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318 N FRENCH AVE_BLD1204_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:318 N French Ave Arlington, WA 98223 Project Description-like in kind furnace replacement Owner: Gloria Chase (tenant is Andrew 325-627-6778) Address. 21705 88th Dr NE City. Arlington State WA Zip Code: 98223 Phone. 360-435-4060 Email:unknown Applicant: Nordstrom Heating & Air Inc. Address: 4717 87th Ave NE City. Marysville State.wa Zip Code: 98270 Phone. 425-335-4029 Email. nordstromha@comcast.net CONTRACTOR INFORMATION Contractor Name:Nordstrom Heating & Air Address: 4717 87th Ave NE City: Marsyville State WA Zip Code: 98270 License Number: nordsha884jw Expiration: 04-16-18 Phone: 425-335-4029 Email:nordstromha@comcast.net 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 Wall furnace ❑ Gas Piping ❑ Solid-Fuel Appliance OtherQugg 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 F6�z - Applicant Signature: Date: 11/02/2016 Applicant Printed Name: Debbie Elgin 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 Customer Name Comfort Advisor i _,. CITY OF ARLINGTON 238 N.OLYMPIC AVE-ARLINGTON, WA. 98223 PHONE; (360)403-3551 BUILDING PERMIT Address:318 N French Ave Permit#:1204 Parcel#:00529900400400 Valuation:0.00 OWNER APPLICANT CONTRACTOR Name:GCGC INVESTMENTS LLC Name:Nordstrom Heating&Air Inc. Name:NORDSTROM HEATING&AIR INC Address:21705 88TH DR NE Address:4717 87th Ave NE Address:3930 88th Street NE City,State Zip:ARLINGTON,WA 98223-8940 City,Slate Zip:Arlington,WA 98223 City,State Zip:MARYSVILLE,WA 98270 Phone: Phone:425-335-4029 Phone:425-335-4029 MECHANICAL CONTRACTOR PLUMBING CONTRACTOR Name:NORDSTROM HEATING&AIR INC Name: Address:3930 88th Street NE Address; City,State,Zip:MARYSVILLE,WA 98270 City,State,Zip: Phone:425-335-4029 Phone: LIC#: EXP: L1C ii: EXP: JOB DESCRIPTION PERMIT TYPE: Residential Mechanical CODE YEAR: 2015 STORIES: 1 CONST.TYPE: DWELLING UNITS: ] OCC GROUP: BUILDINGS: OCC LOAD: PERMIT APPROVAL 1 AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUCTION AND IN QOING 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. IBCI I0/IRC110. SALES TAX sales tax relating to construction and construction materials in the City of Arlin• n i t don your sales tax return fonn W- an ci dcd ity orAAingto #3101. ` Signature Print Name Date eleascd liy Date CONDITIONS Approved as submitted. Adhere to minimum clearances for Empire console vented room heater model #RH-35. THIS PERMIT AUTHORIZS ONLY THE WORK NOTED_THIS PERMIT COVERS WORK'I.O 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 11/4/2016 Furnace $25.00 11/4/2016 Mechanical Permit Base Fee $25.00 Total Due: $50.00 Total Payment: $50.00 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 CITY OF ARLINGTON 238 N. OLYMPIC AVE -ARLINGTON, WA. 98223 PHONE; (360)403-3551 BUILDING PERMIT Address:318 N French Ave Permit#:1204 Parcel#:00529900400400 Valuation:0.00 OWNER APPLICANT CONTRACTOR Name:GCGC INVESTMENTS LLC Name:Nordstrom Heating&Air Inc. Name:NORDSTROM HEATING&AIR INC Address:21705 88TH DR NE Address:4717 87th Ave NE Address:3930 88th Street NE City,State Zip:ARLINGTON,WA 98223-8940 City,State Zip:Arlington,WA 98223 City,State Zip:MARYSVILLE,WA 98270 Phone: Phone:425-335-4029 Phone:425-335-4029 MECHANICAL CONTRACTOR PLUMBING CONTRACTOR Name:NORDSTROM HEATING&AIR INC Name: Address:3930 88th Street NE Address: City,State,Zip:MARYSVILLE,WA 98270 City,State,Zip: Phone:425-335-4029 Phone: LIC#: EXP: L[C#: EXP: JOB DESCRIPTION PERMIT TYPE: Residential Mechanical CODE YEAR: 2015 STORIES: 1 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. IBCI IO/IRC110. SALES TAX NOTICE:Sales tax relating to construction and construction materials in the City of Arlin n l c i don your sales tax return form and coded City of Arlington#3101. .4.2Dl(o Signature Print Name Date L4elfeasZd By Date CONDITIONS Approved as submitted. Adhere to minimum clearances for Empire console vented room heater model #RH-35. 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 11/4/2016 Furnace $25.00 11/4/2016 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 BUILDING INSPECTION REPORT— MECHANICAL (RESIDENTIAL) Permit No. 1204 Address: 318 N French Ave Contractor: Nordstrom Heating &Air Inc. Owner: GCGC INVESTMENTS LLC Date: 1/19/2017 ® APPROVAL ❑ PARTIAL APPROVAL ❑ CORRECTION ❑ OTHER APPLIANCE: Gas wall furnace CO DETECTOR: ® HEAT PUMP/AC UNIT: ❑ GAS PIPING: ® DISCONNECT: ❑ DRIP LEG: ❑ SEISMIC: ❑ VENTING: ® 3" PAD: ❑ ACCESS: ❑ INSULATION/PROTECTION: ❑ SHUT-OFF VALVE: ❑ DUCTS: N/A L&I: Yes Date: 1/19/2017 Inspector: Kevin Olander _ .,- I I I I ,I CITY OF ARLINGTON 238 N.OLYMPIC AVE-ARLINGTON, WA. 98223 PHONE; (360)403-3551 BUILDING PERMIT Address:318 N French Ave Permit#:1204 Parcel#:00529900400400 Valuation:0.00 OWNER APPLICANT CONTRACTOR Name:GCGC INVESTMENTS LLC Name:Nordstrom Heating&Air Inc. Name:NORDSTROM HEATING&AIR INC Address:21705 88TH DR NE Address:4717 87th Ave NE Address:3930 88th Street NE City,State Zip:ARLINGTON,WA 98223-8940 City,State Zip:Arlington,WA 98223 City,State Zip:MARYSVILLE,WA 98270 Phone: Phone:425-335-4029 Phone:425-335-4029 MECHANICAL CONTRACTOR PLUMBING CONTRACTOR Name:NORDSTROM HEATING&AIR INC Name: Address:3930 88th Street NE Address: City,State,"Lip:MARYSVILLE,WA 98270 City,State,Zip: Phone:423-335-4029 Phone: ' LIC#: EXP: LIC it: EXP: JOB DESCRIPTION PERMITTYPE: Residential Mechanical CODE YEAR: 2015 STORIES: 1 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. IBCI IO/IRCI10. SALES TAX N(LIICF.Sales tax relating to construction and construction materials in the City of Arlin n i 1 r wr don your sales tax return form an dcd ityofArlinsto #3 01.n ` Signature Print Name Date L&FeaZd By Date CONDITIONS Approved as submitted. Adhere to minimum clearances for Empire console vented room heater model #RH-35. THIS PE[WITAUTHORIZS 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 11/4/2016 Furnace $25.00 11/4/2016 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 whetheryou prefer morning or afternoon I I CITY OF ARLINGTON J238 N. OLYMPIC AVE -ARLINGTON, WA. 98223 PHONE; (360)403-3551 BUILDING PERMIT Address:318 N French Ave Permit#:1204 Parccl#:00529900400400 Valuation:0.00 OWNER APPLICANT CONTRACTOR Name:GCGC INVESTMENTS LLC Name:Nordstrom Heating&Air Inc. Name:NORDSTROM HEATING&AIR INC Address:21705 88TH DR NE Address:4717 87th Ave NE Address:3930 88th Street NE City,State Zip:ARLINGTON,WA 98223-8940 City,State Zip:Arlington,WA 98223 City,State Zip:MARYSVILLE,WA 98270 Phone: Phone:425-335-4029 Phone:425-335-4029 MECHANICAL CONTRACTOR PLUMBING CONTRACTOR Name:NORDSTROM HEATING&AIR INC Name: Address:3930 88th Street NE Address: City,State,Zip:MARYSVILLE,WA 98270 City,State,Zip: Phone:425-335-4029 Phone: LIC#: EXP: LIC#: EXP: JOB DESCRIPTION PERMIT TYPE: Residential Mechanical CODE YEAR: 2015 STORIES: 1 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. IBC1 l0/IRC1I0. SALES TAX NOTICE:Sales tax relating to construction and construction materials in the City of Arlin n i 1 uc don your sales tax return form and coded City of Arlington#3101. Signature Print Name Date LAcfeaZd By Date CONDITIONS Approved as submitted. Adhere to minimum clearances for Empire console vented room heater model #RH-35. 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 11/4/2016 Furnace $25 00 11/4/2016 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 RESIDENTIAL MECHANICAL PERMIT APPLICATION �L�YVO� 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:318 N French Ave Arlington, WA 98223 Project Description:like in kind furnace replacement Owner: Gloria Chase (tenant is Andrew 325-627-6778) Address: 21705 88th Dr NE _ City:Arlington StateY/A Zip Code: 98223 Phone: 360-435-4060 Email:unknown Applicant: Nordstrom Heating & Air Inc. Address:4717 87th Ave NE City: Marysville Stated Zip Code: 98270 Phone: 425-335-4029 Email: nordstromha@comcast.net CONTRACTOR INFORMATION Contractor Name:Nordstrom Heating & Air Address:4717 87th Ave NE City: Marsyville State WA Zip Code: 98270 License Number:nordsha884jw Expiration: 04-16-18 Phone:425-335-4029 Email:nordstromha@comcast.net r STAFF USE O Received Permit #: 1 Accepted by:Vh Date: NOV 0 2 2016 6/16LP Page 1 of 2 RESIDENTIAL MECHANICAL PERMIT APPLICATION •Pl�`,��0 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 Cl: Heat Pump Model # AFUE HSPE ❑ AC Unit Model # SEER ❑ Freestanding Stove ❑ Fire Place Insert U' Outdoor BBQ Wall furnace ❑ Gas Piping ❑ Solid-Fuel Appliance OtherRN_4c; 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 ��-• --- rt 11/02/2016 Applicant Signature: Date: _ Applicant Printed Name: Debbie Elgin 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 VISUALFLAMI: • NSOLEROOM HEATERS t' d 1_ !ld 1 I � T SURROUND YOURSELF ` • Total Comfort for a Fraction of the Cost of Electric Heat • Heats Without Electricity • Draft Diverter Installs in f-•lorizontal or Vertical Position • Open Design Allows Maximum Flow of Heat • Matchless Pushbutton Piezo Ignition • Automatic Blower Included on RH-50B and RH-65B. Heating Systems • Optional Blower on RH-25, RH-35, RH-50C and RH-65C Heaters • Optional Ceramic Logs for Visual Flame Heaters w w w . e m p 1 r e z o n e h e o t c o m EMPIRE CONSOLEVENTED ROOM HEATERS 25,000 Btu RH-25 35,000 Btu RH-35 Maximum air flow and heating are the strong points Plus, for total reliability, these room heaters include a of the RH-25 and RH-35 Console Vented Room hydraulic thermostat (needing no electricity to operate). Heaters. Delivering warmth to your medium-size Ideal for medium to large rooms, each unit can be rooms, each unit is designed for style and efficiency. installed anywhere there is access to a vent. Housed Add the optional internal blower for added circulation. in a durable, textured, powder-coated, beige cabinet, Quiet burners, a vent safety switch, "matchless"piezo these room heaters look as good as they work for ignition, and all the safety features you expect from years. Empire Comfort Systems® are standard equipment 6"minimum clearance to combustibles 48"minimum cop clearance to combustibles 4 0 8 13/16"minimum clearance •�. back to combustibles. 2"from draft diverter 7 13/16"valve inlet to wall 6 1/2"valve inlet to floor 18 3/16"floor to center of collar on - draft diverter in horizontal position 22 15/16"floor to top of collar on draft diverter in vertical position An EFFICIENT and SENSIBLE DESIGN Empire Vented Room Heaters are crafted for visual appeal and maximum efficiency.Room heaters make ideal replacements for traditional wood-burning or coal-burning heaters.Just like a wood stove,they use room air for combustion.Vent pipes connect the heater to a chimney or flue to carry the by-products of combustion outside. Empire Vented Room Heaters are designed for quiet operation.The curved combustion chamber design minimizes noise while the burner ignites the gas immediately as it enters the burner port for added efficiency. SAFETY IS EVERYTHING at Empire Empire Vented Room Heaters come standard with a vent safety switch that automatically shuts off the heater if it does not vent properly. A simple piezo ignition system lights the pilot without matches. 2 Empire Heating Systems • www.empirezoneheat,com.com . - EMPIREVISUAL FLAMEVENTED ROOM HEATERS 50,000 Btu RH-50B 65,000 Btu RH-65B, RH-65C Heat large areas economically with Empire's Vented Radiant and convection heat circulates the warmth while Room Heaters.With their efficient heat flow,the durable the blower (optional on the RH-50C and RH-65C) RH-50 and RH-65 offer ample warmth to make any places warm air at floor level to give"barefoot"comfort room comfortable.The one-piece glass enclosure on the throughout the winter season.The hydraulic thermostat RH-50B and RH-658 allows you to see the flame as it needs no outside electricity assuring reliable, round-the- heats,while the optional ceramic logs add visual interest. clock comfort. Each unit can be installed near any wall The closed front on the RH-50C and RH-65C easily fits with access to a conventional vent. in any decor. 1 6"minimum clearance to combustibles 55"minimum - - top clearance to combustibles -1 1 • EN 8 1/16"valve inlet to wall 4 1/2"valve to floor ., 8 13/16"minimum clearance back to combustibles.2"from draft diverter 22 9/16"floor to center of collar on draft diverter in horizontal position RH-50B Visual Flame Heater 27 3/16"floor to top of collar on draft diverter in vertical position OPTIONAL HeoterAccessories Ceramic Log:Add the beauty and ambiance of a realistic wood fire with Empire's WARM UP TO GAS, detailed log set for the RH-50B and RH-65B units. Naturally Radiants:Eight ceramic radiants can be installed in the Visual Flame Room Heaters (RH-50B and RH-65B) for a radiant red-orange glow. Gas offers many heating advantages. It's clean burning Blowers:Empire's automatic blower cycles on and off with the heater.Blowers are and delivers comfortable heat at included on all RH-50B and RH-65B heaters and optional on RH-25, RH-35, a fraction of the cost for electric RH-50C and RH-65C heaters. heat A gas heater eliminates the mess and inconvenience of kerosene or wood stoves. Gas keeps on heating your home, even when the electric power fails. www.empirezoneheat.corn • Empire Heating Systems 3 "�- L I I Cabinet Color(powder coated) Beige Beige Beige Beige Beige Beige Beige Beige Btu Input 25,000 35.000 50.000 50,000 50,000 65,000 65,000 65,000 Overall Dimensions Width 37" 37" 34'' 34" 34" 34'' 34" 34'' Depth II 1/2" II 1/2" 16" 16" 16" 20" 20" 20" Depth Including Diverter 18 3/8" 18 3/8'' 23 3/16'' 23 3/16" 23 3/16" 27 1 1/I6" 27 11/16" 27 1 1/16" Height 26" 26" 29 9/16" 29 9/16" 29 9/16" 29 9/16" 29 9/16'' 29 9/16" Shipping Weight,IN(One Caiton) 84 88 124 124 124 142 142 142 Temperature Control Hydraulic Thermostat Yes Yes Yes Yes Yes Yes Yes Yes Order)Accessories(State on Blower Kit DRB-I DRB-I Included FRB-3 Included Included FRB-3 Included Output,Cu.Ft./Min. 75 75 100 100 100 100 100 100 Metal Floor Pad(36"x 21") - - RH-425 RH-425 RH-425 RH-425 RH-42S RH-425 Metal Floor Pad(36"x 14") DVP-I DVP-I - - - Radiant Package N/A N/A RAD-8 N/A N/A RAD-8 N/A N/A Ceramic Log N/A N/A RHL-I N/A N/A RHL-I N/A N/A Minimum Clearances to Combustibles from: Top 48" 48" 55" 55" 55" 55" 55" 55" Each Side 6 6" 6" 6" 6" 6" 6" 6" Opposite Side(for Accessibility) 18" 18" 18" 18" 1 B" 18" 18" 18" Bottom of Unit to Wood Floor 0" 0" 0" 0" 0" 0" 0" 0" Draft Diverter to Wall 2" 2" 2" 2" 2" 2" 2" Y' Type of Gas(State on Order) Nat,or LP Nat,or LP Nat,or LP Nat,or LP Nat,or LP Nat,or LP Nat,or LP Nat,or LP Iron Pipe Size(N.P.T.) 1/2" 1/2" 1/2" 1/2" 1/2" 1/2'' 1/2" 1/2" Wall to Valve Inlet 7 13/16" 7 13/16" 8 1/16" 8 1/16" 8 1/16" 8 1/I6" 8 1/16" 8 1/I6" Floor Covering to Valve Inlet 6 1/2" 6 1/2'' 4 1/2'' 4 1/2" 4 1/2" 4 1/2" 4 1/2" 4 1/2" Center of Heater to Valve Inlet Left 14 1/2" Left 14 1/2" Left 6 13/16 Left 6 13/16 Left 6 13/16 Left 6 13/16 Left 6 13/16 Left 6 13/16 Size Flue Collar(Vertical or Horizontal) 4" 4" 5" 5" 5" 5" 5" 5" Floor to Co11ar on ion Draft Diverter in Vertical Position 22 15/16'' 22 15/16" 27 3/16" 27 3/16" 27 3/16'' 27 3/16" 27 3/16" 27 3/16'' in V Floor to Center of Collar on Draft Diverter 18 3/16" 18 3/16" 22 9/16" 22 9/16" 22 9/16'' 22 9/16" 22 9/16" 22 9/16" in Horizontal Position Safety Control Pilot and Main Bunters include Automatic Shut-off on All Vented Room Heaters, Combustion Chamber carries a 10-year limited warranty.All other parts cant'a I-year limited warranty. Note:Empire has a policy of constantly improving quality and performance of its appliances,therefore,materials and specifications are subject to change without notice. Read your Owners Manual for FOR YOUR SAFETY complete installation and safety information Due to high temperaturns,the appliance should be located out Note A vent safety wAch�standard on all mods automatic* of traffic and away from fumiture and draperies shag the hearer"off'in the eaent of a blocked flue or incorrect installation(Example Attaching a 9(r elbow directly to the draft cru rter otildn'r and adults should be alerted to the hazard of high surface is an incomct installation)The flue pipe diameter must be as large as temperature and should be kept away to avoid bums or clothing ignitiom the flue collar on the draft diverter and run as directly,as possible to the InsUlation and repair slwukt be done by a qualfied service person chimney with a minimum of elbows. This senes is design certified in accordance with American National The horaontal run of flue pipe must slope upward to the chimney at StardardlCSA Standard Z21.86 and CSA 2.32 by the Gnadian Gas least I K'rise per foot of run,properly supported by metal straps and Association as Vented Roan Heaters enter the chimney so the end of the flue pipe is flush with the inner wall Draft diverter may be rotated for horizontal or vertical installations. ofthechunney.Anyfluepipepassingthroughwallsandmofmstbe"Y' y The installation must conform to local codes.In the absence of lod Type vent.The chimney must extend at least two feet above the roof code;the irsstaflzfion must conform with Arre ican National Standard and any object or building within 10 feet of the chimney.The flue pipe (National Fud Gas Code)l nown as NFPA 54 and ANSI Z223.1(latest must NOT have any open tees or be connected to the chimney of an edition)avalable from the American National Standards Institute,ktc, EMPIRE I I Wert 42nd St,New York N.Y.I0036.or from the NationalFire existing firep ace Protection Association Balterymarrh Park,Quincy,Massachusetts 02269. SINCE 1932 Empire Comfort Systems 918 Freeburg Ave, Belleville,IL 62220-2623 Ai lopan IL "-����CC??t���'" GA E-mail.info@empirecomfort.com `� 0°`r` ©Empire Comfort Systems,Inc. EHS-00060 01/01/13 w w w . e m p i r e z o In e h e a t . c o m Customer Name Comfort Advisor 7" ,zdiy .ti I BUILDING INSPECTION REPORT — MECHANICAL (RESIDENTIAL) Permit No. 1204 Address: 318 N French Ave Contractor: Nordstrom Heating & Air Inc. Owner: GCGC INVESTMENTS LLC Date: 1/19/2017 ® APPROVAL ❑ PARTIAL APPROVAL ❑ CORRECTION ❑ OTHER APPLIANCE: Gas wall furnace CO DETECTOR: © HEAT PUMP/AC UNIT: ❑ GAS PIPING: © DISCONNECT: ❑ DRIP LEG: ❑ SEISMIC: ❑ VENTING: ® 3" PAD: ❑ ACCESS: ❑ INSULATION/PROTECTION: ❑ SHUT-OFF VALVE: ❑ DUCTS: N/A L&I: Yes Date: 1/19/2017 Inspector: Kevin Olander Permit#: 1204 Permit Date: 11/03/16 Permit Type: RESIDENTIAL MECHANICAL Project Name: Chase Applicant Name: Nordstrom Heating &Air Inc. Applicant Address: 4717 87th Ave NE Applicant, City, State, Zip: Arlington,WA 98223 Contact: Debbie Elgin Phone: 425-335-4029 Email: nordstromha@comcast.net Scope of Work: Replace gas wall furnace Valuation: 0.00 Square Feet: 0 Number of Stories: 0 Construction Type: Occupancy Group: ID Code: Permit Issued: 11/04/2016 Permit Expires: Form Permit Type: Status: LASERFICHE Assigned To: Kristin Foster Property Parcel# Address Legal Description Owner Name Owner Phone Zoning GCGC 00529900400400 318 N FRENCH AVE INVESTMENTS Residence Single Family -Detached LLC Contractors Contractor Primary Contact Phone Address Contractor Type License License# NORDSTROM 1059 State Ave. CONSTRUCTION HEATING&AIR INC 425-335-4029 Ste.G CONTRACTOR COA 601764617 NORDSTROM 1059 State Ave. CONSTRUCTION Labor&NORDSHA772L2 HEATING&AIR INC 425-335-4029 Ste.G CONTRACTOR Industries Inspections Date Inspection Type Description Scheduled Date Completed Date Inspector Status CIO. 01/19/2017 MECHANICAL 01/19/2017 BUILDING Approved ROUGH-IN Fees Fee Description Notes Amount Forced Air Heat fee per Btu $25.00 Mechanical Base Permit Fee $25.00 Total $50.00 Attached Letters Date Letter Description 11/04/2016 Building Permit Payments Date Paid By Description Payment Type Accepted By Amount 11/04/2016 Jason Nordstrom 62153085 cc $50.00 Outstanding Balance $0.00 Notes Date Note Created By: 11/03/2016 Empire console vented room heater model#RH-35. Kristin Foster Uploaded Files Date File Name 01/19/2017 2058163-318 N French Ave.docx 11/14/2016 1947067-1204 Issued Permit.pdf 11/03/2016 1928686-1204 Furnace Sketch with Dimensions.pdf 11/03/2016 1928687-1204 Application.pdf Permit#: 1204 Permit Date: 11/03/16 Permit Type: RESIDENTIAL MECHANICAL Project Name: Chase Applicant Name: Nordstrom Heating &Air Inc. Applicant Address: 4717 87th Ave NE Applicant, City, State, Zip: Arlington,WA 98223 Contact: Debbie Elgin Phone: 425-335-4029 Email: nordstromha@comcast.net Scope of Work: Replace gas wall furnace Valuation: 0.00 Square Feet: 0 Number of Stories: 0 Construction Type: Occupancy Group: ID Code: Permit Issued: 11/04/2016 Permit Expires: Form Permit Type: Status: LASERFICHE Assigned To: Kristin Foster Property Parcel# Address Legal Description Owner Name Owner Phone Zoning GCGC 00529900400400 318 N FRENCH AVE INVESTMENTS Residence Single Family -Detached LLC Contractors Contractor Primary Contact Phone Address Contractor Type License License# NORDSTROM 1059 State Ave. CONSTRUCTION HEATING&AIR INC 425-335-4029 Ste.G CONTRACTOR COA 601764617 NORDSTROM 1059 State Ave. CONSTRUCTION Labor&NORDSHA772L2 HEATING&AIR INC 425-335-4029 Ste.G CONTRACTOR Industries Inspections Date Inspection Type Description Scheduled Date Completed Date Inspector Status CIO. 01/19/2017 MECHANICAL 01/19/2017 BUILDING Approved ROUGH-IN Fees Fee Description Notes Amount Forced Air Heat fee per Btu $25.00 Mechanical Base Permit Fee $25.00 Total $50.00 Attached Letters Date Letter Description 11/04/2016 Building Permit Payments Date Paid By Description Payment Type Accepted By Amount 11/04/2016 Jason Nordstrom 62153085 cc $50.00 Outstanding Balance $0.00 Notes Date Note Created By: 11/03/2016 Empire console vented room heater model#RH-35. Kristin Foster Uploaded Files Date File Name 01/19/2017 2058163-318 N French Ave.docx 11/14/2016 1947067-1204 Issued Permit.pdf 11/03/2016 1928686-1204 Furnace Sketch with Dimensions.pdf 11/03/2016 1928687-1204 Application.pdf