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HomeMy WebLinkAbout118 West Ave_BLD1403_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: 118 North West Ave Project Description:install ductless heat pump Owner: John Ward Address. 118 North West Ave City. Arlington State.WA Zip Code: 98270 Phone: 425-330-7175 Email:jkward51@comcast.net Applicant: Nordstrom Heating & Air 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: Marysville 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 #4TXK1624a1Ono AFUE HSPE9.0 ❑ 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 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 F�� Applicant Signature: Date: 03/29/2017 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 CITY OF ARLINGTON, WASHINGTON --- BUILDING DEPARTMENT No building construction shall be commenced until permit holder INSPECTION RECORD SHALL or his agent has posted this Inspection Record Card in a REMAIN AT JOB, SITE conspicuous place oln the premises. t� T W OWNER: CONTRACTOR: ra.�qw�o 4 JOB ADDRESS: OWNER ADDRESS: I 1f� USE of BUILDING: SFR PLAT NAME: I Description of Work: VV0rj LOT# PERMIT No: Sprinklered: CONDITIONS: DATE ISSUED: TYPE GROUP DEPARTMENT INSPECTION DATE DATE PASS FAIL INITIALS FOOTING BUILDING FOUNDATION 360-403-3417 UNDERFLOOR SHEARWALL PLUMBING(groundwork) GAS PIPING(groundwork) ROUGH PLUMBING ROUGH GAS PIPING ROUGH HEATING&VENTILATION FRAMING INSULATION WALLBOARD(SHEAR/RATING) ROOF DRAINAGE The following documents will be required and must be available during the final inspection: Completed Public Works & Utili�y Inspection Card Final electrical sign off by L & I Completed Blower Door test certificate Completed Duct test certificate (if applicable) Conditions (if applicable) *indicates that the inspection is approved but there is a minor correction FINAL INSPECTION Required Documents: CORRECTIONS *) CITY OF ARLINGTON 238 N.OLYMPIC AVE-ARLINGTON,WA. 98223 PHONE; (360)403-3551 BUILDING PERMIT Address:I18 West Ave Permit#:1403 Parcel#:31051100201700 Valuation:0.00 OWNER APPLICANT CONTRACTOR Name:WARD JOHN K/SUSAN L Name:Nordstrom Heating&Air Inc. Name:NORDSTROM HEATING&AIR INC Address:118 N WEST AVE Address:4717 87th Ave NE Address:3930 88th Street NE City,State Zip:ARLINGTON,WA 98223 City,State Zip:Marysville,WA 98270 City,State Zip:MARYSVILLE,WA 98270 Phone: Phone:425-335-4029 Phone:425-3354029 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#:NORDSHA884JW EXP: 4/1 612 0 1 8 LIC#: EXP: JOB DESCRIPTION PERMIT TYPE: Residential Mechanical CODE YEAR: 2015 STORIES: I CONST.TYPE: DWELLING UNITS: j OCC GROUP: BUILDINGS: OCC LOAD: PERMIT APPROVAL I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUCTION AND II+I,DOING THE WORK AUTHORIZED THEREBY;NO PERSON WILL BE EMPLOYED IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO WORKMEN'S COMPENSATION INSURANCE AND RCW 18,27. THIS APPLICATION IS NOT A PERMIT UNTIL SIGNED BY THE BUILDING OFFICIAL OR HIS/HER DEPUTY AND ALL FEES ARE PAID. IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. IBC110/IRCI10. SALES T X NOTt E:Sales tax relating to construction and construction materials in the City of Arlington cre rted on your sales tax return form and i Arlington#3101. S ature Print Name Date ed Br Date CONDITIONS Approved as submitted. Additional requirements: 3" concrete pad With seismic bracing attached to pad, provide electrical disconnect, lines shall be insulated-the use of adhesive tape is not permitted. 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 3/30/2017 Heat Pump $25.00 3/30/2017 Mechanical Permit Base Fee $25.00 3/30/2017 Processing/Technology Fee $25.00 Total Due: $75.00 Total Payment: $0.00 Balance Due: $75.00 CALL FOR INSPECTIONS BUILDING(360)403-3417 When calling for an inspection please leave the following information: CITY OF ARLINGTON 238 N. OLYMPIC AVE -ARLINGTON, WA. 98223 PHONE; (360)403-3551 BUILDING PERMIT Address:118 West Ave Permit#:1403 Parcel#:31051100201700 Valuation:0.00 OWNER APPLICANT CONTRACTOR Name:WARD JOHN K/SUSAN L Name:Nordstrom Heating&Air Inc. Name:NORDSTROM HEATING&AIR INC Address: 118 N WEST AVE Address:4717 87th Ave NE Address:3930 88th Street NE City,State Zip:ARLINGTON,WA 98223 City,State Zip:Marysville,WA 98270 City,State Zip:MARYSVILLE,WA 98270 Phone: Phone:425-335-4029 Phone:425-3354029 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#:NORDSHA884JW EXP: 4/16/2018 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. IBC110/IRCI10. SALES TAX NOTICE:Sales tax relating to construction and construction materials in the City of Arlington rted on your sales tax return form and coded City of Arlington#3101. Signature Print Name Date V/WVasedBr Date CONDITIONS Approved as submitted. Additional requirements: 3" concrete pad with seismic bracing attached to pad, provide electrical disconnect, lines shall be insulated-the use of adhesive tape is not permitted. 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 3/30/2017 Heat Pump $25.00 3/30/2017 Mechanical Permit Base Fee $25.00 3/30/2017 Processing/Technology Fee $25.00 Total Due: $75.00 Total Payment: $0.00 Balance Due: $75.00 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 NORDSTROM ffi-= ZNO-AfHEATING�R & AIR, INC Date: ,?-�,7 7 ..................................................... -7 Office: (425) 335-4029 - Fax: (425) 645-8600 • 3930 8811 Street NE - Marysville, WA 98270 nordstromha@comcast.net - www.nordstromheating.com - License #NORDSHA884JW 4TXK1624A-SUB-1 A-EN TAG: R-410A Split System 16 SEER, Inverter Systems - 60 Hz 4MXW1624A1 / 4TXK1624A1 Specifications MODEL-Heat Pump Only 0=1620100/4TXK1624A10N0 cooling ea mg RATED Volts/PH 208/230/1 Frequency(Hz) 60Hz Rated Cooling/Heating Capacity(Btu/h): 22000 23000 Minimum Cooling Capacity(@95F))(Btu/h): 8600 - Maximum Cooling Capacity(@95F)(Btu/h): 23200 - Minimum Heating Capacity(@47F)(Btu/h): - 8600 Maximum Heating Capacity(@47F)(Btu/h): 26000 Maximum Heating Capacity(@17F)(Btu/h): - 13500 Total Capacity(W)(High/Standard/Low): 6800!6400/2500 7600/6600/2500 Rated Power Input(W) 2260 2300 Nominal Input Current(A) 10.0 10.2 SEER/HSPF 16.0 9.0 Air Flow Volume(CFM)(H/M/L) 700/640/580/520 Dehumidifying Volume(pt./h) 5.3 EER(@95F) 9.8 10.0 Indoor Unit 4MXW1624A10N0 Fan Motor Speed(r/min)(SH/H/M/L) Fan Motor RLA(A) 0.32 Evaporator Aluminum Fin-Copper Tube Pipe Diameter(inch) 2/7 Row Fin Gap(inch) 2-1/17 Coil length(L)x depth(D)x coil width(W)(inch) 331/4 x 1 x 131/2 Output of Swing Motor(W) 2.5 Fuse(A) 3.15 Sound Power Level dB(A)(SH/H/M/L) 58/54/50/46 Sound PRESSURE Level dB(A)(SH/H/M/L)O 48/44/40/36 Uncrated Dimension(W/H/D)(inch) 42 4/9 x 12 4/5 x 9 2/3 Crated Dimension of Package(L/W/H)(inch) 45 1/5 x 161/4 x 13 7/9 Net Weight/Gross Weight(Ibs) 37.5/45.2 Outdoor Unit 4TXK1624A10N0 Compressor Type Kotary Compressor Oil RB68EB(POE Oil) L.R.A.(A) 25.0 Compressor RLA(A) 12.18 Compressor Power Input(W) 1440 Throttling Method Capillary Working Temp Range(7) 0-115 -4-75 Condenser Aluminum Fin-Copper Tube Pipe Diameter(inch) 3/8 Row Fin Gap(inch) 2-1/18 Coil length(1)x depth(D)x coil width(W)(inch) 331/3 x 1 3/4 x 26 Fan Motor Speed(rpm) 800 Output of Fan Motor(W) 60 Fan Motor RLA(A) 0.40 Air Flow Volume of Outdoor Unit(CFM) 1883 Fan Diameter(inch) 20.5 Defrosting Method Automatic Defrosting Sound Power Level dB(A) 69 Sound PRESSURE Level dB(A)O 59 Uncrated Dimension(W/H/D)(inch) 37 3/5 x 27 5/9 x 15 3/5 Crated Dimension of Package W/UH)(inch) 401/2 x 18 x 291/2 Net Weight/Gross Weight(Ibs'� 110.3/120.2 Refrigerant Charge(oz) 65.3 MCA 16.0 MOP 25.0 Connection Pipe Gas additional charge(oz/ft) 0.5 Outer Diameter Liquid Pipe(inch) 1/4 Outer Diameter Gas Pipe(inch) 5/8 Max Height Distance(ft) 65 Max Length Distance(ft) 130 O Sound PRESSURE Level @ 3.3 ft.dB(A) 0 2016 Ingersoll Rand All Rights Reserved Unit Dimensions w D B4 8 118 27 75116 0 o o �o �o0 0' 24K 023/4 0 00 0 0� CD23/ C�( Po ® ao 1 11/16 6 3 1/8 Unit: inch Models w H D 18K 38 1/5 11 4/5 8 5/6 24K 42 419 12 4/5 9 2t3 13 3/8 35 rn � o N 0 0 0 15 518 38 22 m Unit: inch Clearance Requirements Space to the ceiling 6 in. or more Space to the wall 6 in.or more <6in.or more Space tot a wall i 18 in. 66 or mor in. o r mor Air outlet side Space to the floor The dimensions of the space necessary for correct installation of the appliance including the minimum permissible distances to adjacent structures d Space to the obstruction 0 E 0 c o Air inlet side ot, 12 in.or mor Space to the wall Sp to th wall 20 in.or more all ` (VOTE: Air outlet side valve cover The maximum recommended height from the floor to the bottom of the indoor unit is 11.5 ft.(3.5 m). Air Velocity Patterns for High Wall Max Horizontal Distance Unit:ft. (m) Model Cooling Mode Heating Mode 4MXW1624 31.2 (9.5) 23 (7) CITY OF ARLINGTON 238 N.OLYMPIC AVE-ARLINGTON,WA. 98223 PHONE; (360)403-3551 BUILDING PERMIT Address:119 West Ave Permit#:1403 Parcel#:31051100201700 Valuation:0,00 OWNER APPLICANT CONTRACTOR Name:WARD JOHN K/SUSAN L Name:Nordstrom Heating&Air Inc. Name:NORDSTROM HEATING&AIR INC Address:118 N WEST AVE Address:4717 87th Ave NE Address:3930 88th Street NE City,State Zip:ARLINGTON,WA 98223 City,State Zip:Marysville,WA 98270 City,State Zip:MARYSVILLE,WA 98270 Phone: Phone:425-335-4029 Phone:425-3354029 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#:NORDSHA884JW EXP: 4/16/2018 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 KDOING 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 CERTIIICATE OF OCCUPANCY HAS BEEN GRANTED. IBC110/IRCI10. SALES TAX NOTWE:Sales tax relating to construction and construction materials in the City ofArlington hurt n d on your sales tax return form and pity 'Art`�gton#3101. l/ ll��f r m 4-3 - S stun Print Name Date Br Date CONDIITIONS Approved as submitted.Additional requirements: 3" concrete pad with seismic bracing attached to pad, provide electrical disconnect, lines shall be insulated-the use of adhesive tape is not permitted. 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 3/30/2017 Heat Pump $25.00 3/30/2017 Mechanical Permit Base Fee $25.00 3/30/2017 Processinglfechnology Fee $25.00 Total Due: $75.00 Total Payment: $0.00 Balance Due: $75.00 CALL FOR INSPECTIONS BUILDING(360)403-3417 When calling for an inspection please leave the following information: CITY OF ARLINGTON 238 N. OLYMPIC AVE -ARLINGTON, WA. 98223 PHONE; (360)403-3551 BUILDING PERMIT Address:118 West Ave Permit#:1403 Parcel#:31051100201700 Valuation:0.00 OWNER APPLICANT CONTRACTOR Name:WARD JOHN K/SUSAN L Name:Nordstrom Heating&Air Inc. Name:NORDSTROM HEATING&AIR INC Address: 118 N WEST AVE Address:4717 87th Ave NE Address:3930 88th Street NE City,State Zip:ARLINGTON,WA 98223 City,State Zip:Marysville,WA 98270 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#:NORDSHA884JW EXP: 4/16/2018 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. IBC110/IRC110. SALES TAX NOTICE:Sales tax relating to construction and construction materials in the City of Arlington a rted on your sales tax return form and coded City of Arlington#3101. Signature Print Name Date sed Br Date CONDITIONS Approved as submitted. Additional requirements: 3" concrete pad with seismic bracing attached to pad, provide electrical disconnect, lines shall be insulated -the use of adhesive tape is not permitted. 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 3/30/2017 Heat Pump $25.00 3/30/2017 Mechanical Permit Base Fee $25.00 3/30/2017 Processing/Technology Fee $25.00 Total Due: $75.00 Total Payment: $0.00 Balance Due: $75.00 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 Permit Information Date 3/30/2017 Permit Number 1403 Project Name Ward Applicant Name Nordstrom Heating&Air Inc. Applicant Address 4717 87th Ave NE City,State,Zip Marysville,WA 98270 Contact Debbie Elgin Phone 425-335-4029 Email nordstromha@comcast.net Permit Type Residential Mechanical Site Address 118 West Ave Valuation 0.00 Status Ready to Issue Permit Issued Permit Expires Square Feet 0 Type of Construction/Occupancy Load Number of Stories 0 Proposed Use Install Ductless Heat Pump Assigned To Kristin Foster Property Information Owner Information Parcel#:31051100201700 WARD JOHN K/SUSAN L WARD JOHN K/SUSAN L 118 N WEST AVE 118 WEST AVE ARLINGTON,WA 98223 Contractors Contractor Name Primary Phone Email Contractor License License# Contact Type NORDSTROM HEATING& 425-335- nordstromha@comcast.net('ONTRACTOR (Labor& NORDSHA884JVV AIR INC 4029 Industries Fees Fee Description Notes Amount Heat Pum 322.10.00.00 $25.0 Mechanical Permit Base Fee 322.10.00.00 $25.0 Processin flFech ology Fee 341.43.00.02 $25.0 Total57�.0 Uploaded Files Upload File Date File Uploaded B 3/30/2017 1:01:32 PM 1403 Specs.pdf Foster, Kristin x 3/30/2017 1:01:32 PM 1403 Application.pdf Foster, Kristin x RESIDENTIAL MECHANICAL PERMIT APPLICATION lfN 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:118 North West Ave Project Description:install ductless heat pump Owner: John Ward Address: 118 North West Ave City:Arlington State'.WA Zip Code: 98270 Phone: 425-330-7175 Email:lkward51@comcast.net Applicant: Nordstrom Heating & Air 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: Marysville State WA Zip Code: 98270 License Number:nordsha884jw Expiration: 04-16-18 Phone:425-335-4029 Email:nordstromha@comcast.net STAFF USE ON Received Permit#: 14?2 Accepted by: Date: MAR 2 9 2017 6/16LP Page 1 of 2 RESIDENTIAL MECHANICAL ��Plr �,�o PERMIT APPLICATION �, Department of Community& Economic Development City of Arlington • 18204 59th Ave NE• Arlington,WA 98223• Phone(360) 403-3551 SELECT ALL PROPOSED APPLIANCES ❑ Furnace (80+) Model # AFUE (� Heat Pump Model #4TXK1624a1Ono AFUE HSPE9.0 ❑ 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 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: 03/29/2017 Applicant Printed Name: Debbie Elgin I hereby certify that the above information is correct and that the construction, installation for th@'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 3/30/2017 NORDSTROM HEATING&AIR INC 13earch L&I Suety R,Health Claims &Insurance Workplace Rights Trades& Licensing "Washington State Department of Labor & Industries NORDSTROM HEATING &AIR INC Owner or tradesperson 4717 87TH AVE NE Principals MARYSVILLE,WA 98270 425-335-4029 NORDSTROM, DANIEL JASON, PRESIDENT SNOHOMISH County AHLERS&CRESSMAN PLLC,AGENT Doing business as NORDSTROM HEATING&AIR INC WA UBI No. Business type 602 279 145 Corporation License Verify the contractor's active registration/license/certification(depending on trade)and any past violations. Construction Contractor Active. Meets current requirements. License specialties GENERAL License no. NORDSHA884JW Effective—expiration 04/16/2012—04/16/2018 Bond Developers Surety&Indem Co $12,000.00 Bond account no. 256304C Received by L&I Effective date 04/16/2012 04/12/2012 Expiration date Until Canceled Insurance Federated Mutual Ins Co $1,000,000.00 Policy no. 9859472 Received by L&I Effective date 04/12/2016 05/07/2016 Expiration date 05/07/2017 Insurance history Savings No savings accounts during the previous 6 year period. Lawsuits against the bond or savings No lawsuits against the bond or savings accounts during the previous 6 year period. L&I Tax debts No L&I tax debts are recorded for this contractor license during the previous 6 year period,but some debts Help us improve may be recorded by other agencies. https://secure.ini.wa.gov/verify/Detaii.aspx?UBI=602279145&LIC=NORDSHA884JW&SAW= 1/2 3/30/2017 NORDSTROM HEATING&AIR INC License Violations No license violations during the previous 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. 099,363-00 Doing business as NORDSTROM HEATING&AIR INC Estimated workers reported Quarter 4 of Year 2016"4 to 6 Workers" L&I account representative T31 REAGAN MOREY(360)902-5135-Email:MREA235&ni.wa.gov Workplace safety and health Check for any past safety and health violations found on jobsites this business was responsible for. ©Washington State Dept.of Labor&Industries.Use of this site is subject to the laws of the state of Washington- Help us improve hftps://secure.ini.wa.gov/verify/Detail.aspx?UBI=602279145&L[C=NORDSHA884JW&SAW= 2/2 / NORDSTROM ` HEATING �8 & AIR INC Date: -Z.7 l7 Alt Bic. z I Q I 1 _ r { 1 Received -- - - MAR 2 . 1017 PCYI-7 C3k;W Office: (425) 335-4029 • Fax: (425) 645-8600 • 3930 88t" Street NE • Marysville, WA 98270 nordstromha@comcast.net • www.nordstromheating.com • License #NORDSHA884JW .f r 1 �. ) 4TXK1624A-SUB-1 A-E N TAG: -- 0 R-410A Split System 16 SEER, Inverter Systems - 60 Hz 4MXW1624A1 / 4TXK1624A1 Specifications MODEL-Heat Pump Only 4MXW1624A10N0/4TXK1624A10N0 RATED Volts/PH Cooling 208/230/1eang Frequency(H,, 60Hz Rated Cooling/Heating Capacity Btu/h): 22000 23000 Minimum Cooling Capacity(@W)(Btu/h): 8600 - Maximum Cooling Capacity(@95F)"'lull, 23200 - Minimum Heating Capacity(.447E (Blu/h): - 8600 Maximum Heating Capacity(947F))(Btu/h): 26000 Maximum Heating Capacity(017F (Btu/h): - 13500 Total Capacity(W)(Hi h/Standard]LOW): 6800;6400/2500 7600/6600/2500 Rated Power Input(W� 2260 2300 Nominal Input Current(A) 10.0 10.2 SEER/HSPF 16.0 9.0 Air Flow Volume(CFM)(H/M/L) 700/640/5801520 Dehumidifyying Volume(pt./h) 5.3 EER(095F) 9.8 10.0 Indoor Unit 4MXW1624A10N0 Fan Motor Speed(r/min) / 078�0— Fan Motor RLA(A) 0.32 Evaporator Aluminum Fin-Copper Tube Pipe Diameter(inch) 2/7 Row Fin Gap(inch) 2-1117 Coil length(L)x depth(D))x coil width(W)(inch) 33 1/4 x 1 x 13112 Output of Swing Motor(W) 2.5 Fuse(A) 3.15 Sound Power Level dB(A)(SH/H/M/L) 58/54/50/46 Sound PRESSURE Level dB(A)(SHA IM/L)i 48/44/40/36 Uncrated Dimension W/H/D)(inch) 42 4/9 x 12 4/5 x 9 2/3 Crated Dimension of 2ckage(L/W/H)(inch) 451/5 x 161/4 x 13 7/9 Net Weight/Gross Weight(Ibs) 37.5/45.2 Outdoor Unit 4TXK1624A10N0 Compressor Type Kotary Compressor Oil RB68EB(POE Oil) L.R.A.(A) 25.0 Compressor RLA(A) 12.18 Compressor Power Input(W) 1440 Throttling Method Capillary Working Temp Range(°F) 0--115 -4-75 Condenser Aluminum Fin-Copper Tube Pipe Diameter(inch) 3/8 Row Fin Gap(inch) 2-1/18 Coil length(1)x depth D)x coil width(W)(inch) 331/3 x 1 3/4 x 26 Fan Motor Speed(rpm 800 Output of Fan Motor( ) 60 Fan Motor RLA(A) 0.40 Air Flow Volume of Outdoor Unit(CFM) 1883 Fan Diameter(inch) 20.5 Defrosting Method Automatic Defrosting Sound Power Level dB(A) 69 Sound PRESSURE Level dB(A)(D 59 Uncrated Dimension(W/H/D) inch) 37 315 x 27 5/9 x 15 3/5 Crated Dimension of Package�W/UH)(inch) 401/2 x 18 x 291/2 Net Weight/Gross Weight(Ibs) 110.3/120.2 Refrigerant Charge(oz) 65.3 MCA 16.0 MOP 25.0 __ unnection Pipe Gas additional charge(oz/h) 0.5 Outer Diameter Liquid Pipe(inch) 1/4 Outer Diameter Gas Pipe(inch) 5/8 Max Height Distance(11) 65 deceived Max Length Distance(11) 130 O Sound PRESSURE Level®3.3 ft.dB(A) MAR 2 9 2017 0 2016 Ingersoll Rand All Rights Reserved _ � I I I i I Unit Dimensions w D Ci I 8 118 27 7 5/1 0 0•- 24K 02 3/4 p —— o o: 02314 0 � 0 9 11/16 6 3 1/8 Unit: inch Models w _ H D 18K 38 1/5 11 415 8 5/6 24K 42 4/9 12 415 9 2/3 13 318 35 r o _ N � - e � e 15 518 38 22 OL u) v Unit:inch Received MAR 29 1Q17 I a Clearance Requirements Space to the ceiling —` 6 in. or mor Space to the wall 6 in.or more 6 in,or more Spe C 9 tot a wall jai �i 18 in, 66 or mo in. rmo — — Air outlet side L- - Space to the floor The dimensions of the space necessary for correct installation of the appliance including the minimum permissible distances to adjacent structures Space to the obstruction 0 E `o c o Air inlet side `[ '` 12 in.or mor rJ Space to the wall Sp to th wall 1/� <�2O�ormore r_� I NOTE: Air outlet side valve cover The maximum recommended height from the floor to the bottom of the indoor unit is 11.5 ft.(3.5 m). Air Velocity Patterns for High Wall Max Horizontal Distance Unit:ft. (m) Model Cooling Mode Heating Mode 4MXW1624 31.2 (9.5) 1 23 (7) Received i' I 1 :4 Permit#: 1403 Permit Date: 03/30/17 Permit Type: RESIDENTIAL MECHANICAL Project Name: Ward Applicant Name: Nordstrom Heating &Air Inc. Applicant Address: 4717 87th Ave NE Applicant, City, State, Zip: Marysville,WA 98270 Contact: Debbie Elgin Phone: 425-335-4029 Email: nordstromha@comcast.net Scope of Work: Install Ductless Heat Pump Valuation: 0.00 Square Feet: 0 Number of Stories: 0 Construction Type: Occupancy Group: ID Code: Permit Issued: 04/03/2017 Permit Expires: Form Permit Type: Status: COMPLETE Assigned To: Kristin Foster Property Parcel# Address Legal Description Owner Name Owner Phone Zoning 31051100201700 118 WEST AVE WARD JOHN 111 Single Family K/SUSAN L Residence-Detached 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 Fees Fee Description Notes Amount Heat Pump/Heat Exchangers $25.00 Mechanical Base Permit Fee $25.00 Processing/Technology $25.00 Total $75.00 Attached Letters Date Letter Description 03/30/2017 Building Permit Payments Date Paid By Description Payment Type Accepted By Amount 03/30/2017 DANIEL NORDSTROM 64073093 cc $75.00 Outstanding Balance $0.00 Uploaded Files Date File Name 04/03/2017 2191999-1403 Issued Permit.pdf 03/30/2017 2187543-1403 Application.pdf 03/30/2017 2187544-1403 Specs.pdf