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Home My WebLink About4003 178TH PL NE_BLD1541_2026 RESIDENTIAL MECHANICAL PERMIT APPLICATION t�N 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 MECHANICAL INSTALLATION AND OR GAS PIPING FOR EXISTING RESIDENCES. PLEASE FILL OUT ALL PAGES OF THIS APPLICATION AND INCLUDE ALL INFORMATION. Project Address:4003 178th PI NE Project Description:Repair and reroute gas piping Owner: Andrew Weber Address. 4003 178th PI NE City. Arlington State:WA Zip Code: 98223 Phone. 425-830-7342 Email:weber.andrew.d@gmail.com Applicant: Foss Heating and Cooling Address: 333 E Blackburn Rd, Ste A City. Mt 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 Rd, Ste A City: Mt Vernon State WA 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: 6/16LP Page 1 of 2 Y. RESIDENTIAL MECHANICAL PERMIT APPLICATION SING Department of Community& Economic Development City of Arlington • 18204 59th Ave NE• Arlington, WA 98223• Phone(360) 403-3551 SELECT ALL PROPOSED APPLIANCES ❑ Furnace (80+) Model # AFUE ❑ Heat Pump Model # AFUE HSPE ❑ AC Unit Model # SEER ❑ Freestanding Stove ❑ Fire Place Insert ❑ Outdoor BBQ C� Gas Piping ❑ Solid-Fuel Appliance ❑ Other Gas Piping Information Not Applicable: ❑ Pipe Material: Black Iron Pipe Size: 1 Inch Distance from Meter to Furthest Appliance: Total BTU's of all Appliances: • New gas piping requires a pressure test hooking to any appliance • Sediment traps (drips) are required on all gas lines • Gas lines are required to be supported/secured every 6 to 8 feet • Proper Combustion air and venting required for all appliances • A shut-off valve is required within 6 feet of all appliances L04 Applicant Signature: Date: 06/29/2017 Applicant Printed Name: Abrahm Joseph Rollins 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. 6/16LP Page 2 of 2 W. 1 sFr (Upper) v 614 s.f. v T T H H 36' 20' Wd Dk Coac 504 s.f. 280 s.f. 36 Dot Gar 1 sFr 420 s.f. F Fi 20' RFX 10 ----- to Wd Dk i20 s f. 20, 16' CITY OF ARLINGTON 238 N. OLYMPIC AVE-ARLINGTON, WA. 98223 PHONE; (360)403-3551 BUILDING PERMIT Address:4003 178th Place NE Permit#:1541 Parcel#:00714500000700 Valuation:0.00 OWNER APPLICANT CONTRACTOR Name:BROWN STEPHANIE TRINITA Name:Foss Heating and Cooling Name:Foss Heating and Cooling,Inc Address:4003 178TH PL NE 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:Foss Heating and Cooling,Inc Name: Address:333 E Blackburn Road Address: City,State,Zip:Mount Vernon,WA 98273 City,State,Zip: Phone:360-336-1517 Phone: LIC#: EXP: LIC#: EXP: JOB DESCRIPTION PERMIT TYPE: Residential Mechanical 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. IBCI10/IRC1I0. SALES TAX NOTICE:Sales tax relating to construction and construction materials in the City of Arlington must be reported on your sales tax return form and coded City of Arlington#3101. Signature Print Name Date Released By 1 Dake 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 7/10/2017 Gas Outlets Base Fee 1 to 5 $10.00 7/10/2017 Mechanical Permit Base Fee $25.00 7/10/2017 Processing/Technology Fee $25.00 Total Due: $60.00 Total Payment: $60.00 Balance Due: $0.00 CALL FOR INSPECTIONS BUILDING(360)403-3417 When calling for an inspection please leave the following information: Permit Number,Type orinspection being requested,and whether you prefer morning or afternoon Community and Economic Development , Building Division INSPECTION RECORD SHALL REMAIN AT JOB Building construction shall not commence until permit SITE holder or agent has posted this Inspection Record Card in a conspicuous place on the premises. OWNER: Brown, Stephanie CONTRACTOR: Foss Heating and Cooling JOBADDRESS:4003 178th Place NE OWNERADDRESS: 4003 178th Place NE USE of BUILDING: SFR PLAT NAME: Description of Work: Gas Piping LOT# PERMIT NO: 1541 Sprinklered:No CONDITIONS: See Permit DATE ISSUED:7.10.2017 TYPE GROUP DEPARTMENT INSPECTION DATE DATE PASS FAIL INITIALS FOOTING BUILDING FOUNDATION INSPECTION LINE UNDERFLOOR (360)403-3417 SHEARWALL PLUMBING (groundwork) GAS PIPING(groundwork) ROUGH PLUMBING ROUGH GAS PIPING ROUGH HEATING&VENTILATION FRAMING INSULATION WALLBOARD(SHEAR/RATING) ROOF DRAINAGE DEVELOPMENT STORM INFILTRATION SERVICES GRADING INSPECTION LINE CURB GUTTER&SIDEWALK (360)403-3417 LANDSCAPE DRIVEWAY UTILITIES SIDE SEWER INSPECTION LINE SEWER CLEANOUT/FINAL (360)403-3508 WATER SERVICE INSPECTION WATER SERVICE FINAL CROSS CONNECTION FINAL (360)403-3417 FINAL INSPECTION All sections must be signed off prior to final inspection Electrical must be signed off prior to final inspection COMMENTS: CITY OF ARLINGTON 238 N. OLYMPIC AVE -ARLINGTON, WA. 98223 ��. PHONE; (360)403-3551 BUILDING PERMIT Address:4003 178th Place NE Permit#:1541 Parcel#:00714500000700 Valuation:0.00 OWNER APPLICANT CONTRACTOR Name:BROWN STEPHANIE TRINITA Name:Foss Heating and Cooling Name:Foss Heating and Cooling,Inc Address:4003 178TH PL NE 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:Foss Heating and Cooling,Inc Name: Address:333 E Blackburn Road Address: City,State,Zip:Mount Vernon,WA 98273 City,State,Zip: Phone:360-336-1517 Phone: LIC#: EXP: LIC#: EXP: JOB DESCRIPTION PERMIT TYPE: Residential Mechanical CODE YEAR: 2015 STORIES: CONST.TYPE: DWELLING UNITS: I 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/IRCI10. SALES TAX NOTICE:Sales tax relating to construction and construction materials in the City of Arlington must be reported on your sales tax return form and coded City of Arlington#3101. Released Signature Print Name Date By 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 7/10/2017 Gas Outlets Base Fee 1 to 5 $10.00 7/10/2017 Mechanical Permit Base Fee $25.00 7/10/2017 Processingfrechnology Fee $25.00 Total Due: $60.00 Total Payment: $60.00 Balance Due: $0.00 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 i Permit Information Date 7/10/2017 Permit Number 1541 Project Name Weber Applicant Name Foss Heating and Cooling Applicant Address 333 E Blackburn Road,Ste A City,State,Zip Mount Vernon,WA 98273 Contact Abrahm Rollins Phone 360-336-1517 Email orders@fossheating.com Permit Type Residential Mechanical Site Address 4003 178th Place NE Valuation 0.00 Status Applied Permit Issued Permit Expires Square Feet 0 Type of Construction/Occupancy Load Number of Stories 0 Proposed Use Repair and reroute gas piping Assigned To Kristin Foster Property Information Owner Information Parcel#:00714500000700 BROWN STEPHANIE TRINITA BROWN STEPHANIE TRINITA 4003 178TH PL NE 4003 178TH PL NE ARLINGTON,WA 98223 Review Date Type Description I Target Date Com Ieted Date I Assigned To I Status 7/10/2017 Residential Mechanical 7/17/2017 lKevin Olander lin Review 7/10/2017 Residential Mechanical 7/17/2017 (Rick Karns lin Review Fees Fee Description Notes Amount Gas Outlets Base Fee 1 to 5 322.10.00.0 $10.0 Mechanical Permit Base Fee 322.10.00.0 $25.00 Processing/Technology Fee 341.43.00.02 $25.0 Total— $60.0 Uploaded Files Upload File Date I File Uploaded BY 1 7/10/201710:00:55 AM 11541 Apalication.odf Foster,Kristin X( 7/10/201710:00:55 AM 11541 Gas Piping 4003 178th odf Foster,Kristin �( RESIDENTIAL MECHANICAL PERMIT APPLICATION 1N' T 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 MECHANICAL INSTALLATION AND OR GAS PIPING FOR EXISTING RESIDENCES. PLEASE FILL OUT ALL PAGES OF THIS APPLICATION AND INCLUDE ALL INFORMATION. Project Address:4003 178th PI NE Project Description:Repair and reroute gas piping Owner: Andrew Weber Address: 4003 178th PI NE City:Arlington State'.WA Zip Code: 98223 Phone: 425-830-7342 Email:weber.andrew.d@gmail.com Applicant: Foss Heating and Cooling Address:333 E Blackburn Rd, Ste A City: Mt 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 Rd, Ste A City: Mt Vernon State.WA Zip Code: 98273 License Number:FOSSHC19858A Expiration: 11/1/2018 Phone:360-336-1517 Email:orders@fossheating.com STAFF USE O Received Permit #: Accepted by: Date: JUL 0 7 2011 6/16LP Page 1 of 2 - o R. RESIDENTIAL MECHANICAL ��ifNG�O PERMIT APPLICATION Department of Community& Economic Development City of Arlington • 18204 59th Ave NE• Arlington,WA 98223• Phone(360) 403-3551 SELECT ALL PROPOSED APPLIANCES ij Furnace (80+) Model # AFUE ❑ Heat Pump Model # AFUE HSPE ❑ AC Unit Model # SEER �jj Freestanding Stove Q Fire Place Insert EJ Outdoor BBQ 16 Gas Piping Solid-Fuel Appliance F-A Other Gas Piping Information Not Applicable: [:� Pipe Material: Black Iron Pipe Size: 1 Inch Distance from Meter to Furthest Appliance: Total BTU's of all Appliances: • New gas piping requires a pressure test hooking to any appliance • Sediment traps (drips) are required on all gas lines • Gas lines are required to be supported/secured every 6 to 8 feet • Proper Combustion air and venting required for all appliances • A shut-off valve is required within 6 feet of all appliances Applicant Signature: ...,.. `��` Date: 06/29/2017 Applicant Printed Name: Abrahm Joseph Rollins 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. 6/16LP Page 2 of 2 4L ,Lz a Az .14 _ q,.v tx .rL oz a s R Y w x c ; LL a a n a Y 3� a in a U w 'eR a 3 LL w cD 8 ,tiL YL- - OB Date: 04/09/2026 Perm t#: 1541 Perm f Date: 07/10/2017 Review Date: 07/10/2017 Perm i Type: RESIDENTIAL MECHANICAL Review Type: RESIDENTIAL MECHANICAL Target Date: 07/17/2017 Scheduled 00:00 Tim e Com pleted 07/10/2017 Date: Description: Pressure test m a' be required. If under 10' of pipe provide "sniffer" or "soap" test at tim eof inspection. Review Status: Assigned To: z.Rick Karns Tim eIn: 00:00 Time O it: 00:00 H cars: 0.0 Property Information Parcel#: 00714500000700 B ROWN STEPHANIE TRINITA BROWN STEPHANIE TRINITA 4 003 178TH PL NE 4003 178TH PLNE A RLINGTON, WA98223 Zoning: I I I Single Fam iy Residence - DetachedLot: Block: Permit#: 1541 Permit Date: 07/10/17 Permit Type: RESIDENTIAL MECHANICAL Project Name Weber Applicant Nam a Foss Heating and Cooling Applicant Address: 333 E Blackburn Road, Ste A Applicant, City, State, Zip: Mount Vernon,WA98273 Contact: Abrahm Rollins Phone: 360-336-1517 Em al: orders@fossheating.com Scope of Work: Repair and reroute gas piping Valuation: 0.00 Square Feet: 0 Num ber of Stories: 0 Construction Type: O xupancy G ioup: ID Code: Permit Issued: Permit Expires: Form Permit Type: Status: LASERFICHE Assigned To: Kristin Foster Property Parcel# Address L egal Description O wrier Nam e Caner Phone Zoning BROWN 00714500000700 4 003 178TH PL NE STEPHANIE Residence Single Dam iy -Detached TRINITA Contractors Contractor P rim ay Contact P hone A ddress C ontractor Type L icense License# Foss Heating and 360-336-1517 333 E Blackburn CONSTRUCTION Labor&Industries FOSSHCI9858A Cooling,Inc Road CONTRACTOR Inspections Date I nspection Type D escription S cheduled Date C om lieted Date I nspector S tatus 07/14/2017 R09.GAS PIPING 07/14/2017 B UILDING C om lieted ROUGH-IN Plan Reviews Date R eview Type D escription A ssigned To R eview Status 07/10/2017 RESIDENTIAL BUILDING MECHANICAL RESIDENTIAL Pressure test m aj be required.If under 10'of pipe provide 07/10/2017 MECHANICAL "sniffer"or"soap"test at tim eof inspection. z.Rick Karns Fees Fee D escription N otes A m cunt Gas Piping/Units E nter#of units $10.00 Mechanical Base P erm i Fee $25.00 Processing/Technology $25.00 Total $60.00 Attached Letters Date Letter D escription 07/10/2017 Building Perm i Paym Bits Date Paid By D escription P aym ant Type A ccepted By A m aunt 07/10/2017 Abrahm Rollins 6 5477147 c c $60.00 O ttstanding Balance $0.00 Notes Date Note C reated By: 12/12/2019 Perm i not signed.Filed under address R aelynn Jones Uploaded Files Date File Nam e 07/10/2017 2432221-1541 Gas Piping 4003 178th.pd 07/10/2017 2432222-1541 Application.pdf