HomeMy WebLinkAbout16410 SMOKEY POINT BLVD_BLD20120130_2026 CITY OF ARLINGTON
238 N.OLYMPIC AVE.-ARLINGTON,W4 98223
- PHONE:(360)403-3551
BUILDING PERMIT-':
Address:16410 SMOI(EYPOINT BLVD#300,ARLINGTON Permit#:BLD20120130
Parcel#:31052900100800 Valuation:$7,000.00
OWNER APPLICANT_ CONTRACTOR
PARKE AVENUE INVESTMENTS EVERGREEN STATE SHEET METAL EVERGREEN STATE SHEET METAL
NORTH SOUND DERMATOLOGY MARK PAYNE MARK PAYNE
11324 31 ST ST SE 2120 PACIFIC AVENUE 2120 PACIFIC AVENUE
LAKE STEVENS,WA 98258 EVERETT,WA 98201 EVERETT,WA 98201
Lic#:EVERGSS0220T Exp: 10/10/2013
PLUMBING CON'IR 1CTOR INDCFIAMCAL CONTRACPOR
EVERGREEN STATE SHEET METAL
MARK PAYNE
2120 PACIFIC AVENUE
EVERETT,WA 98201
Lic#: Exp: Lic#:EVERGSS0220T Exp: 10/10/2013
.JOB DES CRIMON.—
Install 3 Zone Multi Ductless Heat Pump System
PERMIT TYPE: Commercial PERMIT GROUP: Mechanical/Solar
STORIES: 0 CONST TYPE:
DWELLING UNITS: 0 OCC GROUP:
CODE: OCC LOAD:
_ — PERINUT 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/IRC110.
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.
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i atu Print Name Date eleased y D to
ARCHIVE = APPLICANT ASSESSOR OTlIER
BLD20120130
CONDMONS
THIS PERMIT AUTHORIZES 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.
• None
PERNNfI'FEES
Date Description Fee Amount Paid Balance Due
5/22/2012 Mechanical Pernvt Fee $50.00 $0.00 $50.00
Total Due: $50.00 $0.00 $50.00
CALL FOR INSPECTIONS
BU LDING✓INGrAMUNG/PARKS/UrUffIFS/FINAL(360)435-0674
FIRE(360)403-3607
When calling for an inspection please leave the following information: Permit Number,Job Site Address,Type of Inspection being
requested,Contact Name and Phone Number,Date Prefereed,andwhether you prefer morning or afternoon.
• GEquipment-Mechanical
May. 22. 2012 10: 50AM EVF- gREEN STATE HEAT & AC No, 2150 P. 3 •.
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Model Name
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Ppwrf$OU100 20W30V,1-phase,W-z
Cooling Bluth 36.0
Capacity•1 -- 00 48,000 r
Healing Bluth 40000 54,000
Cooffng kW 3.$2 4,97
Powerlhput - •
HaallrG kW 2.93
4.68
Coating A 14.2/15.7 24A/21.7
Cument(203-234V)
Heating A 1$,$/14.2 23,01.3
Eleolrica)8uppfy MCA A 26 26
Maximum Fuse Size A 30 3o
Type x Quantlty P"lier Fan x 2
Fan Alr4pw Data CFM 3,530
Molpr Output kW 0.006 x 2
1�pe INVERTER-dRven Scroll Hermsdo
Motor Output kW 9.4
COmpreaaw
Grankcasa Flealar W
Lubricant
FY605
Refrigerant
External Finkh .Galvantzed Skeels(plus Powder Coating for-PS Modeq MunseO 3Y7.".1
Height Inches 63.3/16
01menalone Width inches 37-7116
Depth Inches 13(+1-WIN
Npk weighk Pounds 987
Sound Freseure Levels(As Measured in an Anechcie Room) dSN 49/5T 50/52
High Pressure Prolect)on High Fresaure 8whch
Protection Pevipes Compresaor/Fen DracharGIO ThOrmo and Overrcurrenl Detection
Inverter Ovet-currenVOverheat Prolecuan
Rarrigerent Plpe Low Pressure Inches 510 Rare
Dimensions High Pmaute Inchon
3/6 Flare
Indoor Unit
Total Cepady 50-130%of Outdoor Unit Capacity
Quantity PO 435/1-6 P06-P54/7�9
Cooling DutdDOf:23'FDB-113'FD9;
Opersurtg Temperature Range 50TDB-11 WFOEI it ronnecWto PHFY-P06/09 Indoor UniL
Heating Outdoor.0'FW8-W FW8
Note:Rating Conditions:
'1 Cooling:Indoor:00'F(2rC)Del 87'P(1g'G)WB;Outdoor:05'F(35'0)D6_ ��E I VE D
Heating:Indoor:lox(21'C)0B;Outdoor.471=(9'()DB/43'F(6`C)WB.
-BS indicate$ceaeoast protection opllon.
LIMITED WARRANTY I Seven-year warranty on compro$Wr.One-year warranty an pens,
See our websile roedetaile on speclge additional epplioatipn inalallation coverage. Q MAY
Q 2 O 1L)
Specificallons are subject to change. - fi Lr
COA PERMIT CENTER
PUMP P-NHMU Energy Efficiencies
7DEUcted
14.38.2
PL1MY-P3ONHMU(-WS d 14.3 82
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Nan-ducted 15.5
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PUMP-P48NHMU(-ES) DMLed and Non-dueled 15 $,7
Ducted 14.E
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May, 22. 2012 10: 50AM EVPRGRE E N STATE HEAT & AC No, 2150 P, 5
2009 Washington Stat ergy Code Compliancy Forms for Nonresidential MultifamilyResidential
2009 Wishinglon Stale Energy Code Comprianoe Forms for No.,refiden6at and Mulbfairi y Resiftlial
EMS=
Project Revised Febn,ary 2011
Project ono 1 t Address 1B41a$mpkey Point Blvd.Ste#300 pate
5/22/2012
Arpgglon For Building Dopl. Use
WA 98223
Applicant Marne: Everareah State Hoat&ArC
Apptica nt Address: 2120 Pariric Ava!Everett,WA 9✓i201
Applicant If-17ahe: 428-252-3194
Project Description
Briefly desoriba mechanical
system type and features.
❑Includes Plans Include documentation requiring compliance with commissioning requirements,Section 1416.
SltTtpio SVetern Q Complex System O Systems Analysis
Compliance Option (gee DOGISTOn Flowchart(over)for qualifications.Use separate MECH-SUM for simple&complex
Equipment Schedules The following information is required to be incorporated with the mechanical equipment schedules on
the plans_ For projects without plans,fill In the required information below.
Coolie9 Ec tti ment Schedule
Equip_ I Equip Capacity' OSA CFM SEER
ID Type Brand Name' Model No., Btu/h or Econo? or EER Econmizer Heat
1PLV3 Option or Recovery
16/P Mitaublahl puMY-P419Drrri!~M Ex ione YIN
48000 Nox1E 14 Exception a
Heating Ec tti ment Schedule
Equip. Equip Capacil/ OSA cfm
ID Type Brand Name' Model No.1 Blulh or Econo? Input Bluh Output Bluh Heal
Efficiency Recovery
1 H/P astublehl PUMY-F IM96MY 54000 NONZ "v
8.2 Hapr N
Fan Equipment pent Schedule
EgUlp. Equip
ID Tvpe Brand Name' Model NO CFM SP' HP/BHP Flow Control`
Location of Service
'If available. 2As tested a=rding to Table 14-1A through 14-1G. 3 If required. 4 COP,HSPF,Combustion Efficiency,orAFUE,as
applicable- 5 Flow control types:variable airvofurrle(VAV).constant volume(CV),or variable speed(VS). 6 Exception nUm
MUIVE D
MAY 2 2 2 01 z
COA PERMIT CENTER
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May, 22. 2012 10: 51AM EVIRGREEN STATE HEAT & AC No. 2150 P. 6
2009 Washington Stag ergy Code Compliance Forms for Nonresidential Muilifamily�sidential
Mechanical r •
2009 Washington Slats Energy Code Compliance Forms for NonresldenUal and Mul0famlly Reoldential Revised February 2011
All Systems: ❑ No humidification? ❑ No Reheat?
System Description If Heating/Cooling ❑ Constant Vol? Split system? <=84,000 etuh?❑ Economizer
See Section 1421 for full description of or Cooling Only: inrludad?
p ❑ Air rnnlwd� ❑ Pankanrad cv¢?❑ �-1�F�nnn Rhth?
Semple System qualifications. El Cooling Cao<=15 Bluhlf 2 ❑ heating Cap.>0&<=10 etuhlfts 7
if Healing Only: ❑ <lnnn rfm? ❑ <300/6 outside air?❑ Healing Cap.<=10131ub/fe?
Decision Flowchart Use.this flowchart to determine if project qualifies for Simple System Option. if not,either the
Complex System or Systems Analysis Options must be used.
START
Co ap� ft'.or
Humidlflcatlo HeaVCool Eq.witNo
or Reheat? Gap<=10 ?
Yes
Yes
No
Healing/Cooling Air Cooled, U
System Type or Cooling Only onstant Volu
Yes
Heating Only Reference
Section 1421 Total
N <1000 CFM Serving N
trim? Single Roo
.0
Ys
Yes
acka a Unl Split System
j.j <30%.OSA Cap—135, N «84.000 8Wh
Btuh
Yes Yes
Yes
eatin aMes
NO—
Cap<=10 Ye Econo N Economizer N
luhl Y ncluded aception
Ion 1
Yes Yes
Simple System
Allowed
(section 1420)
Use Complex
Systems
(section 1490)
Complex sterns Refer to MECH-COMP Mechanical Complex Systems for assistance in determining which Complex
F Y Systems requirements are applicable to this project. RECEIVED
MAY 2 2 2012
COA PERMIT CENTER
$uJIV170130
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BLD20120130 (PT-LIVE) - PermitTrax by Bitco Software Page 1 of 1
BUILDING PERMIT PERMIT#: BLD20120130
OWNER: PARKE AVENUE INVESTMENTS-NORT... STATUS:APPLIED
ADDRESS: 16410 SMOKEY POINT BLVD#300,AR... BALANCE: $0.00
ISSUED: CREATED: 5/22/2012
SCREENS:I Select Screen... FUNCTIONS: Select Permit Function...
MECHANICAL/SOLAR
REVIEWS PRINT ADD NEW SUMMARY
REVIE.. DESCRIPTION ASSIGNE.. DUE DATE LAST (#) REQ? DQ.. ASSIGN REMOVE
2000 C-Building I CYOUNG 5/25/2012 0 Y N Assign Remove
2008 C-Community Development I ARUSKO 5/25/2012 0 Y N Assign Remove
https:Hcoapermits.arlington.local/PermitTrax/Module_Permits/Permits Permit/Permit_Reviews.as... 5/22/2012
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May. 22. 2012 10: 50AM Eye GREEN STATE HEAT & AC No. 2150 P. 2
COMMERCIAL MECHANICAL
SUBMITTAL REQUIREMENTS
Department of Community Development
City of Arlington•238 N Olympic Ave.•Arlington,WA 98223•Phone(360)403 3551 • FAX(360)403 3418
THIS APPLICATION MUST BE ACCOMPANIED BY TWO(2)SETS OF CONSTRUCTION DRA WINGS,AND ONE(1)
SET OF WASHINGTON STATE ENERGY CODE APPLICA TIONS.
Type of Permit; a Residential Apartment 8 Commercial Valuation' $6649.00
Projeot Address: 16410 4:R kc,Point Wd,suhe300 Parcel ID#:
Lot* Subdivision:
Project Descrlpllon:Furnish and Install 3 Zone Mulll Ductless Heat Pump System
Owner: Parke Ave eiavealmeais Rhone Number: 42-2a95074
Address: 11324316isisE City:Lakeslevene State, WA Zip Code,02w
Contact Person:Mark Payne/Evergreen State Sheet Metal phone Number; 425-252.3114
Coll Phone: Fax: 426-W-OW r=-mail: markoessmwa.com
Address: 212011armcnvenue City:Everett Slate:WA Zip Code:90201
Please list Quantity of Fixtures Below:
FURNACE UP TO 100K BTU CLOTHES DRYER �_�_ GAS OUTLETS
FURNACE OVER 100K FLR FURN INSTALLIRELOCATE SUSPENDED HTR/UNIT HTM
BO1LIrR UP TO 3 HP APPLIANCE REPAIR APPLIANCE VENT/OTHER
BOILER UP TO 4.15 HP TYPE I OR II HOOD VENTILATION EQUIPMENT
BOLIER UP TO 16-30 HP AIR AHNDLING UP TO 10K CFM VENTILATION FANS
BOILER UP TO 31-ti0 HP AIRHANOLING OVER 10K CFM OTHER VENTILATION SYSTEM
SOLIER UP TO 51 HP AND UP INCINERATOR (AST)TANK STORAGE/PIPING
ALL OTHER UNITS HEAT PUMP �_- (UST)TANK STORAGI=!PIPING
Contractor: Evergreen State Sheet Metal Phone Number: 425-252-3114
Address: 2120 Pacific Avenue City:Everett State: WA Zip Cade:98201
Contractor's License Number:EVERGS80220T E=xpiration:1012013
Provide applicable WSEC Worksheet(s)and appliance cut sheet(a)along with application
Provide applicable NFPA or other Reference Standard Material along with application
I hereby certify that the above information is correct and [hat the construction on, and the occupancy and the use of the above-
described property will be in accordance vAth the laws,rules and regulation of the State of Washington.
__1101
ilcants Signature Date
PIH.Vr RECEIVED
Print Applicants Name
FOR STAFF USE ONLY MAY 2 2 2012
?7)l OV 30 `AI-- °c�__ -A&— CO, 9RUIT ER
Permit# Accepted By Amount Received Receipt#
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Contractors or Tradespeople Printer Friendly Page Page 1 of 1
General/Specialty Contractor
A business registered as a construction contractor with LEtI to perform construction work within the scope of
its specialty.A General or Specialty construction Contractor must maintain a surety bond or assignment of
account and carry general liability insurance.
Business and Licensing Information
Name EVERGREEN STATE SHEET MTL INC UBI No. 601724357
Phone 4252523114 Status Active
Address 2120 Pacific Ave License No. EVERGSS0220T
Suite/Apt. License Type Construction Contractor
City Everett Effective Date 9/30/1998
State WA Expiration Date 10/10/2013
Zip 98201 Suspend Date
County Snohomish Specialty 1 General
Business Type Corporation Specialty 2 Unused
Parent Company
Business Owner Information
Name Role Effective Date Expiration Date
KIMBALL, RUSSELL D President 09/30/1998
KIMBALL, PAM Vice President 09/30/1998
Bond Information _
Bond Bond Company Name Bond Account Number Effective Date Expiration Date Cancel Date Impaired Date Bond Amount Received Date
5 NORTH AMERICAN 2136566 03/12/2011 Until Cancelled $12,000.0001/12/2011
SPEC INS CO
4 INS CO OF THE WEST 12187938 03/12/2007 Until Cancelled 03/12/2011 $12,000.00103/19/2007
3 TRAVELERS CAS Et 206877768 10/08/2001 Until Cancelled 03/12/2007 $12,000.0010/10/2001
SURETY CO
Assignment of Savings Information No records found for the previous 6 year period
Insurance Information
Insurance)Company Name lPolicy Number Effective Date Expiration Date Cancel Date Impaired Date Amount jReceived Date
12 (WESTERN NSL CWP2646730 I09/30/2006 09/30/2012 $1,000,000.0009/27/2011
FEDERATED (III
11 SERVICE/MUTUAL9160585 09/30/2006 09/30/2007 09/30/2006 $1,000,000.0008/08/2006
INS C
10 FEDERATED 9849953 09/30/2004 09/30/2006 $1,000,000.0009/23/2005
SERVICE INS CO
Summons/Complaint Information No unsatisfied complaints on file within prior 6 year period
Warrant Information No unsatisfied warrants on file within prior 6 year period
Infractions/Citations Information
RECEIVED
Infraction/Citation I Date RCW Code Type Status Violation Amount MAY 2 2 2012
PBATIO0650 7/27/2010 18.106.020 PLUMBER INFRACTION Satisfied $250.00
COA PERMIT CENTER
https:Hfortress.wa.gov/lni/bbip/Print.aspx 5/22/2012
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Contractors or Tradespeople Printer Friendly Page Page 1 of 1
Electrical Contractor
A business licensed by L£tl to contract electrical work within the scope of its specialty. Electrical
Contractors must maintain a surety bond or assignment of savings account. They also must have a
designated Electrical Administrator or Master Electrician who is a member of the firm or a full-time
supervisory employee.
Business and Licensing Information
Name EVERGREEN STATE SHEET METAL UBI No. 601724357
Phone 4252523114 Status Active
Address 2120 Pacific Ave License No. EVERGSS928RN
Suite/Apt. License Type Electrical Contractor
City Everett Effective Date 12/15/2008
State WA Expiration Date 12/15/2012
Zip 98201 Suspend Date
County Snohomish Specialty 1 General
Business Type Corporation Specialty 2 Unused
Parent Company EVERGREEN STATE SHEET METAL IN
Other Associated Licenses
Specialty Effective Expiration
License Name Type Specialty 1 2 Date Date Status
EVERGREEN STATE 'Electrical Hvac/Rfrg Ltd IRe-
UnusedEVERGSSOOOSJ SHEET METAL Contractor Energy 1/11/2000 1/11/2012 Licensed
Electrical Administrator INFORMATION
License KIMBARD924RJ
Name KIMBALL, RUSSELL D
Status Active
Business Owner Information
Name Role Effective Date Expiration Date
KIMBALL, RUSSELL D Agent 12/15/2008
KIMBALL, RUSSELL D President 12/15/2008
Bond Information
Bond Bond Company Name Bond Account NumberjEffective DatejExpiration Date Cancel Date Impaired Date(Bond AmountlReceived Date
2 NORTH AMERICAN 2136560 01/07/2011 Until Cancelled $4,000.0011/19/2010
SPEC INS CO _
1 JINS CO OF THE WEST 1718659 101/07/2000 jUntil Cancelled 01/07/2011 $4,000.00 01/14/2000
Assignment of Savings Information No records found for the previous 6 year period
Insurance Information No records found for the previous 6 year period
Summons/Complaint Information Summons and Complaints are not filed with the department for this contractor type
Warrant Information Warrants are not filed with the department for this contractor type RECEIVED
Infractions/Citations Information MAY 2 2 2012
Infraction/Citation Date RCW Code Type Status Violation Amount
EJONVO1334 9/24/2010 19.28.101 RCW (ELECTRICAL CITATION Satisfied $1,000.00 COA PERMIT CENTER
EROMA00516 9/2/2009 WAC 296-4613-990 (ELECTRICAL CITATION Satisfied $500.00
EHRAL00955 2/10/2012 19.28.101 RCW ELECTRICAL CITATION Satisfied $2,000.00 l�
ECHAE00608 5/5/2011 19.28.101 RCW ELECTRICAL CITATION 'Satisfied $2,000.00
https://fortress.wa.gov/lni/bbip/Print.aspx 5/22/2012
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May. 22, 2012 10:49AM EV�-RGREEN STATE HEAT & AC No, 2150 P. 1
COMMERCIAL MECHANICAL
SUBMITTAL REQUIREMENTS
Department of Community Development
City of Arlington• 238 N Olympic Ave. •Arlington,WA 98223•Phone(360)403 3551 • FAX(360)403 3418
WHEN A MECHANICAL PERMIT IS REQUIRED
The City of Arlington requires a mechanical permit before mechanical equipment is installed,altered, or replaced.
Examples are installations or alterations of gas piping,replacement of any HVAC equipment, Heat Pumps,Exhaust
Systems, Paint 13ooths,Above-ground and Under-ground tanks with piping,etc.
The City of Arlington does not require a permit to replace an existing gas clothes dryer,stovetop ranges,ovens,or gas log
if there is no gas piping installed or altered.
MECHANICAL PLAN REVIEW IS REQUIRED FOR THE FOLLOWING PROJECTS
1. New Commercial Buildings. 5. All hoods(Type I and II)_
2. Complete HVAC systems and AC units,heat 6. All Commercial gas piping.
pumps,rooftop units or exhaust fans. 7. Any penetrations of fire resistive construction
3. Relocation of 10 or more diffusers. 8. All spray booths
4. Addition of fan coil units.
SUBMIT TWO (2)COPIES OF THE FOLLOWING FOR MECHANICAL PLAN REVIEW:
❑ Mechanical plans or drawings.(Minimum plan size Is 18"X 24"scale, '/,"scale for details.)
❑ Reflected ceiling plan showing and identifying ductwork,equipment,piping,supply diffusers,return air grilles
and fire dampers.
❑ Roof plan showing equipment,ductwork,vents,roof access and equipment screening.
❑ List of equipment and schedule.
❑ Engineered structural gravity and/or lateral force calculations for ALL rooftop units.
❑ A Commissioning Plan shall be submitted with the following:
A detailed explanation of the original design Intent
Equipment and systems to be tested, including the extent of tests
Functions to be tested,i.e. calibration,economizers,etc.
Conditions under which test shall be performed,Le.winter or summer design,full outside air,etc.
Measureable criteria for acceptable performance
❑ Washington State Non-Residential Energy Code Forms.
Structural Information.,
Please note that engineered structural gravity loads calculations are required for all rooftop units. If the unit is 440
lbs.or larger engineered structural lateral force calculations are also required.
All Natural Gas Fuel Gas Piping is covered under the 2009 International Fuel Gas Code_ Liquefied Petroleum Gas
installations are covered by NFPA 54(National Fuel Gas Code)and NFPA 58(Liquefied Petroleum Gas Code).
Gas water heater replacements require a permit and are regulated by the Uniform Plumbing Code
1
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BUILDING INSPECTION REPORT
GAT Y �� Permit No. /Z- 0130 #300
Address:IN
'1r 0 Contractor:
Owner: _
Date: F121 _
APPROVAL PARTIAL APPROVAL
® VIOLATION ® CORRECTION REQUEST
Corrections listed below MUST BE MADE before work can be approved
Please contact inspector
Was not able to perform inspection
Call 360-435-0674 FOR RE-INSPECTION by 5:00 pm the day before
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Inspector: o Date: �129
® Under-floor ® Framing ® Gas Piping
® Footing ® Drywall, nailing ® Consultation
® Foundation ®Shear Nailing ® Groundwork
Mechanical ® Grid ® Struct. Slab
® Wood Stove ® Rough-in ® Final
® Masonry ® Drainage ® Insulation
Ell Other:
BUILDING INSPECTION REPORT
QrNVG
Y O Permit No. L - G %� #
:�iAddress: / lL1 Al - 1�L%J7Contractor:+
Owner: 1-1-yzkl
Date: - - - - -`F 2zZl� -
APPROVAL PARTIAL APPROVAL
VIOLATION ® CORRECTION REQUEST
Corrections listed below MUST BE MADE before work can be approved
Please contact inspector
Was not able to perform inspection
Call 360-435-0674 FOR RE-INSPECTION by 5:00 pm the day before
Inspector: y��� = Date: 2
® Under-floor ® Framing ® Gas Piping
® Footing ® Drywall, nailing ® Consultation
® Foundation ®Shear Nailing ® Groundwork
Mechanical ® Grid ® Struct. Slab
® Wood Stove ® Rough-in ® Final
® Masonry ® Drainage ® Insulation
0 Other: