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Home My WebLink About20911 66TH AVE NE_BLD1146_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:20911 66TH AVE NE Project Description:INSTALL HEAT PUMP Owner: ADAM DALLMAN Address. 20911 66TH AVE NE City. ARLINGTON State WA Zip Code: 98223 Phone. 425-359-1798 Email:DALLMANADAM@YAHOO.COM Applicant: CM HEATING Address: 1415 BROADWAY City. EVERETT State WA Zip Code: 98201 Phone. 4252590550 Email. MEREDITH@CMHEATING.COM CONTRACTOR INFORMATION Contractor Name:CM HEATING Address: 1415 BROADWAY City. EVERETT State WA Zip Code: 98201 License Number:CMHEAMH877DN Expiration: 5/17 Phone:4252590550 Email:MEREDITH@CMHEATING.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 #3MXS24NMVJU AFUE80 HSPE12.5 ❑ AC Unit Model # SEER ❑ Freestanding Stove ❑ Fire Place Insert ❑ Outdoor BBQ ❑ Gas Piping ❑ Solid-Fuel Appliance ❑ Other Gas Piping Information Not Applicable: [El Pipe Material: Pipe Size: 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: 09/10/2016 Applicant Printed Name: Meredith gilbert 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 ' CITY OF ARLINGTON 4; 238 N. OLYMPIC AVE -ARLINGTON, WA. 98223 PHONE; (360) 403-3551 BUILDING PERMIT Address:20911 66th Ave NE Permit#:1146 Parcel#:00804500000100 Valuation:0.00 OWNER APPLICANT CONTRACTOR Name:DALLMAN ADAM&KATIE Name:CM Heating Name:CM Heating Inc Address:20911 66TH AVE NE Address:1415 Broadway Address: 1415 Broadway City,Slate Zip:ARLINGTON,WA 98223-8226 City,State Zip:Everett,WA 98201 City,State Zip:Everelt,WA 98201 Phone: Phone:425-259-0550 Phone:425-259-0550 MECHANICAL CONTRACTOR PLUMBING CONTRACTOR Name:CM Heating Inc Name: Address: 1415 Broadway Address: City,State,Zip:Everett,WA 98201 City,Slate,Zip: Phone:425-259-0550 Phone: LIC#:CMHEAMH877DN EXP: 3/15/2017 LIC#: EXP: JOB DESCRIPTION PERMIT TYPE: Residential Mechanical CODE YEAR: 2015 STORIES: 2 CONST.TYPE: DWELLING UNITS: ] 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/IRC110. SALES TAX NOTICE:Sales tax rela ing to construction and construction materials in the City of Arlington must be reported on your sales tax return form a cgded City of A ingtor #310 . Signature Print Name Date Released By Dul CONDITIONS Approved as submitted. Adhere to model #3MXS24NMVJU. 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 9/13/2016 Heat Pump $25.00 9/13/2016 Mechanical Permit Base Fee $25.00 Total Due: $50.00 Total Payment: $50.00 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 CITY OF ARLINGTON -ARLINGTON, WA. 98223 238 N. OLYMPIC AVE PHONE; (360) 403-3551 BUILDING PERMIT Address:20911 66th Ave NE Permit#:1146 Parcel#:00804500000100 Valuation:0.00 OWNER APPLICANT CONTRACTOR Name:DALLMAN ADAM&KATIE Name:CM Heating Name:CM Heating Inc Address:20911 66TH AVE NE Address:1415 Broadway Address: 1415 Broadway City,State Zip:ARLINGTON,WA 98223-8226 City,State Zip:Everett,WA 98201 City,State Zip:Everett,WA 98201 Phone: Phone:425-259-0550 Phone:425-259-0550 MECHANICAL CONTRACTOR PLUMBING CONTRACTOR Name:CM Heating Inc Name: Address: 1415 Broadway Address: City,State,Zip:Everett,WA 98201 City,State,Zip: Phone:425-259-0550 Phone: LIC#:CMHEAMH877DN EXP: 3/15/2017 LIC#: EXP: JOB DESCRIPTION PERMIT TYPE: Residential Mechanical CODE YEAR: 2015 STORIES: 2 CONST.TYPE: DWELLING UNITS: ] 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/IRCl10. 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 Dat CONDITIONS Approved as submitted. Adhere to model #3MXS24NMVJU. 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 9/13/2016 Heat Pump $25.00 9/13/2016 Mechanical Permit Base Fee $25.00 Total Due: $50.00 Total Payment: $50 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 F"DAIKIN Submittal Data Sheet 3 PORT HP, DUCTLESS OD 2 TON 3MXS24NMVJU FEATURES • Up to 18.9 SEER/Up to 12.7 EER/Up to 12.5 HSPF • High-efficiency inverter driven swing compressor • Low ambient cooling to 5°F/-4°F with optional drain pan heater • Specialized drain pan design for improved cold climate drainage BENEFITS - va,KIiv • 12 Year limited parts warranty with online registration • 5 Year limited parts warranty for commercial applications • High efficiency cooling and heating operation provides utility bill savings • Multiple indoor unit style options: wall mounted,floor standing,ceiling cassette,slim duct --- _ • May qualify for regional utility rebates and incentives • Compatible with optional Daikin ENVi Wi-Fi capable Smart Control Daikin North America LLC,5151 San Felipe,Suite 500,Houston,TX,77056 Daikin City Generated Submittal Data www.daikinac.com www.daikincomfort.com (Daikin's products are subject to continuous improvements.Daikin reserves the right to modify product design,specifications and information in this data sheet without notice and without incurring any obligations) Page 1 of 3 F"DAIKIN Submittal Data Sheet 3 PORT HP, DUCTLESS OD 2 TON 3MXS24NMVJU PERFORMANCE Outdoor Unit Model No. 3MXS24NMVJU Outdoor Unit Name: 3 PORT HP,DUCTLESS OD 2 TON Type: Heat Pump Rated Coaling Conditions: Indoor(°F DB/DB):80/67 Ambient(°F DBMB):95175 Rated Cooling Capacity(Btu/hr): 24,000 Rated Heating Conditions: Indoor(°F DB/WB):/ Ambient(°F DB/WB):/ Max/Min Cooling Capacity(Btu/hr): 30,000/ Rated Piping Length(ft): 25 Cooling Input Power(kW): Rated Height Difference(ft): 49.00 Rated Heating Capacity(Btu/hr): 24,000 SEER(Non-Ducted/Ducted): 17.90/14.00 Max/Min Heating Capacity(Btu/hr): 36,000/ HSPF(Non-Ducted/Ducted): 12.5/8.2 Heating Input Power(kW): Heating COP(Non-Ducted/Ducted): 4.6/3.9 OUTDOOR UNIT DETAILS Power Supply(V/Hz/Ph): 208-230/60/1 Compressor Type: Inverter Power Supply Connections: L1,L2,Ground Capacity Control Range(%): Min.Circuit Amps MCA(A): 18.70 Airflow Rate(H)(CFM): 2,094 Max Overcurrent Protection(MOP)(A): 20.00 Gas Pipe Connection(inch): 1/2 Max Starting Current MSC(A): 15.50 Liquid Pipe Connection(inch): 1/4 Rated Load Amps RLA(A): 15.5 Sound Pressure(H)(dBA): 52 Dimensions(HxWxD)(in): 29 x 34-1/4 x 12-5/8 Sound Power Level(dBA): Net Weight(lb): 137 Daikin North America LLC,5151 San Felipe,Suite 500,Houston,TX,77056 Daikin City Generated Submittal Data www.daikinac.com www.daikincomfort.com (Daikin's products are subject to continuous improvements.Daikin reserves the right to modify product design,specifications and information in this data sheet without notice and without incurring any obligations) Page 2 of 3 F"DAIKIN Submittal Data Sheet 3 PORT HP, DUCTLESS OD 2 TON 3MXS24NMVJU SYSTEM DETAILS 'um Refrigerant Type: R-41 OA Cooling Operation Range ff DB): 14-115 Holding Refrigerant Charge(lbs): 6.2 Heating Operation Range(°F WB): 5-72 Additional Charge(lb/ft): 0.01 Max.Pipe Length(Vertical)(ft): Pre-charge Piping(Length)(ft): Cooling Range w/Baffle(°F DB): - Max.Pipe Length(Total)(ft): 230 Heating Range w/Baffle ff WB): 5- Max Height Separation(Ind to Ind ft): 49 DIMENSIONAL DRAWING HANDLE 9/16(14) 34-V41870, 3-9/16(90) WIRING 1/4(7).. 12-5/8 320)-1 1-3/16 30 INTERCONNECTING)NG /OUTDOOR AIR THERMISTOR I BRAND NAME PLATE MANUFACTURER'S LABEL 4-HOLES FOR FOUNDATION BOLTS M8 OR M10 23-5:8 16001 4-15/16(125) 14-1/2( 3-1/16(78) N Q�N io o MINIMUM SPACE FOR AIR PASSAGE J <ROOM A> WALL HEIGHT ON AIR OUTLET SIDE--LESS THAN 1200 GAS PIPE 0000 0 W8(¢9.5)SINGLE UNION) LIQUID PIPE Q' u1 20-11/16(525) (0114((M.84)SINGLE UNION) 8 m DRAIN OUTLET m (I.D05+8(¢15.9)HOSE FOR CONNECTION GAS PIPE WITH DRAIN JOINT) LIQUID(012.7ESINGLE UNION) 1 15/18(50 a 1 15l16(50) 4-GROUND TERMINALS (01/4(¢6.4)SINGLE UNION) <ROOM C> o 0 GAS PIPE n' (¢1/2(¢12.7)SINGLE UNION) LIQUID PIPE (¢1/4(¢6.4)SINGLE UNION) g _ a m 8 LIQUID ¢1 4¢6.4 2- 16 q 8¢9.5 3-11/16 93 m = 1-15/18 50 M ro GAS 12 12. 3-5l16 84 n N a A N a 9 � m m SERVICE PORT - LIQUID STOP VALVE GAS STOP VALVE C:3DO93198 IN CASE OF REMOVING STOP VALVE 1-11118 43) 11l18 18) COVER AND TERMINAL STRIP COVER Daikin North America LLC,5151 San Felipe,Suite 500,Houston,TX,77056 Daikin City Generated Submittal Data www.daikinac.com www.daikincomfort.com (Daikin's products are subject to continuous improvements.Daikin reserves the right to modify product design,specifications and information in this data sheet without notice and without incurring any obligations) Page 3 of 3 CITY OF ARLINGTON 238 N. OLYMPIC AVE -ARLINGTON, WA, 98223 PHONE; (360) 403-355I BUILDING PERMIT Address:20911 66th Ave NE Permit N: 1146 Parcel ll:00804500000100 Valuation:0.00 OWNER APPLICANT CONTRACTOR Name:DALLMAN ADAM&KATIE Name:CM Heating Name:CM Heating Inc Address:20911 66TFI AVE NE Address:1415 Broadway Address: 1415 Broadway City,Slate Zip:ARLINGTON,WA 98223-8226 City,State Zip:Everett,WA 98201 City,State Zip:Everelt,WA 98201 Phone: Phone:425-259-0550 Phone:425-259-0550 MECHANICAL CONTRACTOR PLUMBING CONTRACTOR Name:CM Heating Inc Name: Address: 1415 Broadway Address: City,State,Zip:Everett,WA 98201 City,Slate,Zip: Phone:425-259-0550 Phone: LIC#:CMHEAMH877DN EXP: 3/15/2017 LIC H: EXP: JOB DESCRIPTION PEIWTTYPE: Residential Mechanical CODE YEAR: 2015 STORIES: 2 CONST,TYPE: DWELLING UNITS: ] 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 PAfD, 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, lBCl10/IRCI10. SALES TAX NOTICE:Sales tVrelaing to construction and construction materials in the City of Arlington must be reported on your sales tax return.form a S 2 City of A ingtoi N31 Signature Print Name Date Released By Dad CONDITIONS Approved as submitted. Adhere to model #3MXS24NMVJU. 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 9/13/2016 Heat Pump $25,00 9/13/2016 Mechanical Permit Base Fee $25.00 Total Due: $50.00 Total Payment: $50.00 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 � � Y � � CITY OF ARLINGTON 238 N. OLYMPIC AVE -ARLINGTON, WA. 98223 PHONE; (360) 403-3551 BUILDING PERMIT Address:20911 66th Ave NE Permit#:1146 Parcel#:00804500000100 Valuation:0.00 OWNER APPLICANT CONTRACTOR Name:DALLMAN ADAM&KATIE Name:CM Heating Name:CM Heating Inc Address:20911 66TH AVE NE Address:1415 Broadway Address: 1415 Broadway City,State Zip:ARLINGTON,WA 98223-8226 City,State Zip:Everett,WA 98201 City,State Zip:Everett,WA 98201 Phone: Phone:425-259-0550 Phone:425-259-0550 MECHANICAL CONTRACTOR PLUMBING CONTRACTOR Name:CM Heating Inc Name: Address: 1415 Broadway Address: City,State,Zip:Everett,WA 98201 City,State,Zip, Phone:425-259-0550 Phone: LIC#:CMHEAMH877DN EXP: 3/15/2017 LIC#: EXP: JOB DESCRIPTION PERMIT TYPE: Residential Mechanical CODE YEAR: 2015 STORIES: 2 CONST.TYPE: DWELLING UNITS: ] 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/IRCI 10. 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 Dat CONDITIONS Approved as submitted. Adhere to model #3MXS24NMVJU. 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 9/13/2016 Heat Pump $25.00 9/13/2016 Mechanical Permit Base Fee $25.00 Total Due: $50.00 Total Payment: $50.00 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 9/12/2016 Permit Number 1146 Project Name Adam Dallman Applicant Name CM Heating Applicant Address 1415 Broadway City,State,Zip Everett,WA 98201 Contact Meredith Gilbert Phone 425-259-0550 Email meredith@cmheating.com Permit Type Residential Mechanical Site Address 20911 66th Ave NE Valuation 0.00 Status Applied Permit Issued Permit Expires Square Feet 0 Type of Construction/Occupancy Load Number of Stories 0 Proposed Use Install Heat Pump Assigned To Kristin Foster Property Information Owner Information Parcel#:00804500000100 DALLMAN ADAM&KATIE DALLMAN ADAM&KATIE 20911 66TH AVE NE 20911 66TH AVE NE ARLINGTON,WA 98223-8226 Contractors Contractor Primary Phone Email Contractor Type License License# Name Contact CM Heating Inc Meredith 425-259- ,neredith@cmheatincomIMECHANICAL Labor& --MHEAMH877DN g. Gilbert 0550 CONTRACTOR Industries Review Date Type Description I Target Date I Completed Date I Assigned To Status /12/2016 lResidential Mechanical 9/19/2016 1 lKevin Olander 11n Review Fees Fee Description Notes Amount Heat Pum 322.10.00 00 $25.00 Mechanical Permit Base Feel 322 10.00.001 1 $25.00 Total $50.0 Notes Date Note 9/12/2016 Daikin model#3MXS24NMVJU SEER 12.7 Uploaded Files Upload File Date File Uploaded B 9/12/2016 8:24:53 AM 11146 S ecs. df IFoster,Kristin 9/12/2016 8 24:53 AM 11146 Application.pdf IFoster,Kristin REjIDENTIAL MECHPtNICAL PERMIT APPLICATION ?Jrf 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:20911 66TH AVE NE Project Description:INSTALL HEAT PUMP Owner: ADAM DALLMAN Address: 20911 66TH AVE NE City: ARLINGTON State YVA Zip Code: 98223 Phone: 425-359-1798 Email:DALLMANADAM@YAHOO.COM Applicant: CM HEATING Address: 1415 BROADWAY City: EVERETT _ State:WA Zip Code: 98201 Phone: 4252590550 Email: MEREDITH@CMHEATING.COM CONTRACTOR INFORMATION Contractor Narne:CM HEATING Address: 1415 BROADWAY City: EVERETT State-WA Zip Code: 98201 License Number:CMHEAMH877DN Expiration: 5/17 Phone:4252590550 Email:MEREDITH@CMHEATING.COM STAFF USE O Received Permit #: Accepted b Date: SEP 12 2016 6/16LP Page 1 of 2 Y kiESIDENTIAL MECHANICAL PERMIT APPLICATION [`• `V7 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 tt3MXS24NMVJU AFUE80 HSPE12.5 ❑ AC Unit Model # SEER ❑ Freestanding Stove lj Fire Place Insert 11I Outdoor BBQ ❑ Gas Piping ❑ Solid-Fuel Appliance Other Gas Piping Information Not Applicable: (� Pipe Material: Pipe Size: 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 � ��t�dit/ceiA6kett Applicant Signature: ....�.. �..�.. .. Date: 09/10/2016 Applicant Printed Name: Meredith gilbert 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 9/12/2016 ^ C M HEATING INC (Search L&I 1 7:� -!c,, ih safety&Health Claims Insurance ,Fl/orknlace RighIs '(radns & !_icenSing Washington State Department of Labor & Industries C M HEATING INC Owner or tradesperson 1415 BROADWAY Principals EVERETT,WA 98201 425-259-6666 Gamer,James N, PRESIDENT SNOHOMISH County Umayam,John A,VICE PRESIDENT Umayam,Antonio(Tony)G,SECRETARY Umayam,Antonio(Tony)G,TREASURER Gamer,James N,AGENT Gamer, Paul, PRESIDENT (End:06/29/2016) Gamer, Kathleen D,SECRETARY (End:06129/2016) Gamer, Kathleen D,TREASURER (End:06/29/2016) Doing business as C M HEATING INC WA UBI No. Business type 601 114 652 Corporation Governing persons JAMES GARNER KATHLEEN GARNER; PAUL M GARNER; License Verify the contractor's active registration/license/certification(depending on trade)and any past violations. Electrical Contractor Active. Meets current requirements. License specialties GENERAL License no. CMHEAMH877DN Effective—expiration 03/1512013—03/15/2017 Designated administrator Active. Giacomi,John Meets current requirements. License type License no. Electrical Administrator GIACOJ"840MG Bond Contractors Bonding&Insurance Co $4,000.00 Bond account no. SC6810 Received by L&I Effective date tleip us improve https://secure.I ni.wa.gov/verify/Detail.aspx?UBI=601114652&LIC=CMHEAMH877DN&SAW= 1/2 �I 9/12/2016 C M HEATING INC 03/15/2013 02/28/2000 Expiration date Until Canceled Savings No savings accounts during the previous 6 year period. 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. L&I Account ID Account is current. 490,794-01 Doing business as CHIMNEY MASTERS Estimated workers reported Quarter 2 of Year 2016"31 to 50 Workers" L&I account representative T5/BREANN OLSEN(360)902-4802-Email:OLSA235@lni.wa.gov Workplace safety and health Check for any past safety and health violations found on jobsites this business was responsible for. Inspection results date 03/16/2015 No violations Inspection no. 317935327 Location 1415 Broadway Everett,WA 98201 Inspection results date 08/01/2011 Violations Inspection no. 315054981 Location 912 Rucker Everett,WA 98201 Inspection results date 01/26/2011 No violations Inspection no. 314710740 Location 9915 7th Ave. Everett,WA 98208 Ou Washington State Dept.of Labor&Industries,Use of this site is subject to the laws of the slate of Washington. Help us irriprove https://secure.)ni.wa.govtverify/Detai I.aspx?U BI=601114652&LIC=CM H EAM H877D N&SAW= 2J2 Submittal Data Sheet 3 PORT HP, DUCTLESS OD 2 TON 3MXS24NMVJU FEATURES + Up to 18.9 SEER/Up to 12.7 EER/Up to 12.5 HSPF + High-efficiency inverter driven swing compressor + Low ambient cooling to 5°F/4°F with optional drain pan heater • Specialized drain pan design for improved cold climate drainage BENEFITS -_ KIAI + 12 Year limited parts warranty with online registration + 5 Year limited parts warranty for commercial applications ��•— + High efficiency cooling and heating operation provides utility bill savings + Multiple indoor unit style options: wall mounted,floor standing,ceiling Z �—•��' cassette,slim duct t — t + May qualify for regional utility rebates and incentives - + Compatible with optional Daikin ENVi Wi-Fi capable Smart Control 1 t• r• Received S F P 1. 2 ?_.016 Daikin North America LLC,5151 San Felipe,Suite 500,Houston,TX,77056 PI" I lq v DA/K/N Submittal Data Sheet 3 PORT HP, DUCTLESS OD 2 TON 3MXS24NMVJU PERFORMANCE Outdoor Unit Model No. 3MXS24NMVJU Outdoor Unit Name: 3 PORT HP.DUCTLESS OD 2 TON Type: Heat Pump Rated Cooling Condition Indoor(°F DB/DB): ): /67 s Ambient(°F DBIWB 95175 Rated Cooling Capacity(Btu/hr): 24,000 Rated Heating Conditions: Indoor / Ambientt(°F DBMIB/W B):/ Max/Min Cooling Capacity(Btu/hr): 30,000/ Rated Piping Length(ft): 25 Goofing input Power(kVV): Rated Height Difference(ft): 4a.uu Rated Heating Capacity(Btu/hr): 24,000 SEER(Non-Ducted/Ducted): 17.90/14.00 Max/Min Heating Capacity(Btu/hr): 36,000/ HSPF(Non-Ducted/Ducted): 12.5/8.2 Heating Input Power(kW): Heating COP(Non-Ducted/Ducted): 4.6/3.9 OUTDOOR UNIT DETAILS Power Supply(V/Hz/Ph): 208-230/60!1 Compressor Type: Inverter Power Supply Connections: L1,L2,Ground Capacity Control Range(%): - Min Circuit Amps MCA(A): 18.70 Airflow Rate(H)(CFM): 2,094 Max Overcurrent Protection(MOP)(A): 20.00 Gas Pipe Connection(inch): 1/2 Max Starting Current MSC(A): 15.50 Liquid Pipe Connection(inch): 1/4 Rated Load Amps RLA(A): 15.5 Sound Pressure(H)(dBA): 52 Dimensions(HxWxD)(in): 29 x 34-1/4 x 12-5/8 Sound Power Level(dBA): Net Weight(lb): 137 Daikin North America LLC,5151 San Felipe,Suite 500,Houston,TX,77056 . DA1KIN Submittal Data Sheet 3 PORT HP, DUCTLESS OD 2 TON 3MXS24NMVJU SYSTEM DETAILS Refrigerant Type: R-41 OA Cooling Operation Range(°F DB): 14-115 Holding Refrigerant Charge(lbs): 6.2 Heating Operation Range(°F WB): 5-72 Additional Charge(lb/ft): 0.01 Max.Pipe Length(Vertical)(ft): Pre-charge Piping(Length)(ft): Cooling Range w/Baffle ff DB): - Max.Pipe Length(Total)(ft): 230 Heating Range w/Baffle ff WB): Max Height Separation(Ind to Ind ft): 49 DIMENSIONAL DRAWING HANDLE W16(14) 34-1/4 870) 3-9118(90) WIRING U4 7 12•fill3 13/18 1NT[RCt��;tJ�CT[4GPIPVKi OUTDOORAIRTHERMISTOR RRANDNAMEPLATE - MANUFACTURERS tAeFl �. 00 da A N N 1 __ 4-HOLES FOR FOUNDATION BOLTS LA8 OR M10) 23-5/8(800) 4-15l16, 14.112(3681 9-Il18 78 �D 0 1 WMNSNIXFOR � n 0 <ROOM A> WALL HEIGHT ON AIR OUTLET SIDE--LESS THAN 1200 GAS PIPE e000 o (OWS(Q9.5)SINGLE UNION) / e 20-11/16(526) LIOUIDPIPE S_T (p114(46.4)SINGLE UNION) 0 0(17(ET <ROOM B> (L01618(015.1»HMFORCONNECTION GAS PIPE Fiz (0112(012 7)SINGLE UNION1-15/16(b0)LIQUID PIPE 0L '�'� 4 GROUND TERMINALS (0114(06 4)SINGLE UNION) r5 - 0 <ROOM C> „ 0 GAS PIPE (01/2(012 7)SINGLE UNION) LIQUID PIPE (0114(06.4)SINGLE UNION) $ o^ uvvrrvvunry ILMI o 51 A $g a m a f3As 311/t8 2 Q 1-15l16 80 1 127 18 84'r N rf N � n SERVICE LIQUID STOP VALVE' IN CASE OF RE N STOP VAL 1-11/16,13 1 v1 sLe) C:3DO93198 COVER AND TERMINAL STRIP COVER Daikin North America LLC,5151 San Felipe,Suite 500,Houston,TX,77056 Permit#: 1146 Permit Date: 09/12/16 Permit Type: RESIDENTIAL MECHANICAL Project Name: Adam Dallman Applicant Name: CM Heating Applicant Address: 1415 Broadway Applicant, City, State, Zip: Everett,WA 98201 Contact: Meredith Gilbert Phone: 425-259-0550 Email: meredith@cmheating.com Scope of Work: Install Heat Pump Valuation: 0.00 Square Feet: 0 Number of Stories: 0 Construction Type: Occupancy Group: ID Code: Permit Issued: 09/13/2016 Permit Expires: 03/13/2017 Form Permit Type: Status: LASERFICHE Assigned To: Kristin Foster Property Parcel# Address Legal Description Owner Name Owner Phone Zoning 00804500000100 20911 66TH AVE NE DALLMAN ADAM 111 Single Family &KATIE Residence-Detached Contractors Contractor Primary Contact Phone Address Contractor Type License License# CM HEATING INC 425-259-0550 1500 INDUSTRY CONSTRUCTION Plumbing CMHEAHL750LP ST STE 200 CONTRACTOR Contractor CM HEATING INC 425-259-0550 1500 INDUSTRY CONSTRUCTION Construction CMHEAHL751 W ST STE 200 CONTRACTOR Contractor CM HEATING INC 425-259-0550 1500 INDUSTRY CONSTRUCTION UBI 605890285 ST STE 200 CONTRACTOR Inspections Date Inspection Type Description Scheduled Date Completed Date Inspector Status C10. 09/27/2016 MECHANICAL Heat pump installed per 09/27/2016 09/27/2016 z.Christopher Young Approved ROUGH-IN approved plan. Plan Reviews Date Review Type Description Assigned To Review Status 09/12/2016 RESIDENTIAL BUILDING MECHANICAL Fees Fee Description Notes Amount Heat Pump/Heat Exchangers $25.00 Mechanical Base Permit Fee $25.00 Total $50.00 Attached Letters Date Letter Description 09/13/2016 Building Permit Payments Date Paid By Description Payment Type Accepted By Amount 09/12/2016 DEBORAH BAUERS 61285521 cc $50.00 Outstanding Balance $0.00 Notes Date Note Created By: 09/12/2016 Daikin model#3MXS24NMVJU SEER 12.7 Kristin Foster Uploaded Files Date File Name 09/14/2016 1841330-1146 Issued Permit.pdf 09/12/2016 1836233-1146 Application.pdf 09/12/2016 1836234-1146 Specs.pdf