HomeMy WebLinkAbout7805 Jensen Farm Ln Unit D3_BLD1496_2026 RESIDENTIAL PLUMBING
PERMIT APPLICATION
ING�� Department of Community & Economic Development
City of Arlington• 18204 59th Ave NE • Arlington, WA 98223 • Phone (360) 403-3551
THIS APPLICATION IS TO BE USED WHEN APPLYING FOR NEW PLUMBING INSTALLATION FOR
EXISTING RESIDENCES. PLEASE FILL OUT ALL PAGES OF THIS APPLICATION AND INCLUDE ALL
INFORMATION.
Project Address. 7805 Jensen Farm Lane
Project Description:Like in kind water heater replacement
Owner: Christine Payette
7805 Jensen Farm Lane, Unit D3
Address: City-Arlington State:WA Zip Code: 98223
Phone: 425-232-6672 Email: cpayette3@gmail.com
Applicant:Foss Heating and Cooling
Address:333 E Blackburn Road, Ste A City.Mount Vernon State:WA Zip Code: 98273
Phone. 360-336-1517 Email: orders@fossheating.com
CONTRACTOR INFORMATION
Contractor Name:Foss Heating and Cooling
Address:333 E Blackburn Road, Ste A City:Mount Vernon StateWA Zip Code:98273
License Number:FOSSHC19858A Expiration.11/1/2018
Phone-360-336-1517 Email orders@fossheating.com
STAFF USE ONLY
Permit #: Accepted by: Date
REV 2015 Page 1 of 2
RESIDENTIAL PLUMBING
PERMIT APPLICATION
ING�� Department of Community & Economic Development
City of Arlington• 18204 59th Ave NE • Arlington, WA 98223 • Phone (360) 403-3551
Plumbing Section (check all that apply)
(Check all that apply and indicate the number of fixtures proposed)
❑ Bath/Shower Combo (4.0) x ❑ Sink (1.5) x
❑ Shower (2.0) x ❑ Lavatory (1 .0) x
❑ Clothes Washer (4.0) x ❑ Water Closet (2.5) x
❑ Dishwasher (1 .5) x Q Water Heater x 1
❑ Hose Bibb (2.5) x
Water Heater Model #
❑ Other (list) x GS6 40 BCT 400 (State Water Heaters 40
Proposed Water Piping Size: 3/4 Inch
Proposed Piping Material: Copper
Proposed DWV Material: None Proposed_
Proposed DWV Size: None Propsed
• All hose bibs required to be equipped with Atmospheric Vacuum Breakers per ASSE 1019
• All water supplies at 80psi or greater shall have Pressure Reducing Valves (PRV)
• Cross-Connection-Control may be required
c7,
L04
5 �Applicant Signature: Date: 06/08/2017
1 hereby certify that the above information is correct and that the construction, installation for the above mentioned
property will be in accordance with the applicable laws of the City of Arlington and the State of Washington.
REV 2015 Page 2 of 2
CITY OF ARLINGTON
238 N. OLYMPIC AVE- ARLINGTON, WA. 98223
4D PHONE; (360)403-3551
BUILDING PERMIT
Address:7905 Jensen Farm Lase Unit D3 Permit#: 1496
Parcel#:01024400400300 Valuation:0.00
OWNER APPLICANT CONTRACTOR
Name:PAYETTE CHRISTINE Name:Foss Heating and Cooling Name:Foss Heating and Cooling,Inc
Address:7805 JENSEN FARM LN UNIT D-3 Address:333 E Blackburn Road,Ste A Address:333 E Blackburn Road
City,State Zip:ARLINGTON,WA 98223 City,State Zip:Mount Vernon,WA 98273 City,State Zip:Mount Vernon,WA 98273
Phone: Phone:360-336-1517 Phone:360-336-1517
MECHANICAL CONTRACTOR PLUMBING CONTRACTOR
Name: Name:Foss Heating and Cooling,Inc
Address: Address:333 E Blackburn Road
City,State,Zip: City,State,Zip:Mount Vernon,WA 98273
Phone: Phone:360-336-1517
LIC#: EXP: LIC#:FOSSC19858A EXP: 11/01/2018
JOB DESCRIPTION
PERMIT TYPE: Commercial Plumbing CODE YEAR: 2015
STORIES: CONST.TYPE:
DWELLING UNITS: 1 OCC GROUP:
BUILDINGS: OCC LOAD:
PERMIT APPROVAL
I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUCTION AND IN DOING THE WORK AUTHORIZED
THEREBY;NO PERSON WILL BE EMPLOYED IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO
WORKMENS COMPENSATION INSURANCE AND RCW 18.27.
THIS APPLICATION IS NOT A PERMIT LNTIL SIGNED BY TI IE BUILDING OFFICIAL OR HIS/HER DEPUTY AND ALL FEES ARE PAID.
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR
A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. IBC110/IRCI10.
SALES TAX NOTICE:Sales tax relating to construction and construction materials in the City of Arlington AM�L ('C'.'Tzon
stax return form
and coded City off lington#3101.
le, �'' �1nw. Il'ty` C, /W0
Signature Print Name Date y Date
CONDITIONS
Approved as submitted.
THIS PERMIT AUTHORIZS ONLY THE WORK NOTED,THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE PROPERTY ONLY. ANY
CONSTRUCTION ON THE PUBLIC DOMAIN(CURBS.SIDEWALKS,DRIVEWAYS,MARQUEES,ETC.)WILL REQUIRE SEPARATE PERMISSION.
PERMIT FEES
Date Description Fee Amount
6/9/2017 Plumbing Permit Base Fee $25,00
6/92017 Processing/7echnology Fee $25.00
6/92017 Water Heater $25.00
Total Due: $75.00
Total Payment: $0.00
Balance Due: S75.00
CALL FOR INSPECTIONS
BUILDING(360)403-3417
When calling for an inspection please leave the rollowing information:
Permit Number,Type of Inspection being requested,and whether you prefer morning or aRer000n
CITY OF ARLINGTON
238 N. OLYMPIC AVE-ARLINGTON, WA. 98223
®� PHONE; (360)403-3551
BUILDING PERMIT
Address:7805 Jensen Farm Lane Unit D3 Permit#:1496
Parcel#:01024400400300 Valuation:0.00
OWNER APPLICANT CONTRACTOR
Name:PAYETTE CHRISTINE Name:Foss Heating and Cooling Name:Foss Heating and Cooling,Inc
Address:7805 JENSEN FARM LN UNIT D-3 Address:333 E Blackburn Road,Ste A Address:333 E Blackburn Road
City,State Zip:ARLINGTON,WA 98223 City,State Zip:Mount Vernon,WA 98273 City,State Zip:Mount Vernon,WA 98273
Phone: Phone:360-336-1517 Phone:360-336-1517
MECHANICAL CONTRACTOR PLUMBING CONTRACTOR
Name: Name:Foss Heating and Cooling,Inc
Address: Address:333 E Blackburn Road
City,State,Zip: City,State,Zip:Mount Vernon,WA 98273
Phone: Phone:360-336-1517
LIC#: EXP: LIC#:FOSSCI9858A EXP: 11/01/2018
JOB DESCRIPTION
PERMIT TYPE: Commercial Plumbing CODE YEAR: 2015
STORIES: CONST.TYPE:
DWELLING UNITS: 1 OCC GROUP:
BUILDINGS: OCC LOAD:
PERMIT APPROVAL
I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUCTION AND IN DOING THE WORK AUTHORIZED
THEREBY;NO PERSON WILL BE EMPLOYED IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO
WORKMEN'S COMPENSATION INSURANCE AND RCW 18.27.
THIS APPLICATION IS NOT A PERMIT UNTIL SIGNED BY THE BUILDING OFFICIAL OR HIS/HER DEPUTY AND ALL FEES ARE PAID.
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR
A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. IBC 110/IRC 110.
SALES TAX NOTICE:Sales tax relating to construction and construction materials in the City of Arlington mus rted on your sales tax return form
and coded City of Arlington#3101.
(o.G1.2D1-1
Signature Print Name Date y Date
CONDITIONS
Approved as submitted.
THIS PERMIT AUTHORIZS ONLY THE WORK NOTED.THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE PROPERTY ONLY. ANY
CONSTRUCTION ON THE PUBLIC DOMAIN(CURBS,SIDEWALKS,DRIVEWAYS,MARQUEES,ETC.)WILL REQUIRE SEPARATE PERMISSION
PERMIT FEES
Date Description Fee Amount
6/9/2017 Plumbing Permit Base Fee $25.00
6/9/2017 Processing/Technology Fee $25.00
6/9/2017 Water Heater $25.00
Total Due: $75.00
Total Payment: $0.00
Balance Due: $75.00
CALL FOR INSPECTIONS
BUILDING(360)403-3417
When calling for an inspection please leave the following information:
Permit Number,Type of Inspection being requested,and whether you prefer morning or afternoon
CITY OF ARLINGTON
238 N.OLYMPIC AVE-ARLINGTON, WA.98223
PHONE; (360)403-3551
Address:7995 Jeaen Farm Lane Unit D3 Permit*14%
Parcel 0:01024400400300 Valuation:0.00
OWnR ArMCAW co- 'TOR
Name:PAYETTE CHRIST NE Name:Foss Heating and Cooling Name:Foss Hating and Cooling,Inc
Address:7805 JENSEN FARM LN UNIT D-3 Address:333 E Blackburn Road,Ste A Address:333 E Blackburn Road
City,State Zip:ARLINGTON,WA 98223 City,State Zip:Mount Vemon,WA 98273 City,State Zip:Mount Vernon,WA 98273
Phone: Phone:360-336-1517 Pbone:360-336-1517
Mom___ I-3 1-1 9S TMCTOR PLUNMMW _
Name: Name:Foss Heating and Cool ing,Inc
Address: Address:333 E Blackburn Road
City,Stste,Zip: City,State,Zip:Mount Vernon,WA 98273
Phone: Phone:360-336-1517
LIC0: EXP LTC#:FOSSC19959A EXP:11/01/2019
aca
PERMIT TYPE: Commercial Plumbing CODE YEAR: 2015
STORIES: CONST.TYPE:
DWELLING UNITS: I OCC GROUP:
BUILDINGS: OCC LOAD:
PMUff Al''PItOVAL
1 AGRE•TO COMPLY1 AND STATE LAWS REGULATING CONSTRUCTION AND IN DOING THE.WORK AUTHORIZED
THEREBY;NO PERSON WILL BE EMPLOYED IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASIiINGTON RELATING TO
WORKMEN'S COMPENSATION INSURANCE AND RCW 18.27.
THIS APPLICATION IS NOT A PERMIT UNTIL SIGNED BY TI IE BUILDING OFFICIAL OR HIS/HER DEPUTY AND ALL FEES ARE PAID.
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR
A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. IBCI l0/IRC1 t0.
SALES TAX NOTICE:Sales tax relating to construction and construction materials in the City of Arlington es tax return form
and coded_Sity_2fy ington M3101.
ZME�
�`� o�r, 11',r` l (v.47.201-1
Signature Print Name Date Date
CONDITIONS
Approved as submitted.
THIS PERMIT AUTHORIZS ONLY THE WORK NOTED.THIS PERMrr COVERS WORK TO BE DONE ON PRIVATE PROPERTY ONLY, ANY
CONSTRUCTION ON THE PUBLIC DOMAIN(CURBS,SIDEWALKS,DRIVEWAYS,MARQUEES,ETC.)WILL REQUIRE SEPARATE PERMISSION,
ARWOES
Dabs Descriptlon Fee Amount
6/92017 Plumbing Permit Base Fee $25.00
611=17 PtoeassinglTechnology Fee $25,00
SN=17 Water Heater $25.00
Total Due: S75.00
Total Payment: $0.00
Balance Due: S75.00
CALL.F'OR EWECt'LQ1�id - • at ,:; ,. -
SUIIAING(366)403-3417
When calling for as inspection please leave the fallowing information:
Permit Number,Type of Inspection being requested,and whetter you prefer morning or afternoon
CITY OF ARLINGTON
238 N. OLYMPIC AVE -ARLINGTON, WA. 98223
PHONE; (360)403-3551
BUILDING PERMIT
Address:7805 Jensen Farm Lane Unit D3 Permit#:1496
Parcel#:01024400400300 Valuation:0.00
OWNER APPLICANT CONTRACTOR
Name:PAYETTE CHRISTINE Name:Foss Heating and Cooling Name:Foss Heating and Cooling,Inc
Address:7805 JENSEN FARM LN UNIT D-3 Address:333 E Blackburn Road,Ste A Address:333 E Blackburn Road
City,State Zip:ARLINGTON,WA 98223 City,State Zip:Mount Vernon,WA 98273 City,State Zip:Mount Vernon,WA 98273
Phone: Phone:360-336-1517 Phone:360-336-1517
MECHANICAL CONTRACTOR PLUMBING CONTRACTOR
Name: Name:Foss Heating and Cooling,Inc
Address: Address:333 E Blackburn Road
City,State,Zip: City,State,Zip:Mount Vernon,WA 98273
Phone: Phone:360-336-1517
LIC#: EXP: LIC#:FOSSC19858A EXP: 11/01/2018
JOB DESCRIPTION
PERMIT TYPE: Commercial Plumbing CODE YEAR: 2015
STORIES: CONST.TYPE:
DWELLING UNITS: 1 OCC GROUP:
BUILDINGS: OCC LOAD:
PERMIT APPROVAL
I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUCTION AND IN DOING THE WORK AUTHORIZED
THEREBY;NO PERSON WILL BE EMPLOYED IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO
WORKMEN'S COMPENSATION INSURANCE AND RCW 18.27.
THIS APPLICATION IS NOT A PERMIT UNTIL SIGNED BY THE BUILDING OFFICIAL OR HIS/HER DEPUTY AND ALL FEES ARE PAID.
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR
A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. IBC110/IRC1I0.
SALES TAX NOTICE:Sales tax relating to construction and construction materials in the City of Arlington Anr
es tax return form
and coded City of Arlington#3101.
Signature Print Name Date y Date
CONDITIONS
Approved as submitted.
THIS PERMIT AUTHORIZS ONLY THE WORK NOTED.THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE PROPERTY ONLY. ANY
CONSTRUCTION ON THE PUBLIC DOMAIN(CURBS,SIDEWALKS,DRIVEWAYS,MARQUEES,ETC.)WILL REQUIRE SEPARATE PERMISSION.
PERMIT FEES
Date Description Fee Amount
6/9/2017 Plumbing Permit Base Fee $25.00
6/9/2017 Processing/Technology Fee $25.00
6/9/2017 Water Heater $25.00
Total Due: $75.00
Total Payment: $0.00
Balance Due: $75.00
CALL FOR INSPECTIONS
BUILDING(360)403-3417
When calling for an inspection please leave the following information:
Permit Number,Type of Inspection being requested,and whether you prefer morning or afternoon
ice. � �
r ,
Permit Information
Date 6/9/2017
Permit Number 1496
Project Name Payette
Applicant Name Foss Heating and Cooling
Applicant Address 333 E Blackburn Road,Ste A
City,State,Zip Mount Vernon,WA 98273
Contact Abraham Rollins
Phone 360-336-1517
Email orders@fossheating.com
Permit Type Commercial Plumbing
Site Address 7805 Jensen Farm Lane Unit D3
Valuation 0.00
Status Applied
Permit Issued
Permit Expires
Square Feet 0
Type of Construction/Occupancy Load
Number of Stories 0
Proposed Use Replace gas water heater
Assigned To Kristin Foster
Property Information Owner Information
Parcel#:01024400400300 PAYETTE CHRISTINE
PAYETTE CHRISTINE 7805 JENSEN FARM LN UNIT D-3
7805 JENSEN FARM LN UNIT D 3 ARLINGTON,WA 98223
Contractors
Contractor Name Primary Phone Email Contractor License License#
Contact Type
Foss Heating and Cooling, 360-336- orders@fossheating.com CONTRACTOR i-abor& FOSSHCI9858
Inc 1517 Industries
Fees
Fee Description Notes Amount
Plumbing Permit Base Fee 322.10.00.00 $25.0
Processing/Technology Fee 341.43.00.02 $25.00
Water Heater 322.10.00.00 $25.00
Total $75.0
Uploaded Files
Upload File
Date File Uploaded By 1
6/9/2017 10:4121 AM 11496 Application.pdf Foster, Kristin I x
RESIDENTIAL PLUMBING
PERMIT APPLICATION
IN O Department of Community & Economic Development
City of Arlington• 18204 59th Ave NE •Arlington, WA 98223• Phone(360) 403-3551
THIS APPLICATION IS TO BE USED WHEN APPLYING FOR NEW PLUMBING INSTALLATION FOR
EXISTING RESIDENCES. PLEASE FILL OUT ALL PAGES OF THIS APPLICATION AND INCLUDE ALL
INFORMATION.
Project Address:7805 Jensen Farm Lane WK 9-1
Project Description:Like in kind water heater replacement
Owner: Christine Payette
7805 Jensen Farm Lane, Unit D3
Address: City-Arlington State:WA Zip Code: 98223
Phone: 425-232-6672 Email: cpayette3@gmail.com
Applicant:Foss Heating and Cooling
Address:333 E Blackburn Road, Ste A City:Mount Vernon State:WA Zip Code: 98273
Phone: 360-336-1517 Email: orders@fossheating.com
CONTRACTOR INFORMATION
Contractor Name:Foss Heating and Cooling
Address:333 E Blackburn Road, Ste A City�Mount Vernon State!NA Zip Code:98273
License Number:FOSSHCI9858A Expiration:ll/1/2018
Phone:360-336-1517 Email:orders@fossheating.com
STAFF USE O Received
Permit#: 140K e Accepted by: Date JUN 0 8 2017
REV 2015 Page 1 of 2
RESIDENTIAL PLUMBING
PERMIT APPLICATION
Department of Community & Economic Development
City of Arlington• 18204 59th Ave NE •Arlington,WA 98223• Phone(360) 403-3551
Plumbing Section (check all that apply)
(Check all that apply and indicate the number of fixtures proposed)
❑` Bath/Shower Combo (4.0) x : *, .t-Ink (1.5) x
Shower (2.0) x D Lavatory (1.0) x
❑ Clothes Washer (4.0) x U! Water Closet (2.5) x
❑ Dishwasher (1.5) x Water Heater x 1
❑ Hose Bibb (2.5) x
Water Heater Model#
Other (list) x GS6 40 BCT400 (State Water Heaters 40
Proposed Water Piping Size:3/4 Inch
Proposed Piping Material: Copper
Proposed DWV Material:None Proposed
Proposed DWV Size: None Propsed
• All hose bibs required to be equipped with Atmospheric Vacuum Breakers per ASS 1019
• All water supplies at 80psi or greater shall have Pressure Reducing Valves (PRV)
• Cross-Connection-Control may be required
Applicant Signature: Date: 06/08/2017
I hereby certify that the above information is correct and that the construction, installation for the above mentioned
property will be in accordance with-the applicable laws of the City of Arlington and the State of Washington:
REV 2015 Page 2 of 2
6/9/2017 FOSS HEATING&COOLING INC
Search L&I
Washington State Department of
Labor & Industries
FOSS HEATING & COOLING INC
Owner or tradesperson 333 E BLACKBURN RD STE A
Principals MOUNT VERNON,WA 98273
360-336-1517
FOSS,ROGER W, PRESIDENT SKAGIT County
GRAVELY,WILLIAM H,VICE PRESIDENT
Gravely,William A,TREASURER
Gravley,William H,AGENT
PIRKLE, LAWRENCE A,AGENT
(End: 10/18/2010)
Doing business as
FOSS HEATING&COOLING INC
WA UBI No. Business type
602 236 031 Corporation
Governing persons
ROGER
W
FOSS
WILLIAM A GRAVLEY;
License
Verify the contractor's active registration/license/certification(depending on trade)and any past violations.
Electrical Contractor Active.
Meets current requirements.
License specialties
HVAC/RFRG
License no.
FOSSHC19858A
Effective—expiration
11/01/2002—11/01/2018
Designated administrator Active.
FOSS,ROGER W Meets current requirements.
License type License no.
Electrical Administrator FOSS"RW986QR
Bond
Lexon Ins Co $4,000.00
Bond account no.
9809855
Received by L&I Effective date
08/24/2011 10/01/2011
Expiration date
Until Canceled
Bond history
Savings
https://secure.Ini.wa.gov/verify/Detail.aspx?UBI=602236031&LIC=FOSSHC19858A&SAW= 1/2
r
I
6/9/2017 FOSS HEATING&COOLING INC
No savings accounts during the previous 6 yrl—)eriod.
License Violations
No license violations during the previous 6 year period.
Workers' comp
Do you know if the business has employees?If so,verify the business is up-to-date on workers'comp premiums.
This company has multiple workers'comp accounts.
Active accounts
L&I Account ID Account is current.
632,962-00
Doing business as
FOSS HEATING&COOLING INC
Estimated workers reported
Quarter 1 of Year 2017"11 to 20 Workers"
L&I account contact
Employer Services Help Line—360-902-4817
Track this contractor o
Workplace safety and health
Check for any past safety and health violations found on jobsites this business was responsible for.
https://secure.ini.wa.gov/verify/Detail.aspx?U BI=602236031&LIC=FOSSH C19858A&SAW= 212
J
�'ti
Permit#: 1496
Permit Date: 06/09/17
Permit Type: COMMERCIAL PLUMBING
Project Name: Payette
Applicant Name: Foss Heating and Cooling
Applicant Address: 333 E Blackburn Road, Ste A
Applicant, City, State, Zip: Mount Vernon,WA 98273
Contact: Abraham Rollins
Phone: 360-336-1517
Email: orders@fossheating.com
Scope of Work: Replace gas water heater
Valuation: 0.00
Square Feet: 0
Number of Stories: 0
Construction Type:
Occupancy Group:
ID Code:
Permit Issued: 06/12/2017
Permit Expires:
Form Permit Type:
Status: COMPLETE
Assigned To: Kristin Foster
Property
Parcel# Address Legal Description Owner Name Owner Phone Zoning
143 Single Family
01024400400300 7805 JENSEN FARM LN PAYETTE Residence
UNIT D 3 CHRISTINE Condominium
Multiple
Contractors
Contractor Primary Contact Phone Address Contractor Type License License#
Foss Heating and 360-336-1517 333 E Blackburn CONSTRUCTION Labor&Industries FOSSHCI9858A
Cooling,Inc Road CONTRACTOR
Fees
Fee Description Notes Amount
Plumbing Base Permit Fee $25.00
Processing/Technology $25.00
Water Heater(Tank) $25.00
Total $75.00
Attached Letters
Date Letter Description
06/09/2017 Building Permit
Payments
Date Paid By Description Payment Type Accepted By Amount
06/09/2017 Abrahm Rollins 65075906 cc $75.00
Outstanding Balance $0.00
Notes
Date Note Created By:
06/09/2017 Emailed permit for signature.KF Kristin Foster
Uploaded Files
Date File Name
06/19/2017 2378918-1496 Issued Permit.pdf
06/09/2017 2354431-1496 Application.pdf
CITY OF ARLINGTON, WASHINGTON --- BUILDING DEPARTMENT
No building construction shall be commenced until permit holder
INSPECTION RECORD SHALL or his agent has posted this Inspection Record Card in a
REMAIN AT JOB SITE conspicuous place on the premises.
OWNER:Christine Payette CONTRACTOR:Foss Heating and Cooling
JOB ADDRESS:7805 Jensen Farm Lane Unit D3 OWNER ADDRESS: 7805 Jensen Farm Lane Unit D3
USE of BUILDING: SFR PLAT NAME:
Description of Work: Replace HWT LOT#
PERMIT No: 1 496 Sprinklered: no
CONDITIONS:See Permit DATE ISSUED:6.9.2017 TYPE GROUP
DEPARTMENT INSPECTION DATE DATE PASS FAIL INITIALS
FOOTING
BUILDING FOUNDATION
360-403-3417 UNDERFLOOR
SHEARWALL
PLUMBING(groundwork)
GAS PIPING(groundwork)
ROUGH PLUMBING
ROUGH GAS PIPING
ROUGH HEATING&VENTILATION
FRAMING
INSULATION
WALLBOARD(SHEAR/RATING)
ROOF DRAINAGE
The following documents will be required and must be available during the final inspection:
Completed Public Works & Utility Inspection Card
Final electrical sign off by L & I
Completed Blower Door test certificate
Completed Duct test certificate (if applicable)
Conditions (if applicable)
*indicates that the inspection is approved but there is a minor correction
FINAL INSPECTION
Required Documents:
CORRECTIONS (*