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Home My WebLink About8302 Putters Ct_BLD827_2026 CITY OF ARLINGTON 238 N. OLYMPIC AVE - ARLINGTON, WA. 98223 PHONE; (360) 403-355I BUILDING PERMIT_ ,%ddress:9302 Putters Court Permit N.827 Parcel N., Valuation:0.00 OWNER APPLICANT CONTRACTOR Name: Name-CM Healing Inc Name:CM Healing Inc Address: Address:1415 Broadway Address: 1415 Broadway City,Slate Zip,_ City,Stale Zip: Everett.WA 98201 City,State Zip Evcrcn.WA 98201 Plionc: Phone:425-259-0550 Phone:425-259-0550 NLECRAINICAL CONTRACTOR PLUMBING CONTRACTOR Nome:CM Heating Inc Name: Address: 1415 Broadway Address: City,Stale,Zip:Everett,WA 98201 City,State,Zip: Phone:425-259-0550 Phone: LIC a9: EXP: LIC EXP JOB DESCRIPTION PERMIT TYPE: Residential Mechanical CODE YEAR: 20i2 STORIES: CONST_TYPE: DWELLING UNITS; ( OCC GROUP: BUILDINGS: I 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 19.27. 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. IBC1 10/IRCI 10, S,!LES TAX NOTICE:Sales tax relating to construction and construction materials in llte City c I'Ar'o t must he ruporwd on your sales lux raw iuni c dcd Ci of ling n tl3 01At Sr Heron Print Name bale RclmstdBy u;uc CONDITIONS Approved as submitted- Rheem Model # R80I SA50314ZSA - AFUE 80% THIS PERMIT AUTHORIZS ONLY THE WORK NOTED,THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE PROPERTY ONLY ANY CONSTRUCTION ON T14E PUBLIC DOMAIN(CURBS,SIDEWALKS,DRIVEWAYS.MARQUEES,ETC)WILL REQUIRE SEPARATE PERMISSION PERMIT FEES Date Descriptlon Fee Amount 10/2912015 Mechanical Fee(Enter Fixture Fee) $25 00 10/2W2015 Mechanical Permit Base Fee $25 00 Total Due: $50.00 Total Payment: $0.00 Balance Due: S50.00 CALL FOR INSPECTIONS isL:1LDING(360)403-3417 When calling for an inspection please leave the following inrarmation: Permit Number,Type or Inspection being requested,and whether you prefer morning or afternoon i� - - - - CITY OF ARLINGTON 238 N. OLYMPIC AVE - ARLINGTON, WA. 98223 PHONE; (360) 403-3551 BUILDING PERMIT _ Address:8302 Putters Court Permit#:827 Parcel#: Valuation:0.00 OWNER APPLICANT CONTRACTOR Name: Name:CM Heating Inc Name:CM Heating Inc Address: Address:1415 Broadway Address: 1415 Broadway City,State Zip:, 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#: EXP: LIC#: EXP: JOB DESCRIPTION PERMIT TYPE: Residential Mechanical CODE YEAR: 2012 STORIES: CONST,TYPE: DWELLING UNITS: 1 OCC GROUP: BUILDINGS: 1 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. 1BC110/IRCl10. SALES TAX NOTICE:Sales tax relating to construction and construction materials in the City L Ar'n i must be reported an your sales tax return orm and coded City of Arlington#3101. Signature Print Name Date Released By Date CONDITIONS Approved as submitted - Rheem Model # R801 SA50314ZSA - AFUE 80% 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 10/29/2015 Mechanical Fee(Enter Fixture Fee) $25.00 10/29/2015 Mechanical Permit Base Fee $25.00 Total Due: $50.00 Total Payment: $0 00 Balance Due: $50.00 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 i i RESIDENTIAL MECHANICAL PERMIT APPLICATION 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:8302 PUTTERS CT ARLINGTON, WA 98223 Project Description: REPLACE GAS FURNACE Owner: ANDY BRANDT Address:8302 PUTTERS CT City: ARLINGTON State:WA Zip Code: 98223 Phone: 360-333-7624 Email:MEREDITH@CMHEATING.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 Received Permit #: ��' Accepted by: �5 t 9 2015 i I �� ' RESIDENTIAL MECHANICAL 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 Furnace (80+) Model # R801 SA050314ZSA A EE :80%)/. ❑ Heat Pump Model # AFUE HSPE ❑ AC Unit Model # SEER ❑ Freestanding Stove ❑ Fire Place Insert ❑ Outdoor BBQ ❑ Gas Piping ❑ Solid-Fuel Appliance ❑ Other Gas Piping Infonnation Not Applicable: lj Pipe Material: Pipe Size: Distance From Meter to Furthest Appliance: Total BTU's of all Appliances: • New gas piping requires a pressure test to 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: 10/28/2015 Applicant Printed Name: Meredith Gilbert l 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. V I I Gas Fumaces ' it RBO1S(DF)Series The new degree of comfort:" Rheem Classic Series Downflow Gas Furnace R801 S (Downflow) Series 80 A . . nput Rates 0 1 0 T t A . .( nnual Fuel till ation fficlency)calculated in accordance with Department of nergy test procedures. S 80 residential Gas Furnace CS certified Low profile 3 cabinet ideal for space constrained lus ne Diagnostics Segment L D all units installations lus ne gnition System DS for reliability and longevity ntegrated Control board features dip switches for easy system set up eat a changer is removable for improved serviceability. R code for uic access to product information from your lumini ed steel construction provides ma imum corrosion smart phone or tablet resistance and thermal fatigue reliability. INTFGRATED HOME COMFORT RM G11 R 1 Table of Cornents I, R801S(DF)Series T L FC T T5 Standard ptional uipment ......................................................................3 Model Features/ hysical Data Specifications.................................................. Model umber denti6cation............................................................................ DimensionalData............................................................................................ lower erformance Data................................................................................ ccessories....................................................................................................8 LimitedWarranty............................................................................................ INTEGRATED HOME COMFORT -r 9 it Standard ptional uipment a R801S(DF)Series HUM 0 pp , NFUIk s T C G R .- �' r �' TGRTDF R C C TR L DR FT D C R M T R r' DR CTS R G T R W T R M T S S - / - S T R RS k ST D RD M T T L M T Completely assembled and wired; induced draft;pressure T Furnace is not listed for use with fuels other than switch; redundant main gas control;blower compartment door natural or L. . (propane)gas. safety switch;solid state time on/time off blower control; limit The complete terms of limited and other warranties are control;manual shut off valve,pressure regulator for natural available at our sales office,or through local installer. and L. . (propane)gas;transformer,direct drive mufti speed blower motor.Furnaces are a uipped with cooling/heating II models can be converted by a ualified Rheem distributor relay and transformer( 0 )ready for air conditioning or local service dealer to use L. . (propane)gas without applications.( lease note a thermostat is not included as changing burners. Factory approved its must be used to standard a .( lease Flame sensor diagnostics;included board convert from natural to L. .(propane)gas and may be ordered twinning;fused protection(secondary),3rd speed option for as optional accessories from a Rheem parts distributor. continuous fan; common heat/cool terminal. For L. .(propane)operation,refer to Conversion it nde Form. T For natural and L. .(propane)gas models,direct spar ignition is 100 loc out type. ti . . '0 INTEGRATED HOME COMFORT 3 r Model Features/ hysical Data Specifications -0 it R801S(DF)Series I Y ILJcM Fbaftaw 80 residential Gas Furnace CS certified Low profile 3 cabinet ideal for space constrained lus ne Diagnostics Segment L D all units installations lus ne nition S lower shelf design serviceable in all furnace orientations g System DS for reliability and longevity ntegrated Controls board features dip switches for easy eat a changer is removable for improved serviceability. system set up lumini ed steel construction provides ma imum corrosion resistance and thermal fatigue reliability. R code for uic access to product information from your smart phone or tablet hysical Data and Specifications .S�and 03rodan MxWs M D L M RS RBMS RBO1S R801S RBO1S RB01S RBO1S Pam RBO1S R001S(D W FL V11) 0 031 0 31 0 1 10031 100 1 100 1 1 1 0 nput T / r[ WI rJ 01000[1 ] ,000 I ] ,000 [ ] 100,000[ .31 100,000[ .31 100,000[ .31 1 ,000[3 . 1 1 0,000 I I eating Capacity T / r[ VV]1 1,000[1 ] 0, 00 [18] q 00 [18] 80,000 [ 31 80,000 [ 31 81,000 [ ] ,000 [ I 1 0,000 [3 ] igh Itihrde rW[VV] ,000[13] , 00[1 .81 , 00[1 .81 0,000[ . ] 0,000[ . 1 0,000[ . ] 11 , 00 [33] 13 ,000[3 . ] igh fbhide utptA 3 , 00[10. ] ,000[1 .81 ,000[1 .8] ,000[ 1.11 ,ODO[ 1.11 , 00[ 1. ] 8 ,000[ .1] 10 , 00[31. ] sty[ WI eat t Static ressae[ a] .10[.0 ] .1 [.0 ] .1 [.0 ] .1 [.03 ] .1 1.031 .1 [.03 ] OP ] 0[.0 ] lower(D %N)[rnm] 11 11 11 11 10* M 11 10 11 10 11 10 11 10 [ 1 ] [ 1 I [ 1 8] [ 1 81 [ ] [ I [ ] [ ] Motor . .[VVJ Speeds PM 1/ Sc 1/ 3 SC 3/ 3 SC 1/ 3 SC 1/ 3 SC 3/ 3 SC 3/ 3 SC 3/ 3 SC SCType [3 31 [3 31 [ ] [3 31 [3 31 [ ] [ ] [ ] Motor FUI Load nips .8 .8 .1 eating Speed L W MD M LW MD MD LW LW LW Cooling Speed G G G G G G G G Cooling CM [ a] .S, . 1 00 1 00 1 00 1 00 000 000 000 000 ( orrinal)[Us] [ ] [ I [ ] [ ] [ ] [ I [ ] [ ] Rated .S. .(n.W.C.)[ a] 0. [.1 ] 0. [.1 ] 0. [.1 ] 0. [.1 ] 0. [.1 ] 0. [.1 ] 0. [.1 ] 0. [.1 ] Temperature Rise Range F 30 0 0 0 0 0 0 0 080 [C] [1a 30. ] [1 33.31 [1a 30. ] [ 1. 1 [ . 38. 1 [ 38. 1 [ 3B. ] [ .8 ] Ma. utiet it Temp F 1 1 1 1 0 1 0 1 0 180 1 0 [q [ 8.3I [ 3. ] [ 8.3] 18 .81 [8 .8] [ 1. 1 [8 • ] [ - ] ppro.Shipping Weight(Lbs) 8 10 10 11 1 0 1 0 1 0 1 0 [ g] [38. ] [ . ] [ • I [ • ] [ • I [ - I [ a I [ 110] F lectric gnition Models( 80 1 80 80 1 80 80 80 80 80 T S On s are 11 , 0 ,1 .Gas connection s e far all rtndrls is 1/ ..T. O n woondorce with D. . .test procedures �Z See Co nversicn it rude Fbrmfcr higtn altihx:b d3abe in .S applications [ ] Designates Metric Conversions INTEGRATED HOME COMFORT Model umber dentification 0 �r R801S(DF)Series Model LxTt t- dentif[csban Dwnllaw Models R 80 1 S _ 0 _ 1 S Rheem 80 1 Single Stage S Standard Design Series nput 3 p to Cabinet Down Low Revision 80 F SC 1 st Design T / RI W1 3 Ton Width and ero S Standard Mar wing 0 0 0,000[1 ] p to 1 1 aeardnoe ( Rrst Time 0 10001 ] Ton 1 1 Dow Blow Release) 100 100,000[ ] Ton 1 1 1 1 ,000[3 ] 1 0 1 0,000[ ] [ ]Designates Metric Conversions COMFORT'_0 INTEGRATED HOME Dimensional Data D it R801S(DF)Series Dwa low 13irnawons '61, TOP BOTTOM [11 mm] RETURN SUPPLY 19314" 241/2" AIR AIR [502 mm] [622 mm] C E 3/4 281h5"[713 mm] A [19 mm] R.A. 2011e" ( 5m ] B --{ 5/a"[1s mm] D }�—[511 mm]� S/eel 16 mm I I 16 mm 3!a" 265/B" 119 mm] [676 mm] 265/e" 112"DIA.(13 mm] (676 mm] ale"DIA. LOW VOLTAGE [22 mm] ELECTRICAL I341. CONNECTION [864 mm] (HIGH VOLTAGE) 2331e„ O O 233/8„ 2613h5" 203/e" [594 mm] [594 mm] 1681 mm] [518 203/9"mm] I I I I 2471,6" [621 mm] (518 mm] GAS CONNECTION 63hs" 63/1s" 7/. DIA. [157 mm) U [157 mm] [35 mm] LEFT SIDE FRONT RIGHT SIDE Dimensions and aearanw to Owbustible Material (inches) [MM] M D L RDCDCL R CS( .)[mm] R801S C D L FT R G T S V4M (D W FL � C T FR T T SR S SD SD (L S.)[ 00 1 [3 ] 1 /3 [3 ] 103/8[ ] 131/a[333] 0 0 1[ ] 3[ ] [i ] 8 [38. ] 0 1 1/ [ ] 1 11/3 [ 1 ] 1 1/8[308] 1 /9[ ] 0 3 0 1[ ] 3[ ] [1 ] 10 [ ] 10031 1 1/ [ ] 1 1113 [ 1 ] 1 118[308] 1 /a[ ] 0 3(2) 0 1[ l 3[ ] [1 ]13 11 [ ] 100 1 1 [ 331 1 /3 [ 0 ] 13/8[3 ] 01/8[ 11] 0 0 0 1[ ] 3[ ] [1 ] 1 0[ ] 100 1 1 1/ [ ] 311/3 [ 31 1 A[3 ] 3/a[ 001 0 0 0 1[ ] 3[ ] [1 ]r3 1 0[ 3. ] 1 0 1/ [ ] 311/3 [ 31 1 /a[3 ] 3 A[ 001 0 0 0 1[ ] 3[ ] [1 ]13 1 1 0 [ 8] T S'•�May re Lire a 3 [ mm]to [10 nTq or 3 [ rani to [1 mnj adapts ,Z Maybe 0 [0 mm]VAh type vert (Z Maybe 1 [ rrrrL]with type vent Rrrom mist be vented in accorc#ulce with the ational Reel(las Code, S 3.1 and in xmrdance with local codes. [ ]Designates Metric Conversions INTEGRATED • • .- it lower erfonnance Data 'D RBO1S(DF)Series lov" Ef"fOf 11IN Data Ebv"Iow MOOS M D L CFM[Us] R D L R R801S SWR MT R L WR TR LSTTC RSS R C S[ a]WTRCL M (D W R.V4 S D SR S [mm] IVVI .1[.0 ] 1.01 .3[.0 ] [.10] 1.1 ] 1.1 ] 1.1 ] L W 3 [3 ] 1 [33 ] 0 [3 ] 0 [311] 3 [300] 0 [ 8] [ 11 00 11 1/ M D L 10 [ 81 101 [ ] [ 01 [ 01 [ 11 30 [ 3] 0 [ ] [ 1 ] [3 31 M D 118 [ ] 11 [ 01 11 0 [ 31 1130 [ 331 1100 [ 1 ] 10 [ 0 ] 10 0[ 11 G 13 [ 31 1330 [ e] 1310 [ 181 1 [ 11] 1 [ ] 1 3 [ 831 1 1 0 [ ] 11 1/ L W 110 [ ] 1081 [ 10] 100 [ ] 10 [ 8 ] [ 11 1 [ 81 01 ] 0 31 [ 1 ] [3 31 M 01 G 1 88[ 81 1 38 [ ] 13 [ �] 13 [ 31 13 [ ] 118 [ 381 1 110 [ 8 L W 1 10[ 11 1 0 [ ] 11 [ ] 1180 [ ] 11 [ 01 11 [ ] 1130[ 331 0 1 [ 11 181 [3/31 MD 1 80[ ] 1 0 [ 3 ] 1 0 [ 3 ] 130 [ ) 1 [ 0 ] 1 [ 11 1 30[ I G 1 1 [ 0 ] 1880 [88 ] 18 [8 11 1 0 [8 ] 1 0 [8 1] 1 [ 11 1 001 ] LW 100[ 0 ] 10 [ 8] 100 [ 1] 1010 [ ] 80 [ 31 [ ) 0 [ ] 10031 [ 11 1 81 [3/3] M D 1 0[ 8] 1 10 [ 1] 11 0 [ ] 11 [ 01 113 [ 3 ] 10 [ 1 ] 10 [ 81 G 1 0[ 01 13 [ 81 130 [ ] 130 [ 3 ] 130 [ 1 ] 1 [ ] 1 01 ] 11 10 1/ M D 1�[ 1 ] 130 [ 1 ] 1 80 [ 0 ] 1 0 [ 01 1 [ ] 1186 [ ] 11 0[ ] 100 1 [ ] [3 1 G 0 8[ 811 08 [ 0 1 8 10 38 3] 8] 03 [ 1] 0 [ 1 88 [ 38] 1 38 [ 1 ] 18 8[8 ] 100 1 11 10 3/ M D ] 1 1 0[ 108 [ 8 ] 10 [ 01 100 [ 80 [ 301 1 [ 181 1880[88 ] I I [ I G 10[113 ] 3 [1111] 30 [1088] 0[10 ] 1 [10 ] 100[ 1] L W 1 0 [ 81 1 0 [ 831 1 3 [ ] 1 80 [ ] 1 3 [ ] 1 80[ 81 1 [ 11 10 ] [3/ ) MD 00 [ 8 ] 03 [ 01 18 [ 3 ] 130 [ 11] 180 [8 3] 18 [8 ] G 3 [1130] 33 [110 ] 0[10 ] 18 [1031] 080 [ 8 ] 1 [ ] 11 10 3/ L W 1 [ 1] 1 0 [ ] 1 0 [ ] 1 0 [ 11 1 [ ] 1 8 [ 011 1 [ 31 1 0 [ I [ ] M D 10 [ 31 0 [ ] 03 [ 0] 1 0 [ 3 ] 1 [ 3] 1 00 [8 ] 181 [8 ] G T S Fbooamnded blower spesci,am in bdd [ ]Designates Metric Conversions INTEGRATEO • • •- it ccessones a R801S(DF)Series DWFLW CCSSR S D W FL W W R G nit design is oetified for installation on G G F03 non combustible floor special factory supplied combustible R LL L F R C 7S a1e for peralle1 eparation re arena nLs floor sub base is re tired when installing on a combustible floor.Failure to install the sub base may resu t in fire,property dr"ageand perscral in`ry R GF W F LT R R C D wt wtcp nkm mart Fb ores( )1 0filters. C M ST L FL R S DM S S T Filter rac s are slipped vAha.t fitters C M ST L S W T C *Filters availabletMaugh R ST C FL R S F R C S S [mm] .IMMI [mm) R GC 1 801S0 0 1 1/ [3 81 131/ [33 ] 111/ [ 8 ] R GC 1 SO1SO ,SO1S 10031 18 [ l 1 3/ [ l 1 3/ [ 11 R GF D R GC 1 801S 100 1, 11/ [ 1 01/ [ 1 1 181/ [ ad archrcatai (1)a-ebo d10fihwracssuplfwdmMmtfibm 801S 100 1 R GC 180IS1 ,801S1 0 1 3 11 33/ [ 0311 13/ [ l *AterSaValable tl emo1 R ST C ' FR G LTTDS r.—['9 mm]--i G LT T D T C D .S _ l one re tired for lligh alfihrdes G LT T D C RS 7S .S C cne re tired for high altitudes -: 80 G LT T D SiR Cr S (motion Nays Ulm atiorlai Fuel Gas Oocb( MQ guddirm 71/a" 184 mm) Wm oaxwfing for h� 20 . 172113mm I I A Q I rlll! Igh afticla aphrn eocles are not re Ured for t[iese model.& �'1 ouyer,Me bane'orfiee si a need to be redalabed and verified T —i' 25mml at dewtons above 000 tt.See nstallation nstrnctions farFIBERGLASS43'3 LB,[1.4 kgl DENSITY 118276mmn FIBERGLASS i [51 mm] 2" 3 LB.[1.4 kg]DENSITY OR PLENUM OR " 3"[76 nvn] �' - DUCTWORK L _ [ ] Designates Metric Conversions � 21'h` TI [546 mm] 1 NOTE.FLOOR.OPENING 21 lb" 546 mm[x8 MAX.PLENUM SIZE 19 Vz"1465 m01)x C INTEGRATED HOME COMFORT Limited Warranty D it R801S(DF)Series G R LT RW FLMT DW RR T Rheem will fumish a replacement for any part of this product eat changer......................................Twenty( 0) ears which fails in normal use and service within the applicable Conditional arts(Registration Re uired)........Ten(10) ears period stated, in accordance with the terms of the limited wan-anty. "For complete details of the Limited and Conditional Warranties, including applicable terms and conditions,contact your local contractor or the Manufacturer for a copy of the product warranty certificate. INTEGRATED • • •- otes �A it R801S(DF)Series 10 INTEGRATED • COMFORT otes it R801S(1717)Series INTEGRATED • • •- l The new degree of conrforL n eeping with its policy of continuous progress and product improvemerrt,Rheem reserves the right to ma a changes without notice. Rheem eating,Cooling Water eating . . o 1 010 Rheem Canada Ltd./Lt e 1 dgeware Road, nit 1 Fort Smith, r ansas 1 www.rheem.com rampton, ntario L 0 INTEGRATED HOME COMFORT R T 0 S. /1 G F RM .G11 R 1 CITY OF ARLINGTON 238 N. OLYMPIC AVE - ARLINGTON, WA. 98223 PHONE; (360) 403-3551 BUILDING PERMIT Address:8302 Putters Court Permit#:827 Parcel#: Valuation 0 D0 OWNER APPLICANT CONTRACTOR Name: Name CM Healing Inc Name CM Healing Inc Address: Address 1415 Broadway Address 1415 Broadway City,Slate Zip-, City,State Zip Everett.WA 98201 City,Slate Zip Everett W,%'18_ci Phone: Phone:425-259-0550 Phone 425-259-0510 MECHANICAL CONTRACTOR PLUMBING CONTRACTOR Name:CM Heating Inc Name Address: 1415 Broadway Address City,Slate,Zip:Everett,WA 98201 City,Slate,Zip Phone:425-259-0550 Phone LIC#- EXP: LIC# EX? JOB DESCRIPTION PERMIT TYPE: Residential Mechanical CODE YEAR 2012 STORIES: CONST TYPE DWELLING UNITS. 1 OCC GROUP BUILDINGS: I 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 T,. 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 Ott OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL Olt A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED, 1BC1 10/IRC110. SALES TAX NOTICE;Sales tax relating to construction and construction materials in the City t Ar'n must be reported on your sides lux return Unu i c dad Ci of ling o 03 01. fts-M ` r - t nature Print Name i I tc Rcica.-wd By Dale CONDITIONS Approved as submitted - Rheem Model # R80ISA50314ZSA - AFUE 80% 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 10/29/2015 Mechanical Fee(Enter Fixture Fee) $25 00 10/2912015 Mechanical Permit Base Fee $25 00 Total Due: S50.00 Total Payment: $000 Balance DUC: S50.00 CALL FOR INSPECTIONS BUILDING(360)403-3417 When calling for an inspection please leave the rollowinb inrormnlion: Permit Number,Type of Inspection being requcslcd,and whether you prerer morning or afternoon Gas Furnaces it ' D R801S(DF)Series The new degree of comfort.' Rheem Classic Series Downflow Gas Furnace R801 S (Downflow) Series 80 F. . . nput Rates 0 1 0 T t t .F. . .( nnual Fuel tili ation fficiency)calculated in accordance with Department of nergy test procedures. I � 80 residential Gas Furnace CS certified Low profile 3 cabinet ideal for space constrained installations lus ne Diagnostics Segment L D all units ntegrated Control board features dip switches for easy lus ne gnition System DS for reliability and longevity system set up eat a changer is removable for improved serviceability. R code for uic access to product information from your lumini ed steel construction provides ma imum corrosion smart phone or tablet resistance and thermal fatigue reliability. INTEGRATED HOME •- F RM .G11 R .1 it Table of Contents �i R801S(DF)Series T L FC T TS Standard ptional uipment ......................................................................3 Model Features/ hysical Data Specifications.................................................. Model umber dentification............................................................................ DimensionalData............................................................................................ lower erformance Data................................................................................ ccessories....................................................................................................8 LimitedWarranty ............................................................................................ INTEGRATED HOME COMFORT it Standard ptional uipment D R801S(DF)Series IJIWI I CW n- �'p T C G R 4Yp��,- „� T GR T DF R C Jt"! C TR L � 4 DR FT D C R 7; I M T R DR CTS R G T R WT R M T S S - S T R RS ST D RD M T T L M T Completely assembled and wired; induced draft; pressure T Furnace is not listed for use with fuels other than switch; redundant main gas control;blower compartment door natural or L. . (propane)gas. safety switch;solid state time on/time off blower control; limit The complete terms of limited and other warranties are control;manual shut off valve, pressure regulator for natural available at our sales office,or through local installer. and L. . (propane)gas;transformer; direct drive multi speed blower motor. Furnaces are a uipped with cooling/heating II models can be converted by a ualified Rheem distributor relay and transformer( 0 )ready for air conditioning or local service dealer to use L. . (propane)gas without applications. ( lease note a thermostat is not included as changing burners. Factory approved its must be used to standard a uipment.)Flame sensor diagnostics; on board convert from natural to Lro (propane)gas and may be ordered twinning;fused protection(secondary),3rd speed option for as optional accessories from a Rheem parts distributor. continuous fan; common heat/cool terminal. For L. .(propane)operation,refer to Conversion it nde Form. T For natural and L. .(propane)gas models,direct spar ignition is 100 loc out type. COMFORTINTEGRATED HOME it Model Features/ hysical Data Specifications R801S(DF)Series Model Features 80 residential Gas Furnace CS certified Low profile 3 cabinet ideal for space constrained lus ne Diagnostics Segment L D all units installations lus ne gnition System DS for reliability and longevity lower shelf design serviceable in all furnace orientations ntegrated Controls board features dip switches for easy eat a changer is removable for improved serviceability. system set up lumini ed steel construction provides ma imum corrosion resistance and thermal fatigue reliability. R code for uic access to product information from your smart phone or tablet hysical Data and Q-4fications .S.and Canadian Models M D L M RS R801 S R801 S R801 S R801 S R801 S R801 S R801 S R801 S R801S(D W FL W) 0 031 0 31 0 1 10031 100 1 100 1 1 * 1 0 nput T / r[ W]OO 0,000[1 ] 000 [ ] 000 [ ] 100,000[ .3] 100,000[ .3] 100,000[ .3] 1 000[3 . ] 1 0,000 [ ] eating Capacity T / r[ q O 1,000[1 ] 0, 00 [18] 0, 00 [18] 80,000 [ 3] 80,000 [ 3] 81,000 [ ] 000 [ ] 1 0,000 [3 ] igh Ititude nput[ q 000[13] , 00[1 .8] , 00[1 .8] 0,000[ . ] 0,000[ . ] 0,000[ ] 11 , 00 [33] 13 ,000[3 . ] igh Ititude utput 3 , 00[10. ] 000[1 .8] ,000[1 .8] ,000[ 1.1] ,000[ 1.1] 00[ 1. ] 8 ,000[ .1] 10 , 00[31. ] Capacity[ N/] eat t Static ressure[ a] .10[.0 ] .1 [.0 ] .1 [.0 ] .1 [.03 ] .1 [.03 ] .1 [.03 ] 0[.0 ] 0[.0 ] lower(D W)[mm] 11 11 11 11 10* M 11 10 11 10 11 10 11 10 [ 1 ] [ 1 ] [ 1 8] [ 1 8] [ ] [ ] [ ] [ ] Motor . .[WJ Speeds[Vv] 1/ SC 1/ 3 SC 3/ 3 SC 1/ 3 SC 1/ 3 SC 3/ 3 SC 3/ 3 SC 3/ 3 SC SCType [3 3] [3 3] [ ] [3 3] [3 3] [ ] [ ] [ ] Motor Full Load nips .8 .8 .1 eating Speed L W MD M LW MD MD LW LW LW Cooling Speed G G G G G G G G Cooling CFM [ a] S. 1 00 1 00 1 00 1 00 000 000 000 000 ( oniinal)[Us] [ ] [ ] [ ] [ ] [ ] [ ] [ ] [ ] Rated .S. .(n.W.C.)[ a] 0. [.1 ] 0. [.1 ] 0. [.1 ] 0. [.1 ] 0. [.1 ] 0. [.1 ] 0. [.1 ] 0. [.1 ] Temperature Rise Range F 30 0 0 0 0 0 0 0 080 [ Cl [13. 30. ] [1 33.3] [13. 30. ] [ 1. ] [ 38. ] [ 38. ] [ 38. ] [ .8 ] Me . utiet it Temp. F 1 1 1 1 0 1 0 1 0 180 1 0 [ Cl [ 8.3] [ 3. ] [ 8.3] [8 .8] [8 .8] [ - ] [8 - ] [ - ] ppro .Shipping Weight(Lbs.) 8 10 10 11 1 0 1 0 1 0 1 0 [ 9] [38- [ - ] [ - ] [ - ] [ - ] [ - ] [ 3. ] [ 8.0] F Iectrtric gnition Models i0 80 80 80 80 80 80 80 80 T S II niodels are 11 , 0 ,1 .Gas connection s e for all nbdels is 1/ . .T. i0 n accordance with Q . .test procedures. OO See Conversion it nde Form for high altitude derate in S.applications. [ ] Designates Metric Conversions n it Model umber dentification D R801S(DF)Series Model unbw dentification Dowliaw Models R 80 1 S _ 0 1 S Rheem 80 1 Single Stage S Standard Design Series nput 3 p to Cabinet Down Low Revision 80 F SC 1 st Design T / R[ W] 3 Ton Width and ero S Standard Mar eting 0 0 0,000[1 ] p to 1 1 Clearance ( Rrst Time 0 10001 ] Ton 1 1 Dovwflow Release) 100 100,000[ ] pto 1 1 1 1 000[3 ] Ton 1 0 1 0,000[ ] [ ] Designates Metric Conversions it Dimensional Data D R801S(DF)Series Dow flow Ornenslons 7/1a" TOP BOTTOM [11 mm] RETURN SUPPLY 193/4" P41/2" AIR AIR [502 mm] [622 mm] L 7-: LA I l.— C E 3/4 281/16"[713 mm] A [19 mm] R.A. 5/8" B 5/8"116 mm] D 20Va" 5/e" [16 mm] �[511 mm] [16 mm] ( — 3!4„ 26518„ [19 mm] 1676 mm] 5 z [676 mm] 1/ "DIA.113 mm] /8'DIA. LOW VOLTAGE [22 mm] ELECTRICAL 34" CONNECTION 1864 mm] (HIGH VOLTAGE) 233/e" p p 233/e" 261*6" 203/e„ [594 mm] [594 mm] [681 mm] [518 mm] 247/16" 203/8" [621 mm] [518 mm] GAS CONNECTION 63/16" 63/1s" 13/e"DIA. 1157 mm] 1157 mm] 135 mm] LEFT SIDE FRONT RIGHT SIDE Dimensions and Qearanoe to Combustible Material (inches) [mm] M D L R D C D CL R C S( .)[mm] R801 S C D L FT R G T C T FIR T T S .WGTS. ( DWFL SR S SD SD (L S.)[ g] 0 0 1 [3 ] 1 /3 [3 ] 103/8[ ] 1D 131/8[333] 0 OO 0 1 [ ] 3[ ] [i ]03 8 [38. ] 0 1 1/ [ ] 1 11/3 [ 1 ] 1 1/8[308] D 1 A[ ] 0 32 0 1 [ ] 3[ ] [i ]03 10 [ ] 10031 1 1/ [ ] 1 11/3 [ 1 ] 1 1/8[308] 10 1 A[ ] 0 3 0O 0 1 [ ] 3[ ] [i ]03 11 [ ] 100 1 1 [ 33] 1 /3 [ 0 ] 13A[3 ] 10 01/8[ 11] 0 0 0 1 [ ] 3[ ] [i ]03 1 0[ ] 100 1 1 1/ [ ] 311/3 [ 31 1 A[3 ] D 3 A[ 001 0 0 0 1 [ ] 3[ ] [1 ]03 1 0[ 3. ] 1 0 1/ [ ] 311/3 [ 31 1 A[3 ] D 3 A[ 001 0 0 0 1 [ ] 3[ ] [i ]03 1 0 [ 81 T S D May re Lire a 3 [ nTj to [10 nTj or 3 [ rmi]to [1 im1]adapter. OO May be 0 [0 nyq with type vent. O May be 1 [ nm]with type vent Fumaoes must be vented in accordance with the ational Fuel Gas Code, S 3.1 and in accordance with local codes. [ ] Designates Metric Conversions n it lower erformance Data D R801S(DF)Series lowff erformanoe Data Downflow Models M D L CFM[Us] R D L R R801S L WR MT R L WR TR LSTTC RSS R C S[ a]WTRCL M (DWFL" S S D SR S [ ] [Wl .1 [.0 ] 1.01 .3[.0 ] [.10] 1.1 ] 1.1 ] 1.1 ] L W 3 [3 ] 1 [33 ] 0 [3 ] 0 [311] 3 [300] 0 [ 8 ] [ 11 00 11 1/ M D L 10 [ 8 ] 101 [ ] [ 01 [ 01 [ 11 30 [ 3 ] 0 [ ] [ 1 ] [3 3] M D 118 [ ] 11 [ 0] 11 0 [ 3] 1130 [ 33] 1100 [ 1 ] 10 [ 0 ] 10 0[ 1] G 13 [ 3 ] 1330 [ 8] 1310 [ 18] 1 [ 11] 1 [ ] 1 3 [ 831 1 0 [ ] LW 110 [ ] 1081 [ 10] 100 [ ] 10 [ 8 ] [ 11 1 [ 81 01 ] 0 31 [ 11 1 ] [3/3] M D 1 8 [ 01 1 [ ] 1 3 [ 831 1 0 [ ] 11 [ ] 113 [ 381 110 [ 01 G 1 8[ 81 1 38 [ ] 13 [ ] 13 [ 31 13 [ ] 1 8 [ 0 ] 1 [ 81 L W 1 10[ 11 1 0 [ ] 11 [ ] 1180 [ ] 11 [ 01 11 [ ] 1130[ 331 0 1 [ 11 1 81 [3/3] M D 1 80[ ] 1 0 [ 3 ] 1 0 [ 3 ] 1 30 [ ] 1 [ 0 ] 1 [ 11 1 30[ ] G 1 1 [ 01 1880 [88 ] 18 [8 11 1 0 [8 ] 1 0 [8 11 1 [ 1] 1 00[ ] LW 100[ 0 ] 10 [ 81 100 [ 11 1010 [ ] 80 [ 31 [ ] 0 [ ] 10031 11 1/ M D 1 0[ 81 1 10 [ 11 11 0 [ ] 11 [ 01 113 [ 3 ] 10 [ 1 ] 10 [ 81 [ 1 8] [3 3] G 1 0[ 01 13 [ 81 13 0 [ ] 13 0 [ 3 ] 130 [ 1 ] 1 [ ] 1 01 ] 11 10 1/ L W 1303[ 1 ] 130 [ 1 ] 1 80 [ 0 ] 1 0 [ 01 1 [ ] 1188 [ ] 11 0[ ] 100 1 [ ] [3 31 M D 1 [801] 1 [ 01 1 [ 811 1 38 [ 31 1 1 [ ] 1 81 [ ] 1 [ 81 G 0 8[ 811 08 [ ] 03 [ 11 010 [ ] 1 88 [ 381 1 38 [ 1 ] 18 8[8 ] 11 10 3/ M p �1 0[ 8] 1 0 [ 881 1 [ 811 1 1 [ ] 1 8 [ 81 1 [ 3 ] 1 [ 01 100 1 [ ] [ ] [ 8 ] 0 [ 01 00 [ ] 1 0 [ 301 1 [ 181 1880[88 ] G 10[113 ] 3 [11111 30 [1088] 0[10 ] 1 [10 ] 100[ 1] 11 10 3/ L W 1 0 [ 81 1 0 [ 831 1 3 [ ] 1 80 [ ] 1 3 [ ] 1 80[ 81 1 [ ] [ ] MD 00 [ 8 ] 03 [ 01 18 [ 3 ] 1 30 [ 11] 180 [8 3] 18 [8 ] G 3 [1130] 33 [110 ] 0[10 ] 18 [1031] 080 [ 8 ] 1 [ ] 11 10 3/ L W 1 [ 1] 1 0 [ ] 1 0 [ ] 1 0 [ 1] 1 [ ] 1 8 [ 011 1 [ 31 1 0 [ ] [ ] MG 10 [ 31 0 [ ] 03 [ 01 1 0 [ 3 ] 1 [ 31 1 00 [8 ] 181 [8 ] T S hided blow speeds are in bdd [ ] Designates Metric Conversions it ccessories R801S(DF)Series DWFLW OCSSR S D W FL WW R G nit design is certified for installation on G G R03 non combustible floor. special factory supplied combustible R LL L F R C TS are for parallel operaticn re tiremerts floor sub base is re tired when installing on a combustible floor.Failureto install the sub base may result in fire,property damage and personal in ury. R GF W F LT RR C DaIT reI rnout Fle tires( )1 0 filters C M ST L FL R S DM S S T Filter rac s are slipped without filters C M ST L S W T C *FiltersawileUethrough R ST C FL R S F R C S S .1-1 .1-1 .1-1 R GC 1 801SO 0 1 1/ [3 8] 131/ [33 ] 111/ [ 8 ] R GC 1 801 SO ,801 S 10031 18 [ ] 1 3/ [ ] 1 3/ [ 11 R (F D R GC 1 801 S 100 1, 11/ [ ] 01/ [ 1 ] 181/ [ ] aCh Cyder contains(1)one bo cF 10 filter rac s supplied vA-Iout filter 801 S 100 1 R GC 1801S1 801S1 0 1 [ 3 11 33/ [ 031 13/ [ ] *Filtersavalablethror#n R SI- C F R G UT DS f.—[495 mm] G UT D T C D S one re ured far hi�n aftihrdes G UT D C RS TS .S C one re tired for high altitudes �r 80 G UT D STR CT S -- 7 Caution (ways fdlow ational Fuel Chas Cade( FCQ gudelines y Wm corweiing for high altitudes 2 M B� igh altitude option codes are not re tired for these nnodels[721 mm] A _I a aw,the bur-er cnfioe si a needs to be recalaiated and verified "[25 mm] at elevations abo m OW ft.See nstallaticn nstn�arns for more T FIBERGLASS 3" 3 LB.[1.4 kg)DENSITY [1D2" [76 mm] FIBERGLASS infOPrTution. [51 mm] 2" - 3 LB.[1.4 kg]DENSITY FLOOR `+-PLENUM OR 3„[76 mmj _ .I DUCTWORK _ [ ] Designates Metric Conversions Ur L 12 [546 46 mm] NOTE:FLOOR OPENING 21 Vz"1546 mm]x B MAX.PLENUM SIZE 191/2"[495 mmj x C HOME COMFORT n it Limited Warranty D R801S(DF)Series G RLTME FLMTDWRR T * Rheem will furnish a replacement for any part of this product eat changer......................................Twenty( 0) ears which fails in normal use and service within the applicable Conditional arts(Registration Re uired)........Ten (10) ears period stated, in accordance with the terms of the limited warranty. *For complete details of the Limited and Conditional Warranties, including applicable terms and conditions,contact your local contractor or the Manufacturer for a copy of the product warranty certificate. INTEGRATED HOME COMFORT otes it R801S(DF)Series otes �i �r R801S(DF)Series INTEGRATED HOME COMFORT 10 The new degree of comfort n eeping with its policy of continuous progress and product improvement,Rheem reserves the right to ma a changes without notice. Rheem eating,Cooling Water eating . . o 1 010 Rheem Canada Ltd./Lt e 1 dgeware Road, nit 1 Fort Smith, r ansas 1 www.rheem.com rampton, ntario L 0 INTEGRATED HOME COMFORT R T D s. /1 G F RM .G11 R .1 Permit#: 827 Permit Date: 10/29/15 Permit Type: RESIDENTIAL MECHANICAL Project Name: Brandt Applicant Name: CM Heating Inc Applicant Address: 1415 Broadway Applicant, City, State, Zip: Everett,WA 98201 Contact: Meredith Phone: 425-259-0550 Email: meredith@cmheating.com Scope of Work: Replace Gas Furnace Valuation: 0.00 Square Feet: 0 Number of Stories: 0 Construction Type: Occupancy Group: ID Code: Permit Issued: 10/30/2015 Permit Expires: Form Permit Type: Status: COMPLETE Assigned To: Launa Black Property Parcel# Address Legal Description Owner Name Owner Phone Zoning ANDERSON 116 Common Wall 00874400006700 8302 PUTTERS CRT GREGORY D Single Family Residence 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 CMHEAHL751W ST STE 200 CONTRACTOR Contractor CM HEATING INC 425-259-0550 1500 INDUSTRY CONSTRUCTION UBI 605890285 ST STE 200 CONTRACTOR Fees Fee Description Notes Amount Mechanical Fee(Enter Fixture Fee) $25.00 Mechanical Base Permit Fee $25.00 Total $50.00 Attached Letters Date Letter Description 10/29/2015 Building Permit Payments Date Paid By Description Payment Type Accepted By Amount 10/29/2015 Deborah Bauer 56772949 cc $50.00 Outstanding Balance $0.00 Notes Date Note Created By: 10/29/2015 Rheem Model#R801 SA50314ZSA-AFUE 80% Launa Black Uploaded Files Date File Name 10/30/2015 1346509-827 Issued Permit.pdf 10/29/2015 1344907-8302 Mechanical Specs.pdf 10/29/2015 1344908-Residential Mechanical 1FZJ1cmYXrRRid.pdf RESIDENTIAL MECHANICAL 01" "" PERMIT APPLICATION 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-8302 PUTTERS CT ARLINGTON, WA 98223 Project Description: REPLACE GAS FURNACE Owner: ANDY BRANDT Address: 8302 PUTTERS CT City: ARLINGTON State-.WA Zip Code: 98223 Phone. 360-333-7624 EmaiI:MEREDITH@CMHEATING.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: RESIDENTIAL MECHANICAL 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 Q Furnace (80+) Model # R801 SA050314ZSA AFUE 80% ❑ Heat Pump Model # AFUE HSPE ❑ AC Unit Model # SEER ❑ Freestanding Stove ❑ Fire Place Insert ❑ 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 to 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: 10/28/2015 Applicant Printed Name: Meredith Gilbert l 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.