HomeMy WebLinkAbout328 S Stillaguamish Ave_BLD1725_2026 2015 Washington Stz nergy Code Compliance Forms for Commercial, F ')d R3 over 3 stories and all R1
Mechanical Summary MECH-SUM
2015 Washington State Energy Code Con fiance Forms for Commercial Buildings including R2&R3 over 3 stories and all R1 Revised January 2017
Project Information Project Title: PRJ 328 s.Stillaguamish Date 1/1/2015
Applicant Information. Provide contact information for individual who can respond to For Building Dept.Use
inquiries about compliance form information provided.
Company Name: Evergreen State Heat&A/C
Company Address: 2120 Pacific Ave,Everett,WA 98201
Applicant Name: Mark Payne
Applicant Phone: 425-252-3114
Project Description ❑ New Building ❑ Building Addition ❑ Tenant Improvement 0 System Retrofit ❑ No System Changes
Briefly describe mechanical systems in add UDAP 200 unit heater to space with @ 20'of gas piping
the text box provided
❑ Total Bldg Performance(TBP)
This path includes all mandatory CITY OF ARI.,INGTON
provisions per C401.2 Option 2. BUILDING DEPARTMENT
MECH-SUM,MECH-CHK,and C407
Energy Analysis forms required. APPROVED
❑ Load calculation summary ❑ MECH-L D-CALC Form
Design Load Calculations Provide design load calculations for all mechanical sy l d r r h�Yi1 i 42 coolin or
ventilating needs.If a load calculation summary is p dad with th pem d documents that eludes all applica e
compliance information then the MECH-LOAD-CALC orrn is notM4rrg{/ANGCS AUTHORIZED
❑✓ Mechanical Plans ❑ MECH-E Forms( LESS APPROVED BY THE
Mechanical Schedules ILDING INSPECTOR
Indicate location of equipment compliance informatio ,
however,include on plans all applicable compliance information listed in MECH-EQ tables.
❑ DOAS is required per C403.6 effective July 1,2017(office,retail,education,library and fire station occupancies)
All occupied,conditioned areas shall be served by a DOA S that delivers required ventilation air in a manner that does
not require space conditioning fan operation.Space conditioning fans cycled off when no heating or cooling is required.
Dedicated Outdoor Air ❑ Ventilation provided via natural ventilation per 2015 IMC in lieu of DOAS(C403.6,Exception 1)
System Requirements and ❑ Ventilation and space conditioning provided by a HEVAV system per C403.7 in lieu of DOAS(C403.6,Exception
High Efficiency VAV ❑ DOAS included in project,although not required(occupancy not office,retail,education,library or fire station)
Alternate ❑ DOAS related allowances included in project:
❑ Prescriptive vertical fenestration maximum area allowance increased to 40%per C402.4.1.4 with 100%of
conditioned floor area in building served by DOAS.
❑ Exception to air economizer per C403.3 Exception 1,include MECH-ECONO form.
❑ Project includes HVAC air distribution systems that provide heating and/or cooling
If yes,provide a MECH-FANSYS-SUM form.
Fan Power ❑ For one or more systems,the total fan motor nameplate hp of all fans in HVAC system exceeds 5hp.
If yes,provide a separate MECH-FANSYS form for each HVAC system exceeding the 5 horsepower threshold.
Refer to Section C403.2 11 and MECH-FANSYS-DOC for requirements and exceptions.
❑HVAC Hydronic Systems Hydronic chilled water ❑ Water-loop heat pump ❑ No hydronic systems
❑ Hydronic heating water ❑ Geothermal
❑ C406.2 More efficient HVAC equipment and fan systems
Requires 90%of heating and cooling capacity to be equipment listed in tables C403.2.3(1)-(9)or air-to-water heat
pumps and heat recovery chillers.All equipment listed in tables C403.2.3(1)-(7)must be 15%more efficient than
minimum requirements.All stand alone supply,return,and exhaust fans over 1 hp must have FEQ z 71 and must be
C406 Additional Efficiency selected within 10%of maximum total or static pressure.
❑ C406.6 Dedicated outdoor air system(DOAS)
Options-Mechanical Requires 90%of conditioned floor area to be served by a DOAS per C403.6 that delivers required ventilation air in a
manner that does not require space conditioning fan operation.
❑ C406.7 Reduced energy in service water heating
Requires 90%of floor area be in occupancy types listed in C406.7.1 and that 60%of annual hot water energy use be
provided by heat pump, waste heat recovery or solar water-heating systems.
.ecel e
OCT 26 2017 6
2015 Washington Ste'__ nergy Code Compliance Forms for Commercial, F _)d R3 over 3 stories and all R1
Mechanical Summary, • •
2015 Washington State Energy Code Compliance Forms for Commercial Buildings including R2&R3 over 3 stories and all R1 Revised January 2017
Equipment Type(s)
❑ Hot water heating tank(s) ❑ Instantaneous ❑ No service water systems
Service Water Heating El Dedicated boiler ❑ Heal exchange from space heat boiler or Systems
Distribution Type(s) central hot water/steam
❑ Circulation System ❑ On-demand
Commissioning Commissioning is required for:
❑ Mechanical systems per C408.2 ❑Service water heating systems per C408.4
If required,commissioning shall be performed for all applicable systems regardless of individual equipment capacity.
Exceptions to commissioning requirements:
❑ Total output capacity of all mechanical space conditioning systems in the building do not exceed 240,000 Btu/h
cooling or 300,000 Btu/h heating.Mechanical systems commissioning not required.
❑ Capacity of largest service water heating system in building does not exceed 200,000 Btu/h.Service water heating
systems commissioning not required.
Low Energy and Semi-Heated Spaces (Note 6 and 7)
Peak Space
Heating Cooling Conditioning
Space Area Served, Capacity,Btu/h Capacity,Btu/h Capacity, Compliance
Type Location in Plan(s) Space(s)Served square feet (Note 4) (Note 5) Btu/h-sf Check Notes
Semi- unit clouded on plan Office 1,500 160K 0 0 COMPLIES
heated
Note 4-Provide total installed heating output capacity of systems serving Low Energy or Semi-Heated space(s)in btuh.
Note 5-Provide total installed cooling capacity of system serving Low Energy space(s)in Btu/h.Not allowed for semi-heated spaces.Enter 0 if no cooling.
Note 6-Refer to Section C402.1.1 Low Energy Building Intalled peak space conditioning capacity,heating or cooling,may not exceed 3.4 Btu/h'sf.
Note 7-Refer to Section C402.1.1.1 and Semi-Heated Space definition in Chapter 2 Total heating output capacity may not exceed 8 Btu/h sf. Only systems without
electric resistance heating and no cooling are eligible for the wall insulation exception under semi-heated.
MYORK
SUBMITTAL DATA
For: Approval
Order#: Date: 09/05/2017
Project: PRJ LLC
Project#: LJO905201701
Location:
Purchaser: Evergreen State Sheet Metal- Mark
Submitter: York- Lauren
A1,� v�L� uJ�a�l ,JCL 671
_ CITY OF ARLINGTON
G BUILDING DEPARTMENT
APPROVED
i
DATE BY
NO CHANGES AUTHORIZED
UNLESS APPROVED BY THE
BUILDING INSPECTOR
�lb
Unitary Sales Tool 0.5.9.0 Information is subject to change without notice.Check local codes. Printed 09/07/2017
Date
09/05/2017
Project Name PRJ LLCMYORK'
Project Number
LJO905201701
Client/Purchaser
Evergreen State Sheet Metal-Mark
Submittal Summary Page
Qty Tag# Model# Description
1 IN STOCK XN048COOA1ClAAAlAl 4 Ton, York Small Sunline Single Packaged R-410A Heat Pump,
Single Stage Cooling, 11.8 EER/14.0 SEER, Cooling Only,
208/230-1-60, Direct Drive
• Dry Bulb Economizer and Hood (No Barometric Relief Damper)
with Economizer Fault Detection & Diagnostic(Meets ASHRAE
90.1-2013, IECC 2015, California Title 24, AMCA 511)
• 1 HP Direct Drive Blower
• 1"Throwaway Filters
• Simplicity®SE Controller including Discharge Air, Return Air, and
Outdoor Air Temperature Sensors
• Copper Tube/Aluminum Fin Condenser Coil, Copper
Tube/Aluminum Fin Evaporator Coil
•Galvanized Steel Drain Pan
•Standard Access Doors
1 5-7 Days CDI-1-5000-5005 Curb Adapter
Old Model: B2HZ048
New Model: XN048
Top Brace; Insulated Condenser Panel (where
required); Fully Insulated (1"Duct Liner R Value 3.85)
Equipment start-up and commissioning by a factory trained technician is recommended.
Contact your supplying distributor or sales representative for additional information & guidance.
Unitary Sales Tool v1.5,9.0 Information is subject to change without notice.Check local codes. Pnnted 09/07/2017
MYORKSmall Sun/ine (3-6 Ton Page:3
Package) N543
Single Package R-410A Heat Pump
Project Name: PRJ LLC Unit Model#: XN048COOAlC1AAAlAl
Quantity: 1 Tag*IN STOCK System: XN048COOAlCIAAAlAl
Cooling Performance
Total gross capacity 52.1 MBH
Sensible gross capacity 37.3 MBH e
Seasonal Efficiency(at ARI) 14.00 SEER 1
Efficiency(at ARI) 11.80 EER
Ambient DB temp. 86.1 °F t
Entering DB temp. 80.0 °F
Entering WB temp. 67.0 °F
Leaving DB temp. 58.4 °F
Leaving WB temp. 56.7 °F
Power input(w/o blower) 3.13 kW
Sound power 80 dB(A)
Refrigerant
Refrigerant type R-41 OA '
S s1 131bs 10 oz
Heat Pump Performance —�
Ambient DB temp. 47 °F
HSPF 8 4 Ton
Capacity @ 47°F 44.00 MBH York Units are Manufactured at an ISO 9001 Registered Facility and Each
COP @ 17°F .10
3
COP @ 47°F .20
Rooftop is Completely Computer-Run Tested Prior to Shipment.
Capacity 17°F 24.90 MBH Unit Features
Supply Air Blower Performance • Single Stage Cooling
Supply air 1600 CFM • Single Stage Cooling
Ext.static pressure 0.83 IWG • Full Perimeter Base Rails with Built in Rigging Capabilities
Addl.Unit Losses(Options/Accessories) 0.11 IWG . Unit Cabinet Constructed of Powder Painted Steel,Certified At 1000 Hours
Blower speed 1093 RPM Salt Spray Test(ASTM B-117 Standards)
Duct location Bottom Motor rating 1.00 HP . Either Supply and/or Return can be Field Converted from Vertical to
Actual required BHP 0.77 HP Horizontal Configuration without Cutting Panels.
Power input 0,72 kW • Scroll Compressor
Elevation 30 ft. . Dry Bulb Economizer and Hood(No Barometric Relief Damper)with
Drive type DIRECT Economizer Fault Detection&Diagnostic(Meets ASHRAE 90.1-2013,IECC
Speed tap 5 2015,California Title 24,AMCA 511)
Dimensions&Weight • 1 HP Direct Drive Blower
Hgt 33 in. Len 83 in. Wth 45 in. . Unit Ships with 1"Throwaway Filters
Weight with factory installed options 671 lbs. . Solid Core Liquid Line Filter Driers
Clearances • Replacement Filters:2-(15"x 20"x 1"or 2")and 1 -(14"x 25'x 1"or 2").
Right 24 in. Front 24 in. Back 36 in. Unit accepts 1"or 2"wide filters.
Jop 72 in. Bottom 0 in. Left 36 in. • Through-the-Curb and Through-The-Base Utility Connections
Note: Please refer to the tech guide for listed maximum static pressures • Single Point Power Connection
• Short Circuit Current:5kA RMS Symmetrical
r nunury I s �- • Copper Tube/Aluminum Fin Condenser Coil,Copper Tube/Aluminum Fin
Evaporator Coil
usru=
• Galvanized Steel Drain Pan
• Standard Access Doors
Standard Unit Controller: Simplicity Control Board
• An Integrated Low-Ambient Control,Anti-Short Cycle Protection,Lead-Lag,
Fan On and Fan off Delays,Low Voltage Protection,On-Board Diagnostic
and Fault Code Display.Allows all units to operate in the cooling mode down
to 0°F outdoor ambient without additional components or intervention.
• Safety Monitoring-Monitors the High and Low-Pressure Switches,the
Freezestats,the Gas Valve,if Applicable,and the Temperature Limit Switch
on Gas and Electric Heat Units.The Unit Control Board will Alarm on Ignition
Failures,Safety Lockouts and Repeated Limit Switch Trips.
BAS Controller
• Simplicity SE Controller including Discharge Air,Return Air,and Outdoor Air
Temperature Sensors
Warranty
• One(1)Year Limited Warranty on the Complete Unit
• Five(5)Year Warranty-Compressors and Electric Heater Elements
Unitary Sales Tool 0.5.9.0 Information is subject to change without notice.Check local codes. Punted 09/07/2017
Small Sunline (3-6 Ton Page:4
MYORK Package) N543
Single Package R-410A Heat Pump
Project Name: PRJ LLC Unit Model#: XN048COOA1ClAAAIA1
Quantity: 1 Tag#:IN STOCK System: XN048COOAlClAAAlAl
Factory Installed Options
XN048COOAlC1AAAlAl
York Small Sunline Single Packaged R-410A Heat
Product Category: XN Pump
11.8 EER/14.0 SEER
Nominal Cooling Capacity: 048 4 Ton
Single Stage Cooling
Heat Type and Nominal Heat Capacity: C00
Cooling Only
Blower Option: A Direct Drive
1 HP Direct Drive Blower
Voltage: 1 208/230-1-60
Dry Bulb Economizer and Hood(No Barometric Relief
Economizer/Damper: C Damper)with Economizer Fault Detection&Diagnostic
(Meets ASHRAE 90.1-2013, IECC 2015, California Title
24,AMCA 511)
Service Options: 1
Sensor Options: A
Controls: A Simplicity®SE Controller including Discharge Air, Return
Air, and Outdoor Air Temperature Sensors
Refrigeration: A Copper Tube/Aluminum Fin Condenser Coil, Copper
Tube/Aluminum Fin Evaporator Coil
Additional Options: 1 1"Throwaway Filters
Cabinet Options: A
Galvanized Steel Drain Pan
Standard Access Doors
Product Generation: 1
Field Installed Accessories
Unitary Sales Tool 0.5.9.0 Information is subject to change without notice.Check local codes. Printed 09/07/2017
W
Small Sunline (3-6 Ton Package) N543 Page:5
YORK Single Package R-410A Heat Pump
Project Name: PRJ LLC Unit Model#: XN048COOAlClAAAIAI
Quantity: 1 Tag#ANSTOCK System: XN048COOAlCIAAAIAI
Consolidated Drawing
MOTES: U OPElU111NG CENTER OF GRAVITY
1, FOR OUTDOOR USE ONLY. N WEIGHT(LN1S 4 POINT CORNER LOADS(LBS) (BASE UNIT)
2,WEIGHTS SHOWN ARE FOA COOLING ONLY UNITS. # (BASE UNIT) LTOCATION ARSE LYIMIT A $3.MIN.CLEARANCES TO BE;
RIGHT SIDE: 24 29,6 3 2E 470 213 34.5 676 3 78.25 463 6 111 58 80 36 117 53 162 73
LEFT SIDE; 24 609,6 (LESS ECONOMIZER)
36 914,4 WITH ECONOMIZER) 4 ZE 598(271] 36 914,1 18.50 469.9 139 163 108 491 154 70 198 96
FRONT: 24 609,6 (COOLINGALECTRIC HEAT) S ZE 632[2B1 37.5 9S2,5 1B.2 42,3 139 63 117[Sill171 78 204 93
32 812,8 (((GAS HEAT) 3 2F 468 212 33[839,71 18.25 1463,61 114 51 76 35 Ill 50 167 76 REAR: 12 304,8 LESS ECONOMIZER)
36 914,4 WITH ECONOMIZER OR FIXED 4 ZF 541 245 31.50 IM.ii 18.50[40,91 138[631 85 39 122 SS 196 29
TOP AIR/MOTORIZED DAMPER) S ZF $69 258 37 939 8 15 3$1 165 48 86 39 170 7] 20$ 94
: 1
BOTTOM; 72 0 0 828,8] 31.62 6 2F 640 198 37 939,8 15 381 118 54 961441192 87 234 l06
C NTACT YOUR APPLICATION ENGINEERING DEPARTMENT. 6.12
4. FOR SMALLER SERV AND OPERATIONAL CLEARANCES [803,3] 3 24 575 261 40 1016 20 508 132 60 125 S7 ISS 70 164 74
O
5. DGWNFLOW DUCTS DESIGNED TO BE ATTACHED TO ACCESSORY [ISS,S] 4 2$ 585 76S 40 M6 20 S08 134 61 127 S$ 3S$ 72 167 1761
ROOF CURB ONLY, IF UNIT IS MOUNTED SIDE SUPPLY, IT 7.25 18.26 S ZR 590 26$ 40 1816 20 588 135 61 12$ 58 359 72 168 76
IS RECOMMENDED THAT THE DUCTS ARE SUPPORTED BY [184,01 [463,7]
CROSS BRACES,AS DONE ON ACCESSORY ROOF CURBS. 3 1O7 610 277 38.3 972,81 18.75[476,3 136[62 119 56 16S[7s 190 $6
6.SIDE DUCT FLANGES ARE 0.875" 22,21 HIGH. 1.80 27.54
BOTTOM DUCTS DO NOT HAVE FLAN ES. [45,8] [699,61 4 XN 616 279 38,2 978,3) 18.4 467,4 135 61 117 S3 169[77 195 18$
7.MINIMUM CONDENSATION TRAP HEIGHT SHALL BE 1.5 TIMES S XN 620 2M 38.6 480,4) 18 1457,2 132(601 117(S3 174 79) 197[$9]
THE LOWEST NEGATIVE STATIC. REAR
8.OfRENSfONS IN ARf IN MILLIMETERS OR KILOGRAMS. 3 XP 575 263 39 990,6 20 5$6 135 61 I21 SS 151 69 168 76
9.DISCOPTIONNECT
COIL GAS HEAT ECONOMIZER HOOD, 5.89 { XP 585 265 39 990 6 20 50B 137 2 124 56 154 70 171 7$OFSCONNFCT SWITCH,fONUFNIENC[OUTLET, AND L
OUTLET/MLET HOOD SHOWN, 5.51 [149,6] S XP S90 268 39[999,61 20 508 138 63 125 57 155 70 172 78
®EXCEPT XN& XP(HEAT PUMP)UNITS. [140,0] LR a
—► DIRECTION OF AIRFLOW -1-
12.26 I1.SB
CENTER OF GRAVITY POWER WIRING BOTTOM ENTRY [311,31 (M 1] 11.18
2.00[50,8) T —� 00
[ 3] RIGHT O/A 3[76,2]1292 1]
4,00
�S 1
(M32 I StpPLY �4 H 6J
D 6.48 C (165,51) 4.58[116,31
[281,8) [164,7] 17.50 7.61
CONTROL WIRING BOTTOM FNTRY 32.69 S SUPPLY BOTTOM ENTRY 01.50[38,1]K.O. [193,61
�0.88(22,2] [815,21 (0.50(12,7]NPT AT GAS VALVE 444, �[444,51
31.62
03,
ELO(O/IIEN L) 01.97 K.0. X -%NIT AIR OUTLET HOOD Iaaa,S] [803,2]
(OPTIONAL) [ -COMBUSTION AIR INLET HOOD REAR(PARTIAL SHOWN INLEH
DISCONNECT SNlfpl (RAIN HOOD NOT SHOWN IN THIS VIEW)
COVE0.(OPTIONAL)
fI`EA 8 AC � 11
ACCt?SS BLQIER CONVENIENCE OUTLET gg��qp�4EQ I
27.35 ACCESS COVER(OPTIONAL) ACCESS f" 1826 S
L II 0 ?22,2'
18.s8 t'— VL
[9670] ' [1 13H] [176,21
[471,9] 0.75[19,1] I 4.42 31.89 GAS SUPPLY ENTRY [1139,83 COIL GUARD
PVC FPT ---111 19.67+ 1212,31 [810,0] 01.fi3 [41,4]
COND. DRAIN 1499,71 2.55 82.19 RIGHT VIEW (OPTIONAL)
LEFT I [64,7] [2087,63 FRONT VIEW
Unitary Sales Tool v1.6.9.0 Information is subject to change w1heut notice.Check local codes. Printed 0 91070017
MYORK
Small Sunline (3-6 Ton Page:6
Package) N543
Single Package R-410A Heat Pump
Project Name: PRJ LLC Unit Model#:
XN048COOAICIAAAlAl
Quantity: 1 Tag*:IN STOCK System: XN048COOAIClAAAlAl
Component Location
Component Location
Electric/Electric and Heat Pump
Ho Efficiency
HACR - - Compoaaor
Smeller
Ecawrrizer -
Hood
_ I Highly Efficient
Enhanced Copper
I Tube/Enhanced
0 1 Alaminum Fin Al
Knockout
Micro-Channel
For E __ ® Aluminum
Powerer Entry - Tube/Aluminum
Slide-In Fin Condenser
Econornzer
aw-
Smoke -�
Detector (((
-- ' Full Perimeter Baserails
_ O With Forklift Slots And
i Lifting Holes
3/4"PVC Female - Electc Heat
Condensate Drain
- Accessory Location
GFCI SImpIIdlyEUlo1"
Convenience Outlet Bep Drive Or Or
Knac Direct Drive SimplicityOSE
For Side Blower Control Board
Control Entry
Unitary Sales Tool v1.5.9.0 Information is subject to change without notice.Check local codes. Printed 09/07/2017
254603-YTG-C-0506
Weights and Dimensions
DNX, DNY, DNZ, BHX ANDBHZ Unit Weights
Unit 4 Point Load Weight
„ID„
CENTER OF
FRONT OF GRAVITY
UNIT
„A" „C„
49-1/8 „B„
""�< ",Z
X Y 47-1/4
Size Model Weight(lbs.) Center of Gravity 4 Point Load Location(lbs.)
(Tons) Shipping loperating X Y A B I C I D
DNZ 365 360 24 25 91 92 89 1 88
024 DNY 405 400 20 24.5 116 84 84 117
(2.0) DNX 445 440 20 24.6 127 93 93 I 127
BHZ 360 355 22.25 25 96 84 81 93
BHX 385 380 22.25 25 103 90 87 100
030 DNZ 395 390 24 24.75 98 99 97 96
(2.5) BHZ 355 350 22.25 25 96 84 81 93
DNZ 400 395 24 25 100 101 98 96
036 DNY 445 440 20 24.25 126 91 93 129
(3.0) DNX 485 480 20 24 136 98 103 143
BHZ 395 390 22.25 25 106 92 89 102
BHX 405 400 21.75 24.25 108 90 92 110
042 DNZ 470 465 21 24.8 131 103 101 129
(3.5) BHZ 445 440 22.25 25 120 104 101 115
DNZ 475 470 21 24.8 133 104 102 130
(00 DNY 505 500 20 24 142 102 107 149
(4.0) DNX 505 500 20 24 142 102 107 149
BHZ 490 (465i 22.25 25 132 115 111 127
BHX 445 440 22 26 126 107 95 112
DNZ 545 540 20 24 153 110 116 161
060 DNY 545 540 20 24 153 110 116 161
(5.0) BHZ 500 495 22.25 25 135 117 113 130
BHX 465 460 22 1 26.25 133 113 99 116
Unit Accessory Weights
Unit Accessory Model Weight(lb
Add Economizer
Shipping Operating '?� _ of / Aj),a`4-�Zt
Ail 45 40
Add Electric Heat BHX,BHZ 13 12 (�
1. Weight given is for the maximum heater size available(25 kW). 12,
-----------------
630Lt 5
70 Unitary Products Group
Kulits Orthodontics Everett WA - Bing Maps Page 1 of 1
V bing maps
328 S Stillaguamish Ave,Arlington,WA 98223 Replacing Like for like-same size,capacity and
location.
•j� •i a�`; -fig � � � r � ;
L'
to Q
Le [ MCIA G
CITY OF ARLINGTON
BUILDING DEPARTMENT
APPROVED
DATE 11 7 /�7 BY �
NO CHANGES AUTHORIZED
UNLESS APPROVED BY THE
BUILDING 14§PECTOR
::Jbecopy
https://www.bing.com/maps?&ty=1 8&q=Kulits%200rthodontics%2OEverett%20WA&ss... 10/26/2017
CITY OF ARLINGTON
238 N. OLYMPIC AVE - ARLINGTON, WA. 98223
PHONE; (360) 403-3551
BUILDING PERMIT
Address:328 S.Stillaquamish Permit#:1725
Parcel#:2870048 Valuation: 11525.00
OWNER APPLICANT CONTRACTOR
Name:Arlington Rehab Partners LLC Name:Evergreen State Heat and A/C Name:Evergreen State Heat and A/C
Address:5962 La Place Ct Ste 170 Address:2120 Pacific Ave Address:2120 Pacific Ave
City,State Zip:Carlsbad,CA 92008 City,State Zip:Everett,WA 98201 City,State Zip:Everett,WA 98201
Phone: Phone:360-474-8686 Phone:425-252-3114
MECHANICAL CONTRACTOR PLUMBING CONTRACTOR
Name:Evergreen State Heat and A/C Name:
Address:2120 Pacific Ave Address:
City,State,Zip:Everett,WA 98201 City,State,Zip:
Phone:425-252-3114 Phone:
LIC#: EXP: LIC#: EXP:
JOB DESCRIPTION
PERMIT TYPE: Commercial Mechanical CODE YEAR: 2015
STORIES: I CONST.TYPE:
DWELLING UNITS: 0 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 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.
SALEYIA& QTICE:Sales tax relating to construction and c Iruclion materials in the City of Arlington must be reported on your sales tax return form
d c dcd Cit IArlington#3101.
C� NtPI� l -3-r
Signatur Print Name Date Released By fDat
CONDITIONS
APPROVED AS SUBMITTED.
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
11/2/2017 Mechanical Fee(Enter Fixture Fee) $25.00
11/2/2017 Mechanical Permit Base Fee $25.00
11/2/2017 Mechanical Plan Review Fee $250.00
11/2/2017 Processing/Technology Fee $25.00
Total Due: $325.00
Total Payment: $0.00
Balance Due: $325.00
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:328 S.Stillaquamish Permit#: 1725
Parcel#:2870048 Valuation: 11525.00
OWNER APPLICANT CONTRACTOR
Name:Arlington Rehab Partners LLC Name:Evergreen State Heat and A/C Name:Evergreen State Heat and A/C
Address:5962 La Place Ct Ste 170 Address:2120 Pacific Ave Address:2120 Pacific Ave
City,State Zip:Carlsbad,CA 92008 City,State Zip:Everett,WA 98201 City,State Zip:Everett,WA 98201
Phone: Phone:360-474-8686 Phone:425-252-3114
MECHANICAL CONTRACTOR PLUMBING CONTRACTOR
Name:Evergreen State Heat and A/C Name:
Address:2120 Pacific Ave Address:
City,State,Zip:Everett,WA 98201 City,State,Zip:
Phone:425-252-3114 Phone:
LIC#: EXP: LIC#: EXP:
JOB DESCRIPTION
PERMIT TYPE: Commercial Mechanical CODE YEAR: 2015
STORIES: I CONST.TYPE:
DWELLING UNITS: 0 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. IBC110/IRCI10.
SALES TAX NOTICE:Sales tax relating to construction and construction materials in the City of Arlington must be reported on your sales tax return form
and coded City of Arlington#3101.
Signature Print Name Date Released By Da
CONDITIONS
APPROVED AS SUBMITTED.
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
11/2/2017 Mechanical Fee(Enter Fixture Fee) $25.00
11/2/2017 Mechanical Permit Base Fee $25.00
11/2/2017 Mechanical Plan Review Fee $250.00
11/2/2017 Processing/Technology Fee $25.00
Total Due: $325.00
Total Payment: $0.00
Balance Due: $325.00
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:328 S.Stillaquamish Permit#:1725
Parcel#:2870048 Valuation: 11525.00
OWNER APPLICANT CONTRACTOR
Name:Arlington Rehab Partners LLC Name:Evergreen State Heat and A/C Name:Evergreen State Heat and A/C
Address:5962 La Place Ct Ste 170 Address:2120 Pacific Ave Address:2120 Pacific Ave
City,State Zip:Carlsbad,CA 92008 City,State Zip:Everett,WA 98201 City,State Zip:Everett,WA 98201
Phone: Phone:360-474-8686 Phone:425-252-3114
MECHANICAL CONTRACTOR PLUMBING CONTRACTOR
Name:Evergreen State Heat and A/C Name:
Address:2120 Pacific Ave Address:
City,State,Zip:Everett,WA 98201 City,State,Zip:
Phone:425-252-3114 Phone:
LIC M EXP: LIC#: EXP:
JOB DESCRIPTION
PERMIT TYPE: Commercial Mechanical CODE YEAR: 2015
STORIES: I CONST.TYPE:
DWELLING UNITS: 0 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 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.
SALERIAXNOTICE:Sales tax relating to construction and cy9truction materials in the City of Arlington must be reported on your sales tax return form
td c dcd Cit Pkr1mgton#3101.
µit It-3-t
Signatu Print Name V Date Released By Dat
CONDITIONS
APPROVED AS SUBMITTED.
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
11/2/2017 Mechanical Fee(Enter Fixture Fee) $25.00
11/2/2017 Mechanical Permit Base Fee $25.00
11/2/2017 Mechanical Plan Review Fee $250.00
11/2/2017 Processing/Technology Fee $25.00
Total Due: $325.00
Total Payment: $0.00
Balance Due: $325.00
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
ftc
Permit Information
Date 11/1/2017
Permit Number 1725
Project Name PRJ#5
Applicant Name Evergreen State Heat and A/C
Applicant Address 2120 Pacific Ave
City,State,Zip Everett,WA 98201
Contact Paula Johnson
Phone 360-474-8686
Email mark@essmwa.com
Permit Type Commercial Mechanical
Site Address 328 S.Stillaquamish
Valuation 11525.00
Status Applied
Permit Issued
Permit Expires
Square Feet 0
Type of Construction/Occupancy Load
Number of Stories 1
Proposed Use Replace like for like,same capacity,size and location.
Assigned To Launa Peterson
Property
Parcel Address Subdivision Lot Owner
2870048 1328 S Stillaquamish Ave jArlington Rehab Partners LLC
Review
Date Type Description I Target Date Completed Date Assigned To Status
11/1/2017 commercial Mechanical 'll/15/2017 <evin Olander In Review
Uploaded Files Upload File
Date File Uploaded By I
11/1/2017 10:18:02 AM 1commercial Application racket CsLXA90r4M32O4_pdf Peterson,Launa
it
GtT Y 01,
COMMERCIAL APPLICATION
'�llv�lo PERMIT SUBMITTAL
Department of Community & Economic Development
City of Arlington• 18204 59th Ave NE • Arlington, WA 98223• Phone(360)403-3551
THIS APPLICATION TO BE USED FOR NEW COMMERCIAL STRUCTURES AND RESIDENTIAL DWELLINGS NOT REGULATED UNDER THE
IRC. THIS APPLICATION MUST BE ACCOMPANIED BYA COMMERCIAL APPLICATION SUBMITTAL CHECKL/STAND AN OCCUPANT'S
STATEMENT OF INTENDED USE.
Name of Project:PRJ #5 Valuation: 11,525
Project Address: 328 S. Stillaguamish, Arlington
Parcel ID#:2870048 Legal Description See permit
Owner: Paula Johnson Phone Number:425-419-7262
Address: 328 S. Stillaguamish City:Arlington State:WA Zip Code:98223
Engineer: Phone Number
Cell Phone: E-mail:
Address: City: State: Zip Code:
General Contractor:Evergreen State Heat & A/C Phone Number:425-252-3114
Cell Phone: 253-250-9132 E-mail: mark@essmwa.com
Address:2120 Pacific Ave City:Everett State: WA Zip Code: 98201
Contractor's License Number:EVERGSS0220T Expiration:NOV 17
Contact Person: Mark Payne Phone Number: 425-252-3114
Cell Phone: 253-250-9132 E-mail: mark@essmwa.com
Address: 2120 Pacific Ave City:Everett State: WA Zip Code: 98201
Proposed Scope of Work:
Received
OCT 26 2017 _
l,D I�2_�
REV 2015 Page 6 of 9
a
�.
COMMERCIAL APPLICATION
PERMIT SUBMITTAL
Department of Community & Economic Development
City of Arlington• 18204 59th Ave NE • Arlington, WA 98223 • Phone(360) 403-3551
The special inspection functions are considered to be in addition to the normal inspections performed by the City and the contractor is
responsible for contacting the City to schedule regular inspections.No concrete shall be poured or other work covered until approved
by the City Inspector.
Building Division:
The Building Division shall review any revisions and addenda. Approved copies will be given to the contractor to maintain as part of the
approved plan set.
The City Inspector will monitor the special inspection functions for compliance with the agreement and the approved plans.
The City Inspector shall be responsible for approving various stages of construction to be covered and work to proceed.
Design Professionals:
The architect and engineer will clearly indicate on the plans and specifications for the specific types of special inspection required, and
shall include a schedule for inspection and testing.
The architect and engineer will coordinate their revisions and addenda process in such a way as to insure all required City approvals
are obtained, prior to work shown on the revisions being performed.
Owner:
The project owner, or the architect or engineer acting as the owners agent, shall employ the special inspector or agency.
ENFORCEMENT:
A failure of the special inspector or firm to perform in keeping the requirements of the IBC,the approved plans and this document may
void this agreement and the Building Officials approval of the special inspector. In such case a new special inspector and/or firm would
need to be proposed for approval.A failure of the design and/or construction parties to perform in accordance with this agreement may
result in a STOP WORK notice being posted on the project, until nonconforming items have been resolved.
ACKNOWLEDGEMENTS
I have read and agree to comply with the terms and conditions of this agreement.
Owner:Contractor Mark Payne Date:October 26, 2017
1 hereby certify that the above information is correct and that the construction on, and the occupancy and the use of the above-described
property will be in accordance with the laws,rules and regulation of the State of Washington.
Applicants Signature
Print Applicants Name Date
FOR STAFF USE ONLY
Pe it# Acce y Amount Received Receipt# Date Received
REV 2015 Page 9 of 9
2015 Washington Staf nergy Code Compliance Forms for Commercial, R' `d R3 over 3 stories and all R1
Mechanical Summary MECH-SUM
2015 Washington State Energy Code Corr fiance Forms for Commercial Buildings including R2&R3 over 3 stories and all R1 Revised January 2017
Project Information Project Title: PRJ 328 s.Stillaguamish Date 1/1/2015
Applicant Information. Provide contact information for individual who can respond to For Building Dept.Use
inquiries about compliance form information provided.
Company Name: Evergreen State Heat&A/C
Company Address: 2120 Pacific Ave,Everett,WA 98201
Applicant Name: Mark Payneo% �Opy
�
Applicant Phone: 425-252-3114
Project Description ❑ New Building ❑ Building Addition ❑ Tenant Improvement Q System Retrofit ❑ No System Changes
Briefly describe mechanical systems in add UDAP 200 unit heater to space with @ 20'of gas piping
the text box provided
❑ Total Bldg Performance(TBP) CITY OF ARLINGTON
This path includes all mandatory BUILDING DEPARTMENT
provisions per C401 2 Option 2
MECH-SUM,MECH-CHK,and C407 APPROVED
Energy Analysis forms required.
❑ Load calculation summary ❑ MECH-LO �1ftF / BY 9
Design Load Calculations Provide design load calculations for all mechanical sys ms and eq pme s rvrng a ui! rng r r
ventilating needs.If a load calculation summary is prov, ed with! e �lt �ic�t re applicabl
compliance information then the MECH-LORD-CALC 1 m is not
Q Mechanical Plans ❑ MECH-EQ orms(TBISUILDING INSPECTOR
Mechanical Schedules Indicate location of equipment compliance information.it provided on plans then orms are nor requIld,
however,include on plans all applicable compliance information listed in MECH-EQ tables.
❑ DOAS is required per C403 6 effective July 1,2017(office,retail,education,library and fire station occupancies)
All occupied,conditioned areas shall be served by a DOAS that delivers required ventilation air in a manner that does
not require space conditioning fan operation Space conditioning fans cycled off when no heating or cooling is required
Dedicated Outdoor Air ❑ Ventilation provided via natural ventilation per 2015 IMC in lieu of DOAS(C403.6,Exception 1)
System Requirements and ❑ ventilation and space conditioning provided by a HEVAV system per C403 7 in lieu of DOAS(C403 6,Exception
High Efficiency VAV ❑ DOAS included in project,although not required(occupancy not office,retail,education,library or fire station)
Alternate ❑ DOAS related allowances included in project:
❑ Prescriptive vertical fenestration maximum area allowance increased to 40%per C402.4.1.4 with 100%of
conditioned floor area in building served by DOAS
❑ Exception to air economizer per C403-3 Exception 1,include MECH-ECONO form
❑ Project includes HVAC air distribution systems that provide heating and/or cooling
If yes,provide a MECH-FANSYS-SUM form
Fan Power ❑ For one or more systems,the total fan motor nameplate hp of all fans in HVAC system exceeds 5hp
If yes,provide a seperate MECH-FANSYS form for each HVAC system exceeding the 5 horsepower threshold
Refer to Section C403.2.11 and MECH-FANSYS-DOC for requirements and exceptions
❑HVAC Hydronic Systems Hydronic chilled water [] Water-loop heat pump ❑ No hydronic systems
❑ Hydronic heating water ❑ Geothermal
C406,2 More efficient HVAC equipment and fan systems
Requires 90%of heating and cooling capacity to be equipment listed in tables C403 2.3(1)-(9)or air-to-water heat
pumps and heat recovery chillers.All equipment listed in tables C403 2.3(1)-(7)must be 15%more efficient than
minimum requirements.All stand alone supply,return,and exhaust fans over 1hp must have FEQ z 71 and must be
C406 Additional Efficiency selected within 10%of maximum total or static pressure.
❑ C406.6 Dedicated outdoor air system(DOAS)
Options-Mechanical Requires 90%of conditioned floor area to be served by a DOAS per C403.6 that delivers required ventilation air in a
manner that does not require space conditioning fan operation.
❑ C406.7 Reduced energy in service water heating
Requires 90%of floor area be in occupancy types listed in C406 7.1 and that 60%of annual hot water energy use be
provided by heat pump,waste heat recovery or solar water-heating systems
_?;i,L D )�2!E5
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2015 Washington Sta' nergy Code Compliance Forms for Commercial, R'- `d R3 over 3 stories and all R1
Mechanical Summary, • •
2015 Washington State Energy Code Compliance Forms for Commercial Buildings including R2&R3 over 3 stories and all R1 Revised January 2017
Equipment Type(s)
❑ Hot water heating tank(s) ❑ Instantaneous ❑ No service water systems
Service Water Heating ❑ Dedicated boiler ❑ Heat exchange from space heat boiler or
Systems
central hot water/steam
Distribution Type(s)
❑ Circulation System ❑ On-demand
Commissioning Commissioning is required for:
❑ Mechanical systems per C408.2 ❑Service water heating systems per C408.4
If required,commissioning shall be performed for all applicable systems regardless of individual equipment capacity.
Exceptions to commissioning requirements:
❑ Total output capacity of all mechanical space conditioning systems in the building do not exceed 240,000 Btu/h
cooling or 300,000 Btu/h heating.Mechanical systems commissioning not required.
❑ Capacity of largest service water heating system in building does not exceed 200,000 Btu/h.Service water heating
systems commissioning not required.
Low Energy and Semi-Heated Spaces (Note 6 and 7)
Peak Space
Heating Cooling Conditioning
Space Area Served, Capacity,Btu/h Capacity,Btu/h Capacity, Compliance
Type Location in Plan(s) Space(s)Served square feet (Note 4) (Note 5) Btu/h-sf Check Notes
Semi- unit clouded on plan Office 1,500 160K 0 0 COMPLIES
heated
Note 4-Provide total installed heating output capacity of systems serving Low Energy or Semi-Heated space(s)in btuh.
Note 5-Provide total installed cooling capacity of system serving Low Energy space(s)in Btu/h.Not allowed for semi-heated spaces.Enter 0 if no cooling.
Note 6-Refer to Section C402.1.1 Low Energy Building Intalled peak space conditioning capacity,heating or cooling,may not exceed 3.4 Btu/h*sf.
Note 7-Refer to Section C402 1.1.1 and Semi-Heated Space definition in Chapter 2 Total heating output capacity may not exceed 8 Btu/h*sf. Only systems without
electric resistance heating and no cooling are eligible for the wall insulation exception under semi-heated
WYORK
SUBMITTAL DATA
For: Approval
Order#: Date: 09/05/2017
Project: PRJ LLC
Project#: LJ0905201701
Location:
Purchaser: Evergreen State Sheet Metal- Mark
Submitter: York- Lauren
1Jr—W Uxe,fW/A l4
CITY OR ARLINGTON
BUILDING DEPARTMENT
APPROVED
DATE / / gY
NO CHANGES AUTHORIZED
UNLESS APPROVED BY THE
BUILDING INSPECTOR
. .kr
ICE COPY
Unitary Sales Tool 0.5.9.0 Information is subject to change without notice.Check local codes. Printed 09/07/2017
i
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►1171�'J'i"I 1RJ�
Date
09/05/2017
Project Name WYORK
PRJ LLC
Project Number
LJO905201701
Client/Purchaser
Evergreen State Sheet Metal-Mark
Submittal Summary Page
Qty Tag# Model# Description
1 IN STOCK XN048COOA1ClAAAlAl 4 Ton, York Small Sunline Single Packaged R-410A Heat Pump,
Single Stage Cooling, 11.8 EER/14.0 SEER, Cooling Only,
208/230-1-60, Direct Drive
vebry Bulb Economizer and Hood (No Barometric Relief Damper)
with Economizer Fault Detection & Diagnostic(Meets ASHRAE
90.1-2013, IECC 2015, California Title 24, AMCA 511)
• 1 HP Direct Drive Blower
• 1"Throwaway Filters
•Simplicity®SE Controller including Discharge Air, Return Air, and
Outdoor Air Temperature Sensors
•Copper Tube/Aluminum Fin Condenser Coil, Copper
Tube/Aluminum Fin Evaporator Coil
•Galvanized Steel Drain Pan
•Standard Access Doors
1 5-7 Days CDI-1-5000-5005 Curb Adapter
Old Model: B2HZ048
New Model: XN048
Top Brace; Insulated Condenser Panel (where
required); Fully Insulated (V Duct Liner R Value 3.85)
Equipment start-up and commissioning by a factory trained technician is recommended.
Contact your supplying distributor or sales representative for additional information &guidance.
Unitary Sales Tool 0.5.9.0 Information is subject to change without notice.Check local codes Printed 09/07/2017
r -
I
or'YORK
Small Sunline (3-6 Ton Page:3
Package) N543
Single Package R-410A Heat Pump
Project Name: PRJ LLC Unit Model#: XN048COOAICIAAAIA1
Quantity: 1 Tag#:IN STOCK System: XN048COOAICIAAA1A1
11 Cooling Performance
Total gross capacity 52.1 MBH
Sensible gross capacity 37.3 MBH
Seasonal Efficiency(at ARI) 14.00 SEER 1
Efficiency(at ARI) 11.80 EER
Ambient DB temp. 86.1 °F
Entering DB temp. 80.0 °F
Entering WB temp. 67.0 °F
Leaving DB temp. 58.4 °F
Leaving WB temp. 56.7 °F
Power input(w/o blower) 3.13 kW
Sound power 80 dB(A)
Refrigerant
Refrigerant type R-41 OA
Sys 1 13 Ibs 10 oz
Heat Pump Performance
Ambient DB temp. 47 °F
HSPF 8 4 Ton
Capacity @ 47°F 44.00 MBH York Units are Manufactured at an ISO 9001 Registered Facility and Each
COP @ 17°F 2.10 COP @ 47°F 3.20 Rooftop is Completely Computer-Run Tested Prior to Shipment.
Capacity Cad 17°F 24.90 MBH Unit Features
Supply Air Blower Performance • Single Stage Cooling
Supply air 1600 CFM • Single Stage Cooling
Ext.static pressure 0.83 IWG • Full Perimeter Base Rails with Built in Rigging Capabilities
Addl.Unit Losses(Options/Accessories) 0.11 IWG - Unit Cabinet Constructed of Powder Painted Steel,Certified At 1000 Hours
Blower speed 1093 RPM Salt Spray Test(ASTM B-117 Standards)
Duct location Bottom Motor rating 1.00 HP - Either Supply and/or Return can be Field Converted from Vertical to
Actual required BHP 0.77 HP Horizontal Configuration without Cutting Panels.
Power input 0.72 kW - Scroll Compressor
Elevation 30 ft. • Dry Bulb Economizer and Hood(No Barometric Relief Damper)with
Drive type DIRECT Economizer Fault Detection&Diagnostic(Meets ASHRAE 90.1-2013,IECC
Speed tap 5 2015,California Title 24,AMCA 511)
Dimensions&Weight - 1 HP Direct Drive Blower
Hgt 33 in. Len 83 in. Wth 45 in. - Unit Ships with 1"Throwaway Filters
Weight with factory installed options 671 lbs. - Solid Core Liquid Line Filter Driers
Clearances • Replacement Filters:2-(15"x 20"x 1"or 2")and 1 -(14"x 25"x 1"or 2").
Right 24 in. Front 24 in. Back 36 in. Unit accepts V or 2"wide filters.
To p 72 in. Bottom 0 in. Left 36 in. • Through-the-Curb and Through-The-Base Utility Connections
Note: Please refer to the tech guide for listed maximum static pressures • Single Point Power Connection
• Short Circuit Current:5kA RMS Symmetrical
AM[AI[A/l ce MR�Y\) • Copper Tube/Aluminum Fin Condenser Coil,Copper Tube/Aluminum Fin
nunury SNP kk"" Evaporator Coil
user ~
• Galvanized Steel Drain Pan
• Standard Access Doors
Standard Unit Controller: Simplicity Control Board
• An Integrated Low-Ambient Control,Anti-Short Cycle Protection,Lead-Lag,
Fan On and Fan off Delays,Low Voltage Protection,On-Board Diagnostic
and Fault Code Display.Allows all units to operate in the cooling mode down
to 0°F outdoor ambient without additional components or intervention.
• Safety Monitoring-Monitors the High and Low-Pressure Switches,the
Freezestats,the Gas Valve,if Applicable,and the Temperature Limit Switch
on Gas and Electric Heat Units.The Unit Control Board will Alarm on Ignition
Failures,Safety Lockouts and Repeated Limit Switch Trips.
BAS Controller
• Simplicity SE Controller including Discharge Air,Return Air,and Outdoor Air
Temperature Sensors
Warranty
• One(1)Year Limited Warranty on the Complete Unit
• Five(5)Year Warranty-Compressors and Electric Heater Elements
Unitary Sales Tool v1.5.9.0 Information is subject to change without notice.Check local codes. Printed 09/07/2017
S;
I
t
Small Sunline (3-6 Ton Page:4
MYORK Package) N543
Single Package R-410A Heat Pump
Project Name: PRJ LLC Unit Model#: XN048COOA1CIAAAlAl
Quantity: 7 Tag#:IN STOCK System: XN048COOA1CIAAA1AI
Factory Installed Options
XN048COOA1 CIAAAlAl
I
York Small Sunline Single Packaged R-410A Heat
Product Category: XN Pump
11.8 EER/14.0 SEER
Nominal Cooling Capacity: 048 4 Ton
Single Stage Cooling
Heat Type and Nominal Heat Capacity: C00
Cooling Only
Blower Option: A Direct Drive
1 HP Direct Drive Blower
Voltage: 1 208/230-1-60
Dry Bulb Economizer and Hood(No Barometric Relief
Economizer/Damper: C Damper)with Economizer Fault Detection&Diagnostic
(Meets ASHRAE 90.1-2013, IECC 2015, California Title
24,AMCA 511)
Service Options: 1
Sensor Options: A
Controls: A
Simplicity®SE Controller including Discharge Air, Return
Air, and Outdoor Air Temperature Sensors
Refrigeration: A Copper Tube/Aluminum Fin Condenser Coil, Copper
Tube/Aluminum Fin Evaporator Coil
Additional Options: 1 1"Throwaway Filters
Cabinet Options: A
Galvanized Steel Drain Pan
Standard Access Doors
Product Generation: 1
Field Installed Accessories
Unitary Sales Tool v1 5.9 0 Information is subject to change without notice.Check local codes. Printed 09/07/2017
i
0 1.Ill-a=YORK Small Sunline (3-6 Ton Package) N543 Page:5
Single Package R-410A Heat Pump
Project Name: PRJ LLC Unit Model#: XN048COOAlCIAAAIAI
Quantity: 1 Tag#:IN STOCK System: XN048COOAlCIAAAlAl
Consolidated Drawing
NOTES: U OPERATING CENTER OF GRAVITY
1. FOR OUTDOOR USE ONLY. N WEIGHT(LBS LOCATION RASE UNIT) 4 POINT CORNER LOADS(LBS) (BASE UNIT)
2.WEIGHTS SHOWN ARE FOR COOLING ONLY UNITS. TONNAGE I
3.MIN. CLEARANCES TO BE: T (BASE UNIT) X Y A E C D
RIGHT SIDE: 24 609,6 3 ZE 470 213 34.5[876,31 18.25 1463,61 111 50 80 36 117 53 162 73
LEFT SIDE: 24 689,6 (LESS ECONOMIZER)
36 914,4 (WITH ECONOMIZE A) 4 2E 598 1271 36[914,41 18.50[4fi9,9 139 63 108 49 154[70] 198[90]
FRONT: 24 609,6 (COOLING/ELECTRIC HEAT) 5 ZE 632 287 37.5 952,5 18.2 462,3 139[63] 117[53 171[78 204[93
32 812,8 (((GAS HEAT) _ 3 ZF 468 212 33 1838,21 18.25 1463,61 114 52 76 35 111 50 167 76
REAR: 12 304,8 LESS ECONOMIZER)
36 914,4 WITH ECONOMIZER OR FIXED 4 ZF 541 2451 1 31.50[800,11 18.50 f469,91 138 f631 85[391 122[551 196 1991
TOP: 72
AIR/MOTORIZED DAMPER) 5 ZF 569 258 37 939 B 15 381 105 48 86 39 170 77 208 94
4. BOTTOM,
SERV C1826,8]�AND OPERATIONAL CLEARANCES 1803,,3]31.62 6 ZF ae z90 37[939,81 IS 381 118 54 96 44 192 87 234 106
CONTACT YOUR APPLICATION ENGINEERING DEPARTMENT. 6.12 3 ZR 57S 261 40 1016 20 508 132 60 125 57 155 70 164 74
45. DOWNFLOW DUCTS DESIGNED TO BE ATTACHED TO ACCESSORY [155,51 4 ZR 58S 26S 40 1016 20 508 134 61 127 58 158 72 167 76
ROOF CURB ONLY. IF UNIT IS MOUNTED SIDE SUPPLY, IT 7.25 18.26 5 2R 590 268 40 1016 20 508 135 61 128 58 159 72 168 76
IS RECOMMENDED THAT THE DUCTS ARE SUPPORTED BY [184,01 1463,7]
CROSS BRACES,AS DONE ON ACCESSORY ROOF CURBS. 3 XN 610 277 38.3 912,8 18.75 476,3 136[62] 119 54 165[751 190[86]
6. SIDE DUCT FLANGES ARE 0.675"US.2]HIGH. 1.80 27.54 4 101 616 273 38.2 970 3 18.4 467,4 135 1611 117[53] 169[771 195[88)
BOTTOM DUCTS DO NOT HAVE FLANGGES. [45,8] [699,6]
7. MINIMUM CONDENSATION TRAP HEIGHT SHALL BE 1.5 TIMES S 101 620 281 38.6 980,4 18 457,2 132 60 117 53 174 79 197 89
THE LOWEST NEGATIVE STATIC. REAR
8.DIMENSIONS IN( 1 ARE IN MILLIMETERS OR KILOGRAMS. #.P
575 251 39 990 6 20 506 135 61 121 55 151 69 168 76
9.OPTIONAL(02.GIIAAD GAS HEAT ECONOMIZER HOOD, 5.89 585 26S 39 990 6 20 506 137 62 124 56 154 78 171 7BDISCONNECT SWITCH,Ipry ENIENCI OUTLET, AND 149,6OUTLET/INLET NOOD SHOW. 5.51 [ ] 590 2158 39 990 6 20 508 13B 63 125 57 155[761 172 1781
®EXCEPT XN 8 XP(HEAT PUMP)UNITS. [140,01 A + 8
DIRECTION OF AIRFLOW 32.26 rll. -1 —
CENTER OF GRAVITY POWER WIRING BOTTOM ENTRY (311,3]J ]29�I] ECONO/ 3.OY 31.
02.00(sD,Rj T 17.14�0 RIGHT
o/A ]7G,2)I192 1
4.00 I4"S]
[101,61 1
� CV' SUPPLY R 0%AN I29 1][
_ 4M 6]
8.2 Y
T [20,121
D 11.06 fi,48 C (16S SI] 4.58[116,3]
[164,7]
I281,0] [31.62 [193,6]
CONTROL WIRING BOTTOM ENTRY 32.0D -UPS SUPPLY BOTTOM ENTRY e1.50[38,1]K.O. .� 17.50 31.62
00.88[22,21 (815,2] (0.50(12,7I HPT AT CAS VALVE [444,51 [803,2]
ECONONE2ER NOOD 01.97 K.0 X VENT AIR OUTLET HOOD A
(OPTIONAL] (50, COMBUSTION AIR INLET HOOD RAIN HREARNOTASHOWN INTIAL VIEW
DISCONNECT SNITCH ( )
Ft``ii COVER(OPTIONAL) �ryC�yt ��p
AC(F 9L•pWER CONVENIENCE OUTLET �E I g�pp� ^uc5 SCE
27.3� ACCESS COVER(OPTIONAL) ttiy ACCESS ° f- (32657[
I04 7] rt ee0.88 K.O. KCE
(�1 [22,2]
3.78
18.58 F-- [96,01 [1 131] [176,2] q44.,.B[471,9] 0.75[19,1] I 4'42 31.89 GAS SUPPLY ENTRYCOIL GUARD
PVC FPT ---NNN 19.67 [112,3] [810,0] �1.63[11,4] ® (OPTIONAL)
COND.DRAIN 1499,71 2.55 82.19 RIGHT VIEW
LEFT VIEW [fi4,7] (2087,61 FRONT VIEW
Unitary Sales Tool v1,5.9.0 Information is subjectto change v4lhout notice.Check local codes. Printed 0910712017
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DNX 445 440 20 24.5 127 93 93 127
(2.0) BHZ 360 355 22.25 25 96 84 81 93
BHX 385 380 22.25 25 103 90 87 100
030 DNZ 395 390 24 24.75 98 99 97 96
(2.5) BHZ 355 350 22.25 25 96 84 81 93
DNZ 400 395 24 25 100 101 98 96
036 DNY 445 440 20 24.25 126 91 93 129
(3.0) DNX 485 480 20 24 136 98 103 143
BHZ 395 390 22.25 25 106 92 89 '102
BHX 405 400 21.75 24.25 108 90 92 110
042 DNZ 470 465 21 24.8 131 103 101 129
(3.5) BHZ 445 440 22.25 25 120 104 101 115
DNZ 475 470 21 24.8 133 104 102 130
(048, DNY 605 500 20 24 142 102 107 149
(4.0) DNX 505 500 20 24 142 102 107 149
(BHZ; 490 (485 22.25 25 132 115 111 127
BHX 445-° 440 22 26 126 107 95 '112
DNZ 545 540 20 24 153 110 116 161
060 DNY 545 540 20 24 153 110 116 161
(5.0) BHZ 500 495 22.25 25 135 117 113 130
BHX 465 460 22 26.25 133 113 1 99 116
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COMMERCIAL APPLICATION
PERMIT SUBMITTAL
Department of Community & Economic Development
City of Arlington • 18204 59th Ave NE • Arlington, WA 98223 • Phone (360) 403-3551
The following minimum information is required for your Commercial/Multi-Family Building Permit
Application. Mark each box to designate that the information has been provided. Please submit this
checklist as part of your submittal documents. Incomplete applications will delay the review.
❑ One (1) City of Arlington CommercialiMulti-Family Permit Application
(One (1) permit application per building or structure is required)
❑ One (1) City of Arlington Commercial/Multi-Family Submittal Requirements Form
❑ Two (2) Architectural Drawings
❑ Two (2) Structural Drawings
❑ Two (2) Structural Calculations
❑ One (1) Project Specification Manuals (if applicable)
❑ One (1) NREC Code Compliance Forms
❑ One (1) Special Inspection Requirements Forms
❑ One (1) Occupant's Statement of Intended Use Form
Drawings shall be BOUND SEPARATELY BY TYPE, architectural, structural and landscape, and then
ROLLED TOGETHER IN COMPLETE SETS>
An intake appointment is required for all new Commercial or Multi-Family Building Permit Applications.
To schedule an appointment please contact the City of Arlington Permit Center at (360) 403 3551 or by
email to ced@arlingtonwa.gov.
acknowledge that all items designated above are included as part of this application.
REV 2015 Page 1 of 9
COMMERCIAL APPLICATION
PERMIT SUBMITTAL
Department of Community & Economic Development
City of Arlington• 18204 59th Ave NE• Arlington, WA 98223• Phone(360) 403-3551
A. FEES DUE AT TIME OF PERMIT ISSUANCE
B. CODES
The City of Arlington currently enforces the following:
International Codes
1. 2015 International Building Code (IBC)
2. 2015 International Residential Code (IRC)
3. 2015 International Mechanical Code (IMC)
4. 2015 International Fuel Gas Code(IFGC)
5. 2015 International Fire Code(IFC)
6. 2015 International Plumbing Code(I PC)
7. 2015 International Property Maintenance Code(IPMC)
8. 2015 International Existing Property Code (IEBC)
9. 2015 Washington State Energy Code (WESC)
10. 2009 Accessible& Usable Buildings and Facilities(ICC/ANSI 1417.1)
Washington State Amendments
1. WAC 51-50 Washington State Building Code
2. WAC 51-51 Washington State Residential Code
3. WAC 51-52 Washington State Mechanical Code
4. WAC 51-54 Washington State Fire Code
5. WAC 51-56&51-57 Washington State Plumbing Code and Standards
6. WAC 51-11 Washington State Energy Code
7. WAC 296-46B Electrical Safety Standards, Administration, and Installation
C. CITY OF ARLINGTON DESIGN REQUIREMENTS
Design Wind Speed: 85 miles per hour(Exposure C)
Ground Snow Load: 25 pounds per square foot
Seismic Zone: D2
Rainfall: 2 inches per hour for roof drainage design.
Frost Line Depth: 12 inches
Soil Bearing Capacity: 1,500 psf unless a Geo-Technical Report is provided. (IBC Table 1804.2&IRC R401.4.1)
D. PLANS AND DRAWINGS
Submit two(2) complete sets of drawings and plans. Drawings and plans must be submitted on minimum 18"X 24", or maximum
30"X 42"paper.All sheets are to be the same size and sequentially labeled. Plans are required to be clearly legible,with scaled
dimensions, in indelible ink, blue line,or other professional media. Plans will not be accepted that are marked preliminary or not
for construction,that have red lines,cut and paste details or those that have been altered after the design professional has
signed the plans.
Please Note:A separate submittal of plans is required for each building or structure.
REV 2015 Page 2 of 9
COMMERCIAL APPLICATION
PERMIT SUBMITTAL
Department of Community & Economic Development
City of Arlington • 18204 59th Ave NE • Arlington, WA 98223 • Phone(360) 403-3551
DETAILED SUBMITTAL REQUIREMENTS
Mark each box to designate that the information has been provided. Please submit this checklist as part of your submittal documents
A. ❑ SITE PLAN —,REQUIRED WITH ALL SUBMITTALS
(May be included as part of the Architectural Drawing cover Sheet)
1. Drawing shall be prepared at scale not to exceed 1"=20 feet.
2. Show building outline and all exterior improvements.
3. Provide property legal description and show property lines.
4. Provide dimensions from the property lines to a minimum of two building corners (or two identifiable locations for
irregular plan shapes).
5. Show building setbacks, easements and street access locations.
6. Indicate North direction.
7. Indicate finish floor elevation for the first level.
8. Provide topographical map of the existing grades and the proposed finished grades with maximum five feet elevation
contour lines.
9. Show the location of all existing underground utilities, including water,sewer,gas and electrical.
10. Flood hazard areas,floodways,and design flood elevations as applicable.
B. ❑ ARCHITECTURAL DRAWINGS
1. ❑ Cover Sheet
a) Building Information
1. Specify model code information.
2. Construction Type.
3. Number of stories and total height in feet.
4. Building square footage(per floor and total)
5. IBC Occupancy Type (show all types by floor and total).
6. Mixed-use ratio (if applicable)
7. Occupant load calculation (show by occupancy type and total)
8. List work to be performed under this permit
b) Design Team Information
1. Design Professional in Responsible Charge
2. Architects
3. Structural Engineers
4. Owner
5. Developer
6. Any other Design Team Members
2. ❑ Floor Plan
a) Plan view 1/8°minimum scale. Details a minimum %.-inch scale.
b) Plans must show the entire tenant space.
c) Specify the use of each room/area.
d) Provide an occupant load calculation on the floor plan. (on every floor, in all rooms and spaces)
e) Show ALL exits on the plans;include new,existing or eliminated.
f) Show Barrier-Free information on the drawings.
g) Show the location of all permanent rooms,walls and shafts.
h) Note the uses in the adjacent tenant spaces, if applicable.
i) Provide a door and door hardware schedule.
REV 2015 Page 3 of 9
COMMERCIAL APPLICATION
PERMIT SUBMITTAL
Department of Community & Economic Development
City of Arlington• 18204 59th Ave NE• Arlington, WA 98223• Phone(360) 403-3551
j) Show the location of all new walls, doors,windows, etc.
k) Provide details and assembly numbers for any fire resistive assemblies.
1) Indicate on the plans all rated walls,doors, windows and penetrations.
m) Provide a legend that distinguishes existing walls, walls to be removed and new walls.
3. ❑ Reflected Ceiling Plan
a) Plan view 1/8"minimum scale. Details a minimum %4-inch scale.
b) Provide ceiling construction details.
c) Provide suspended ceiling details complying with IBC 803.9.1.1. Show seismic bracing details.
d) Show the location of all emergency lighting and exit signage.
e) Detail the seismic bracing of the fixtures.
f) Include a lighting fixture schedule.
4. ❑ Framing Plan
a) Specify the size, spacing, span and wood species or metal gage for all stud walls.
b) Indicate all wall, beam and floor connections.
c) Detail the seismic bracing for all walls.
d) Include a stair section showing rise, run, landings, headroom, handrail and guardrail dimensions.
5. ❑ Storage Racks (if applicable)
a) Structural calculations are required for seismic bracing of storage racks eight feet or greater in height.
b) Eight feet or less,show a positive connection to floor or walls.
NOTE:High pile storage shall meet the requirements of current International Building and Fire Codes.
C. ❑ SPECIAL INSPECTION
1. Where special inspection is required by IBC 1704, the registered design professional in responsible charge shall prepare
a special inspection program that will be submitted to the City of Arlington and approved prior to issuance of the building
permit to comply with IBC 106.1.
D. ❑ WASHINGTON STATE ENERGY CODE
1.One (1)completed Washington State Non-Residential Energy Code Envelope Summary forms.
E. OCCUPANT'S STATEMENT OF INTENDED USE
1. The Occupant's Statement of Intended Use form shall be completely filled out and may require the submittal of a
Hazardous Materials inventory Statement(HMIS). Contact the Arlington
REV 2015 Page 4 of 9
COMMERCIAL APPLICATION
PERMIT SUBMITTAL
Department of Community & Economic Development
City of Arlington • 18204 59th Ave NE • Arlington, WA 98223 • Phone (360) 403-3551
The building permit does not include any mechanical, electrical, plumbing or fire sprinkler'alarm work. These permits are
issued separately. Mechanical, electrical, plumbing, or fire sprinkler°alarm permits require a separate permit application
and may also require separate plan review.
Please note that any tenant improvement work in a space that involves food handling or preparation requires Snohomish
County Health District approval before the permit can be issued. You must provide the Permit Center a copy of the
approval letter or the approved plans. Contact the Snohomish County Health District at (425) 339-5250 with any questions
or for more information.
An intake appointment is required for all large Tenant Improvement Building Permit Applications. To determine if your
project requires an intake appointment, to schedule an appointment or to ensure that you have the most current
information, please contact the City of Arlington Permit Center at (360) 403-3551 or by email to ced@arlingtonwa.gov.
Incomplete applications will not be accepted.
I acknowledge that all items designated as submittal requirements must accompany my Building Permit Application to be
considered a complete submittal.
REV 2015 Page 5 of 9
COMMERCIAL APPLICATION
PERMIT SUBMITTAL
Department of Community & Economic Development
City of Arlington • 18204 59th Ave NE• Arlington, WA 98223 • Phone(360) 403-3551
THIS APPLICATION TO BE USED FOR NEW COMMERCIAL STRUCTURES AND RESIDENTIAL DWELLINGS NOT REGULATED UNDER THE
I RC. THIS APPLICATION MUST BE ACCOMPANIED BY A COMMERCIAL APPLICATION SUBMITTAL CHECKLIST AND AN OCCUPANT'S
STATEMENT OF INTENDED USE.
Name of Project:PRJ #5 Valuation: 11,525
Project Address: 328 S. Stillaguamish, Arlington
Parcel ID#: 2870048 Legal Description See permit
Owner: Paula Johnson Phone Number: 425-419-7262
Address: 328 S. Stillaguamish City:Arlington State:WA Zip Code:98223
Engineer: Phone Number:
Cell Phone: E-mail:
Address: City: State: L p Code:
General Contractor:Evergreen State Heat & A/C Phone Number:425-252-3114
Cell Phone: 253-250-9132 E-mail: mark@essmwa.com
Address:2120 Pacific Ave City: Everett State: WA Z;p Code: 98201
Contractor's License Number:EVERGSS0220T Expiration:NOV 17
Contact Person: Mark Payne Phone Number: 425-252-3114
Cell Phone: 253-250-9132 E-mail: mark@essmwa.com
Address: 2120 Pacific Ave City: Everett State: WA zip Code: 98201
Proposed Scope of Work:
REV 2015 Page 6 of 9
COMMERCIAL APPLICATION
PERMIT SUBMITTAL
Department of Community & Economic Development
City of Arlington • 18204 59th Ave NE • Arlington, WA 98223 • Phone(360) 403-3551
Project Name/Tenant PRJ 45
Site Address328 S. Stillaguamish Bldg/Unit/Suite
IBC Construction Type IBC Occupancy Type
Description of Use Office
Building Square Footage 5500 Number of Stories 2
Square Footage Per Floor2600
Will there be any installation, modification or removal of the following? (Check all that apply)
❑ Automatic fire extinguishing systems
❑ Compressed gas systems
❑ Fire alarm and detection systems
❑ Fire pumps
❑ Flammable and combustible liquids (tanks,piping etc...)
❑ Hazardous materials
❑ High piled/rack storage
❑ Industrial ovens/furnace
❑ Private fire hydrants
❑ Spraying or dipping operations
❑ Standpipe systems
❑ Temporary membrane structure, tents (>200sq ft)or canopies (>400 sq ft)
Provide details on any of the above checked items:
Installation,changes, modifications or removal of any of the above may require additional submittals,
information, or permits during the plan review or construction process.
Statement of Special Inspection
REV 2015 Page 7 of 9
COMMERCIAL APPLICATION
f � o� PERMIT SUBMITTAL
Department of Community & Economic Development
City of Arlington• 18204 59th Ave NE• Arlington, WA 98223• Phone(360) 403-3551
Form not needed
Name of Project:
Project Address:
Special Inspection Firm:
Address:
Contact Person: Phone:
Email:
Special Inspection Firm Special Inspectors:
The Special inspection Firm of will perform special inspection for
the following types of work(separate forms must be submitted if more than one firm is to be employed).
( ) Reinforced Concrete
( ) Bolting in Concrete
( ) Pre-stressed Concrete
( ) Shotcrete
( ) Structural Masonry
( ) Structural Steel and Welding
( ) High-Strength Bolting
( ) Spray-Applied Fireproofing
( ) Smoke-Control Systems
( ) Other Specify:
All individual inspectors to be employed on this project will be WABO certified for the type of inspection they are to perform. If inspection
is for work that is not covered by the WABO categories,a detailed resume of the inspector and firm must be submitted.The resume
must show the inspector and firm are qualified to perform the work and testing required by the project design and specifications.
The work shall be inspected for conformance with the plans and specifications approved by the City. Revisions and addenda sheets will
not be used for inspection unless approved by the City.The special inspector shall report to the City revisions that are not approved.
A daily record will be maintained on site itemizing the inspections performed,for the review of all parties.Any nonconforming items shall
be brought to the immediate attention of the contractor for resolution. A weekly shall be submitted to the City;detailing the inspections
and testing performed, listing any nonconforming items and resolution of nonconforming items. Unresolved nonconforming items will be
detailed on a discrepancy report and presented to the building department.
A final report shall be submitted to the Building Division prior to the Certificate of Occupancy being issued. This report will indicate that
inspection and testing was completed in conformance with the approved plans,specifications and approved revisions and addenda.
Any unresolved discrepancies must be detailed in the final report.
The special inspector and special inspection firm serve in the role as"deputy"City of Arlington inspectors and as such are responsible
to the City of Arlington Building Division in the performance of the required work.
Contractor:
The contractor shall provide the special inspector or agency adequate notification of work requiring inspection.
The City approved plans and specifications must be made available, at the job site for the use of the special inspector and the City
Inspector. The contractor shall maintain all daily inspections reports, on site,for review.
REV 2015 Page 8 of 9
COMMERCIAL APPLICATION
PERMIT SUBMITTAL
Department of Community & Economic Development
City of Arlington• 18204 59th Ave NE• Arlington, WA 98223• Phone(360) 403-3551
The special inspection functions are considered to be in addition to the normal inspections performed by the City and the contractor is
responsible for contacting the City to schedule regular inspections. No concrete shall be poured or other work covered until approved
by the City Inspector.
Building Division:
The Building Division shall review any revisions and addenda. Approved copies will be given to the contractor to maintain as part of the
approved plan set.
The City Inspector will monitor the special inspection functions for compliance with the agreement and the approved plans.
The City Inspector shall be responsible for approving various stages of construction to be covered and work to proceed.
Design Professionals:
The architect and engineer will clearly indicate on the plans and specifications for the specific types of special inspection required, and
shall include a schedule for inspection and testing.
The architect and engineer will coordinate their revisions and addenda process in such a way as to insure all required City approvals
are obtained, prior to work shown on the revisions being performed.
Owner:
The project owner, or the architect or engineer acting as the owners agent, shall employ the special inspector or agency.
ENFORCEMENT:
A failure of the special inspector or firm to perform in keeping the requirements of the IBC,the approved plans and this document may
void this agreement and the Building Officials approval of the special inspector. In such case a new special inspector and/or firm would
need to be proposed for approval.A failure of the design and/or construction parties to perform in accordance with this agreement may
result in a STOP WORK notice being posted on the project, until nonconforming items have been resolved.
ACKNOWLEDGEMENTS
I have read and agree to comply with the terms and conditions of this agreement.
Contractor Mark Payne October 26, 2017
Owner: y Date:
I hereby certify that the above information is correct and that the construction on, and the occupancy and the use of the above-described
property will be in accordance with the laws, rules and regulation of the State of Washington.
�a/c <C4 o
Applicants Signature
Print Applicants Name Date
FOR STAFF USE ONLY
Permit# Accepted By Amount Received Receipt# Date Received
REV 2015 Page 9 of 9
Permit#: 1725
Permit Date: 11/01/17
Permit Type: COMMERCIAL MECHANICAL
Project Name: PRJ#5
Applicant Name: Evergreen State Heat and A/C
Applicant Address: 2120 Pacific Ave
Applicant, City, State, Zip: Everett,WA 98201
Contact: Paula Johnson
Phone: 360-474-8686
Email: mark@essmwa.com
Scope of Work: Replace like for like, same capacity, size and location.
Valuation: 11525.00
Square Feet: 0
Number of Stories: 1
Construction Type:
Occupancy Group:
ID Code:
Permit Issued: 11/03/2017
Permit Expires:
Form Permit Type:
Status: LASERFICHE
Assigned To: Launa Black
Property
Parcel# Address Legal Description Owner Name Owner Phone Zoning
2870048 328 S Stillaquamish Ave Arlington Rehab 651 Medical&Other
Partners LLC Health Services
Contractors
Contractor Primary Contact Phone Address Contractor Type License License#
Evergreen State Heat MECHANICAL Labor and
Mark Payne 425-252-3114 2120 Pacific Ave EVERGSS928RN
and A/C CONTRACTOR Industries
Plan Reviews
Date Review Type Description Assigned To Review Status
11/01/2017 COMMERCIAL BUILDING
MECHANICAL
Fees
Fee Description Notes Amount
Mechanical Fee(Enter Fixture Fee) $25.00
Mechanical Base Permit Fee $25.00
Mechanical Commercial Plan Review Table 4-1 $250.00
Processing/Technology $25.00
Total $325.00
Attached Letters
Date Letter Description
11/02/2017 Building Permit
Payments
Date Paid By Description Payment Type Accepted By Amount
11/03/2017 Russell Kimbell 67147867 cc $325.00
Outstanding Balance $0.00
Uploaded Files
Date File Name
11/03/2017 2752933-1725 Issued Permit.pdf
11/01/2017 2746014-Commercial Application Packet CsEXA90r4M32O4.pdf