICE OF WORN SCHW1►RTZ HBLEN �
<br /> ---T a�j�� /� 517 PECIGS DR �
<br /> ---N- • -= ----;• I ; , � I Comptlencs�pproach: (chedc one) O Systems anaiysis ❑Component performance P�e�PUVe�EHI :ONTA T P N AN �or+e r+o. wr� 9e2o3
<br /> -f '- ' "--' 'J_' � ��� i ' ' _ ,�___J_� . . . 0 RIBE RK N ARE�OT`E INVPIVEJ / �
<br /> C o w6 � ' � i _ No»:Some on this tortn not N - w L � -O O t �.'r,, n-� r c '� V�l c c l��v�-� �?� �xble9
<br /> , � � �� �Y �PP�Y /� fi�n�ral Contractor P l u m b i n q c o n t r a c t o r N�chanical Contractor
<br /> ----�~ -�---T- A) compliance approach is systems analysis or component perfomiance� �DD ��X�- L�A,S'�•� ' �G�_� �
<br /> ^ �'� �� �k�aT 'NS � ~ --=-_ B) complfence to minimum ventilaUon aiteria is demonstrated fhrough engfneering calcuiations or per(ortnence testlnp. �/� nt�vis cbttsTnvcxtoN
<br /> —'-�-"-' `� � � ��.� � �� 1 ��DI�W�I�, � ' ' � ' � - � "'�14L, •�'�`� � i HEREBY CERTIFY THAT I HAVE READ AND E%AMINED THIS 14800 N L1C GOODWIN RD
<br /> --- ------- -- ----��5 i� ^'� -� , � . _ - i i -._ �AT��� , � STANIi00D M7� 98292 - z !
<br /> , � --�. 1 ------ �Y � PROPOSED USE OF BUILOING APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL 652-6712---- ,
<br /> _______-_�.. — - - . � . � i � � � j � iA�q�p 7 O F p q O P E R T V( H O W M B E L O W OR� �cH�OPIES� PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TIPE OF D1IVISCS097D2 ,
<br /> 0 � � �', � , rt__j._,._�___.__ ___�_:__ ❑ Bl�b: �� Extarlor down to frosUlrn/aleb bottom;or IMarlor 24 horizaitel a wrticel;o►,H fed18M,U�M�f MtlfY sllb , WOFK WILL BE COMPLETED WITH WHETHER SPEGFIED HEREIN OR Contact P�reon -
<br /> - -------- � " -^ ! ' . I I . `oT ,,�J NOT. T H E G R A N T I N G O F A P E R M I T D O E S N O T P R E S U M E TO GIVE T y p� of P�rmit[ COMBINI�TION M I� D11VIS 652 6712 � '
<br /> ; � ��; � i `_!_i_;___ ❑ BNoW Qhd��Xb11M1N�11 IMYI�tlOtl. ` (If IMarbr-sw IneuUtlon Phaaa) _J27__ e�ocK� or /� ��µ� AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY H�at inq Sy�t�mt E L E C T R I C l 1 L �� ��
<br /> - --- -- --` � -----� _ _ ' _ � � OTHER STATE OR LOCAL LAW HEGULATING CONSTRUCTION OR THE
<br /> NSEC Cod�s Y RSNOVATION / 11DD 1CITCHEN� B71TH !
<br /> � , I , j . _ ❑ RWon mltlp�tlon: If bcally�aqulrad,a cxawlapace ventlng dtt/3001t2 of crewl,w varite Indudo�n oparadr damp�r D��cription of Work: 1683F ADDN / �
<br /> � `- -- -- - � PERFORMANCE OP CONSTRUCTION.THAT I AM AUTHORI2ED BY THE �,� ��
<br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH L�qal D�ecriptian/ LOT 4 BLR 4 BAYVIEW TRCT T71X /05419-000-007-0403
<br /> _ ___ . .� _ - � � - . �. . IS I OMPLY W H THE STATE er. `
<br /> ---- -- i. i �����uneu��e
<br /> � _ ��.� .__._.__.._, - - {�-�' --}-�-• � � �'"-`--- -' � r�nce�T xi. .r+uMeen � APPLICATION M AND C �T Propa rtp ID: .
<br /> __y_ _ ` ��1Dc r�r�npnu r�w,� /O� CONTRACTORS LAW .27 RC ND 296200 WAC. Can�ErucEion Land
<br /> __ � � `� a
<br /> ` � •. _—___.__'_' � ,/ � � :ss�si��s��ass�asssszsszassssss ��sss�s���s���taas�s�
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<br /> _'___�_''_ '_'__"_""'____ . � J/ . • I i. ' ❑ FnminpC . S�Q1K�8fd " II1�Yff116f�I9�Y - A(IVBflCY� � � CONSTAUCTIONLOANiENOER.�DDRESS.TELEPHONENOMBER � PLUMBINO diRf]! M aN � �i�n F.• +' . .
<br /> Y OTHER w
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<br /> � . �'Ny�M;I F ' _R��Ex�s?,v �g_�t� atuds q nxturaa •
<br /> ---.-- ------, - �- i g, a r sw . oor ra � . on � �
<br /> � _ ❑ 8M I I•xlapt/aubAr;rim JsVmud alll;window 6 d trma;panet tbn-wl►a plumb duct,partlU tlua I M
<br /> ------- _� � �fl�A��1�o �@C�+N_�X\Z_ ��- D\TE � of !'ixturo F e QtXHI► BT 111N
<br /> --- '-- ------_� ._-- -- - - - - ❑ 8ou�o���oNlo�%h�Wt}tl1�: SI2Y�aqdfalTW�lt-b9lh.IaU�ldfy(50Cifi1)i kltd1a11(100C1rt1) Sq�iURE � K�N SIN1C i DISPOS7IL 7.00 1 8 U t
<br /> N _ I ppOJECTADDR� �� �Q �fP MECHANICAL 7.00 1 RAliGS HOOD
<br /> - ' ; cirreusn+cssucenscrro 1 L11Vl1TORY (W71SN BASIN) �.�� �L,H�IL.� gQpIpNgI71' p'�;E 30.00
<br /> , . � -- i ' -- --•-- OUld00r Blf eU f }Or h9Mt9di r1114. PLUMBINfi �E 1 SHOW6R :
<br /> _ _______,_,__ -� , ' ❑ Whol�hOW��%INtIlZ 1�11 IMartnitlent syatem hes manual 8 auto oontrola; pply eQ. � FEE N0. TYPE OF EOUIPMENT Sub TOLa 528.00
<br /> ---'------- � � � .
<br /> p,,_ _� D�S _ _ ___ « 1 WAT6R CL058T (TOILET) Sub Total 530.00
<br /> ._.1�o DL � ti 1
<br /> � , i ' � � _
<br /> • --� ❑ IMprat�d toro�dalr�y�t�m aAsida ak duct(with demper)allowing bahvwn.36 and.6 ACH
<br /> - -- -- — 1 ----- ^ � ' ' . � N0. TYPE OF fIXTURE OR ITEM nit - ON
<br /> �
<br /> � -------- ---_ . �1 .
<br /> � t .�'_C N �'a' � NC-NHNDLG UNITS-H.P. ' .............:...................:......:.........:....�..��••TYPEsO1�tCONBTRUCTI ;
<br /> -.--------- -- Z�_- ' � ^ �� �--�- -l--�-• - � ' WATER CLOSET(TOILE� � SET811CR !'O�TA6E OCO�PANCY Vscent Sit�7 N
<br /> -- ^ u - � I � � FORCED AIR SYSTEMS-B.T.U. M E.A. Noi Dvn lia9 4 Fi=• nkl�r R ? N
<br /> ��i���� BATHTUB � � !'ront 20.0 Lo�d 1 u •: 1 Allowablas V N �
<br /> - ----'C�����soeY--D�cc�Nt _ , 7�ctuali V N
<br /> ` LAVATORY(WASH BASIN) � UNIT HEATERS--B.T.U. M _ t= ZB P i �I
<br /> -- - -• - 1 . R�ar 20.0 6rou R 3
<br /> - �-------- ONE� AS-_�-, - ----- -----------------
<br /> p Si 9= U�� yon�: R 2
<br /> SITI , � " Sid�l 5.0 # Stori�� 1 Si:a of �ars 8 r .d �
<br /> � � CLOTHES DRYERS i � n s��nt? N Hei ht Limi
<br /> IF BUILD1NCi IS T - --- --^ -- .- _ --.-- - --�-- �- ❑ • Wdl Insul�Uon �bow fad� TOT�I I�ZIII tlr�: ' ' � K TCHEN SINK 8 DISP ' ' '--------------------------------- ------ -----
<br /> _ T �
<br /> ' VENTILA710NFAN � yot gy 7300 Aaaeon !'or Fire Sprinklar�s
<br /> � � ���T����{� � � � ,. � � �D , � � RANGE HOOD Mra Alaem R�q d? N R�awn For Fire Alarms � ��
<br /> �iC�� SH LL BE SUBMITY. , Y_----_�� _ __ � `f - — � W�tlln�ulaUon(MlwNpnd�):IMarbrwelllnaula8on • • � DISHWASHER � WATERHEATER � �E
<br /> A .NE1N_Sll'E_PL� . - '_ j-' . .
<br /> TED. NO FURTNE S ECTIONS �1LI.u-J" _ �{g�k o�`I�,[�G .__ ❑ Flooriniul�tlon Tot�lcondltlon�d�na•�,
<br /> _�:_ --- — , 1
<br /> D�ONTH1 ` � , {,� . LAUNDRYTRAY yypODSTOVE ' Plans Approved By: JH Plan Chack Recaipt No: 86953 Fee: 1 .
<br /> C�Illnp InauUdon:k�duding enb hatch N
<br /> B�� - _� , ❑ P�rwnhg�pi�ny . �� 9 ,�� V�Nn� ' CONSTAU 16480 UATIO 30.00
<br /> _ _ _ _ '� _-- CLOTHES WASHER , L FIREPLACE(WOOD BURNING)
<br /> REY1SED_SITF.PL.AN HAS BEEN APPROV- �I`_, _� `_-- QeE:�fK197 -- -- -- . — META � FBE TYPSS CTION VAL 133.20
<br /> ^ � � � ' � ❑ VNdtM CNIII1Q IOSYI�doll URINAL � FIREPLACE INSERT � Building 2$.00
<br /> .
<br /> ED BY TH[ BUILDING�PUBLIC W�RR� � ' � ` ; ___ � : _ _ __ ,_:_ � � ��� DRINKING FOUNTAIN ' �
<br /> . . -- .. . -- - • - �--� --' -------,._'-_'-- - --� � ._` � � ' � � HEAT PUMP p
<br /> I��rTC: -- • ❑ V�por nt�rd�n:watls,floora,oalling � ' Mtchanical 9
<br /> L�,51� � r,�II� ^ �L`� �_ x _ PREVENTERS � EXHAUSTFAN of g��rett Locel th�rldeyr rchar a yp,00
<br /> --�- --- --- �- � ---- �r�� �� L�� ❑ HNtlnp sysbm typ�• ' � T For heatpumps,Ilst size,HSPF,and COP -�����• � �� ���'-�'� ��-� ROOF DRAINS-RAINLEADERS Salae Tax Code i� 3105 Pub11c Work� T
<br /> F �
<br /> -- - • � i • Additional Plan Ch�ck F�e ,
<br /> _._.
<br /> . ._ . __ l�oT_SN __ _ :! -- ----------- �. a �� �x u, s is �o
<br /> - �Sf Nst� `��(e� F�� Plans Exeminer-Iist opeque doors by type(soli core,ins ated,eta), quentitty� U'VBIUB�8fld IilffiIU�BClUI6f. SINK(SERVICE-BAR,ETC.) � '
<br /> It is owners responsib0iry to eslablish and stake 911 __, __ _ Inspector-verify door infortne8on dudng field inspectlon. ' , � � .
<br /> -- --� - - -- --- .- �-- '
<br /> .. _ _ � �
<br /> .._ . . ,
<br /> propertyG��s � ' *46.80 CRfiD2T GIVSN ON PERMIT FEE FOR OVEAPAYMENT OF PLAN
<br /> ---•-- ❑ R�don monitor on sttr wlth Iretrudions and general Inlormatlon ' ceaeee mor 180 •
<br /> __ . _ _.-_ --- -.-->------- - - - � - -- '- - � re if work not commenced „ e than Y
<br /> - ---flPPftf)VED AS NOTEb for ca•,.;��ance .
<br /> `_ Type/Quuntlty U-ValuelMenufacturer Verlited , �- per,,,ite p a �
<br /> ___,___ ..-. ._ _. . .. ❑ Th�rmost�t:heet range,55-75;AC range,70-85;both,55-65.Badtup heat conVols prevent slmuReneous operatlon of prlmary sys. � eX i althi� 180 Q�y 9r
<br /> with_zoning._SEPA �nd- - r --- ` '- suerorn� S ' '
<br /> petmit requirBm9nfs. ��• �________ ,__ - ------- �---- - ❑ 8oild fu�l eppll�nc�s:glass or metal doars;dlred comb.alr source,or 4'dia.,dampered,Indlrod source lor unc:ond.ereas 1 ,
<br /> _ _ . �r —
<br /> -- --1— SUB TOTAL $ pERMIT $ '
<br /> _ � .C `A'� ---`----� --'------•'- - � PERMIT $ TOTAL FEE $ � �, ,
<br /> ' %' � � � ,_ _�__. __,- ❑ Flnpl�c�s:6"combustion alr eupply duct w/damper dlrect ro flrebox;tlght fltUng glass or matal doors. •
<br /> - -- -
<br /> --Br � - - � - - -aats-�8 13---� ----— , _ . L t TO � U. 2D 12 1 V
<br /> TOTALFEE $
<br /> __ __ _ __ _ i V O O -�
<br /> -- __ _;___ _ ,__ ._ ❑ DHVY h��bn:NAECA label;separete power or gas shutofy on R•10 pad II alectrlc and In uncord.arae or K on concrete , � r.' J'
<br /> Planninp Dept. _-- ---- -- -- - (� � ' .� y� •_,
<br /> ---- -- - �-- • i urv � n o o c3 0
<br /> _. . . . . ' __. ._ ... - ___ __ N _
<br /> . . __ ""__'__ _ '"".' y � .- K
<br /> O �• UN�� __� 5� p� �.�Ns-��1-�–�-- �---w�T/}_- -__--.___–`_. ❑ AMch�nlcei v�nUl�Hon ducta Inaul�t�d lo R�:exhaust duds In uncondltloned areas/supply ducts In condMloned area�
<br /> � FOR OFFICE USE ONLY: FEE aece�prNo.
<br /> S DE SETBRGK P GHECK NUMBER ,� 8O !l/^�L'�� � n N � `
<br /> -- - Uy�---� � �� _. � _ _- -- - , - _ � 40�«
<br /> REAR SETBAC
<br /> _ FRONT SE7lAC / I V�l� �� �
<br /> �(� - L ❑ ,. '�:•.:: HVAC ducts/pl�num Inaul�Uon:duds In uncondlUoned ereas are Inwleted and Jolnts are sealed
<br /> I L$h1F�li_f��L�--I�JR�C.721�5. ._/����(�l—�_. •` v �n u�noa
<br /> FEES FEE �
<br /> �� � ��C T ... _--- �---�- ❑ VE ❑ NO
<br /> � USE NE LOTAREA Y� VALANTSITE � ^
<br /> ""-". �
<br /> ❑ Plp�Insuletlon: R-3 for hot and cold weter plping In unconditloned areas(If servlce or redreulating,see Teble 5-72) Sl nature Ot BuIId10 Otfld�l: ^� '� BUILDING �
<br /> � S �6
<br /> __ _ _
<br /> - - --- -- --
<br /> . ._ . . """'"' '_" "'_
<br /> .. ' ___'_'-.'—"_"___. .. -"_'__"--__"'__ 9 9 NO.OFSTOflIES acur,�Ncr xo.dow[wxcuxi i
<br /> ------------ ❑ around cov�r.8 mll bleck polyethylene/approved equal lapped 12"al Jalnts end extending to}oundatlon wall nP orcroHsr. �n pLUMBING '
<br /> _ Date of Flnel inapection: I &91 I 3� �
<br /> SIZEOFOLOG. FIRESPflINKLERSHEO'C BASEMENT MECHANICAL
<br /> 5f p ❑ vEs �,�io '—
<br /> ADDITIONAL PLAN CHECK ~
<br /> OCCGPrWCY IOAD FIRE AURM REO'D HEIGHT LI�TATION i
<br /> A O OTHER �'
<br /> REASON STATE BUILDING SURCHARGE � O
<br /> INTAKEBV PLANSAPPROVEDBV CITYOFEVEREIT PUBLICWORKS Ui
<br /> J� TIU(CODE SL3 OS Tou� 2�J� ✓
<br /> onrEb �O
<br /> ��/(!'-G0�?�"-� -�''� ��
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