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HomeMy WebLinkAbout207 N GIFFORD_BLD1735_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:207 NORTH GIFFORD AVE Project Description:INSTALL DUCTLESS HEAT PUMP Owner: RON SWIRTZ Address. 207 NORTH GIFFORD AVE City. ARLINGTON State.WA Zip Code: 98223 Phone. 360-435-8371 Email:BOATSAILOR02@YAHOO.COM Applicant: C.M. HEATING INC Address: 1415 BROADWAY City. EVERETT State.WA Zip Code: 98201 Phone. 425-259-0550 Email: DEBBIE@CMHEATING.COM CONTRACTOR INFORMATION Contractor Name:C.M. HEATING INC Address: 1415 BROADWAY City. EVERETT State.WA Zip Code: 98201 License Number:CMHEAI*095R4 Expiration: 05/19 Phone: 425-259-0550 Email:DEBBIE@CMHEATING.COM STAFF USE ONLY Permit #: Accepted by: Date: 6/16LP Page 1 of 2 Y. RESIDENTIAL MECHANICAL PERMIT APPLICATION SING Department of Community& Economic Development City of Arlington • 18204 59th Ave NE• Arlington, WA 98223• Phone(360) 403-3551 SELECT ALL PROPOSED APPLIANCES ❑ Furnace (80+) Model # AFUE Heat Pump Model #4MXS36NMVJU AFUE HSPE ❑ AC Unit Model # SEER ❑ Freestanding Stove ❑ Fire Place Insert ❑ Outdoor BBQ ❑ Gas Piping ❑ Solid-Fuel Appliance ❑ Other Gas Piping Information Not Applicable: ❑ Pipe Material: Pipe Size: Distance from Meter to Furthest Appliance: Total BTU's of all Appliances: • New gas piping requires a pressure test 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: 11/07/2017 Applicant Printed Name: Debbie Bauers 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 i Certificate of Product Ratings AHRI Certified Reference Number: 8103871 Date: 11/7/2017 Product: Variable Speed Multi-Split Heat Pump Outdoor Unit Model Number: 4MXS36NMVJU Indoor Unit Type: Non-Ducted Indoor Units Manufacturer: DAIKIN AC (AMERICAS), INC. Trade/Brand name: DAIKIN Series name: Manufacturer responsible for the rating of this system combination is DAIKIN AC (AMERICAS), INC. Rated as follows in accordance with AHRI Standard 210/240-2008 for Unitary Air-Conditioning and Air-Source Heat Pump Equipment and subject to verification of rating accuracy by AHRI-sponsored, independent, third party testing: Cooling Capacity (Btuh): 36000 EER Rating (Cooling): 9.20 SEER Rating (Cooling): 17.70 Heating Capacity(Btuh) @ 47 F: 36000 Region IV HSPF Rating (Heating): 12.20 Heating Capacity(Btuh) @ 17 F: 22000 CERTIFIED RATINGS FOR VARIABLE-SPEED, MINI-AND MULTI-SPLIT SYSTEMS ARE VALID FOR ALL COMBINATIONS OF INDOOR UNITS (BASED ON COMBINATION TYPES)WITH THE SPECIFIC OUTDOOR UNIT LISTED ABOVE AND IN THE AHRI DIRECTORY OF CERTIFIED EQUIPMENT.VISIT WWW.AHRIDIRECTORY.ORG TO VERIFY THAT THIS COMBINATION IS AN ACTIVE LISTING AND THE DATA LISTED ON THIS CERTIFICATE IS ACCURATE.SEARCH ON THE AHRI REFERENCE#TO QUICKLY LOCATE THIS COMBINATION IN THE DIRECTORY. *Ratings followed by an asterisk(*)indicate a voluntary rerate of previously published data,unless accompanied with a WAS,which indicates an involuntary rerate. DISCLAIMER AHRI does not endorse the product(s)listed on this Certificate and makes no representations,warranties or guarantees as to,and assumes no responsibility for, the product(s)listed on this Certificate.AHRI expressly disclaims all liability for damages of any kind arising out of the use or performance of the product(s),or the unauthorized alteration of data listed on this Certificate.Certified ratings are valid only for models and configurations listed in the directory at www.ahrid!rectory.org. TERMS AND CONDITIONS This Certificate and its contents are proprietary products of AHRI.This Certificate shall only be used for individual,personal and confidential reference purposes.The contents of this Certificate may not,in whole or in part,be reproduced;copied;disseminated; entered into a computer database;or otherwise utilized,in any form or manner or by any means,except for the user's individual, AM personal and confidential reference. AIR-CONDITIONING,HEATING, CERTIFICATE VERIFICATION &REFRIGERATION INSTITUTE The information for the model cited on this certificate can be verified at www.ahrid!rectory.org,click on"Verify Certificate"link we make life betterTM and enter the AHRI Certified Reference Number and the date on which the certificate was issued, which is listed above,and the Certificate No.,which is listed at bottom right. 131545557180414917 ©2014 Air-Conditioning, Heating,and Refrigeration Institute CERTIFICATE NO.: CITY OF ARLINGTON 238 N. OLYMPIC AVE-ARLINGTON, WA. 98223 PHONE; (360)403-3551 BUILDING PERMIT Address:207 N Gifford Ave Permit#:1735 Parcel#:00455400300600 Valuation:0.00 OWNER APPLICANT CONTRACTOR Name:S WIRTZ RON/NANCY Name:CM Heating,Inc. Name:CM Heating Inc Address:450 E BURKE Address:1415 Broadway Address: 1415 Broadway City,State Zip:ARLINGTON,WA 98223 City,State Zip:Everett,WA 98201 City,State Zip:Everett,WA 98201 Phone: Phone:425-259-0550 Phone:425-259-0550 MECHANICAL CONTRACTOR PLUMBING CONTRACTOR Name:CM Heating Inc Name: Address: 1415 Broadway Address: City,State,Zip:Everett,WA 98201 City,State,Zip: Phone:425-259-0550 Phone: L[C#: EXP: LIC#; EXP: JOB DESCRIPTION PERMIT TYPE: Residential Mechanical CODE YEAR: 2015 STORIES: CONST.TYPE: DWELLING UNITS: 1 OCC GROUP: BUILDINGS: OCC LOAD: PERMIT APPROVAL I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUCTION AND IN DOING THE WORK AUTHORIZED THEREBY,NO PERSON WILL BE EMPLOYED IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO WORKMEN'S COMPENSATION INSURANCE AND RCW 18.27. THIS APPLICATION IS NOT A PERMIT UNTIL SIGNED BY THE BUILDING OFFICIAL OR HIS/HER DEPUTY AND ALL FEES ARE PAID. IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. IBCI]0/IRCI10. SALES TAX NOTICE:Sales tax relating to construction and construction materials in the City of Arlin j l�c r \rtetl on your sales tax return form and coded City of Arlington#3101. Si al re Print Name Date sed 11 Date CONDITIONS Approved as submitted. Adhere to the installation of model #4MXS36NMVJU.Additional requirements: 3" concrete pad with seismic bracing attached to pad is required,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 1 1/812 01 7 Heat Pump $25.00 11/8/2017 Mechanical Permit Base Fee $25.00 11/8/2017 Processingfrechnology Fee $25.00 Total Due: $75.00 Total Payment: $75.00 Balance Due: $0.00 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:207 N Gifford Ave Permit th 1735 Parcel#:00455400300600 Valuation:0.00 OWNER APPLICANT CONTRACTOR Name:S WIRTZ RON/NANCY Name:CM Heating,Inc. Name:CM Heating Inc Address:450 E BURKE Address:1415 Broadway Address: 1415 Broadway City,State Zip:ARLINGTON,WA 98223 City,State Zip:Everett,WA 98201 City,State Zip:Everett,WA 98201 Phone: Phone:425-259-0550 Phone:425-259-0550 MECHANICAL CONTRACTOR PLUMBING CONTRACTOR Name:CM Heating Inc Name: Address: 1415 Broadway Address: City,State,Zip:Everett,WA 98201 City,State,Zip: Phone:425-259-0550 Phone: LIC#: EXP: LIC#: EXP: JOB DESCRIPTION PERMIT TYPE: Residential Mechanical CODE YEAR: 2015 STORIES: 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 Arlin o t �0 on your sales tax return form and coded City of Arlington#3101. � ' A-06. litl Signature Print Name Date sed B Date CONDITIONS Approved as submitted. Adhere to the installation of model #4MXS36NMVJU.Additional requirements: 3" concrete pad with seismic bracing attached to pad is required, 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 11/8/2017 Heat Pump $25.00 11/8/2017 Mechanical Permit Base Fee $25.00 11/8/2017 Processing/Technology Fee $25.00 Total Due: $75.00 Total Payment: $75.00 Balance Due: $0.00 CALL FOR INSPECTIONS BUILDING(360)403-3417 When calling for an inspection please leave the following information: Permit Number,Type of Inspection being requested,and whether you prefer morning or afternoon Community and Economic Development , Building Division INSPECTION RECORD SHALL REMAIN AT JOB Building construction shall not commence until permit SITE holder or agent has posted this Inspection Record Card in a conspicuous place on the premises. OWNER: Ron and Nancy Swirtz CONTRACTOR: CM Heating, Inc. JOB ADDRESS:207 N Gifford Ave OWNERADDRESS: 207 N Gifford Ave USE of BUILDING: SFR PLAT NAME: Description of Work: Install Ductless Heat PUMP LOT# PERMIT NO: 1 735 Sprinklered: CONDITIONS: See Permit DATE ISSUED: 11.8.2017 TYPE GROUP DEPARTMENT INSPECTION DATE DATE PASS FAIL INITIALS FOOTING BUILDING FOUNDATION INSPECTION LINE UNDERFLOOR (360)403-3417 SHEARWALL PLUMBING (groundwork) GAS PIPING(groundwork) ROUGH PLUMBING ROUGH GAS PIPING ROUGH HEATING&VENTILATION FRAMING INSULATION WALLBOARD(SHEAR/RATING) ROOF DRAINAGE DEVELOPMENT STORM INFILTRATION SERVICES GRADING INSPECTION LINE CURB GUTTER&SIDEWALK (360)403-3417 LANDSCAPE DRIVEWAY UTILITIES SIDE SEWER INSPECTION LINE SEWER CLEANOUT/FINAL (360)403-3508 WATER SERVICE INSPECTION WATER SERVICE FINAL CROSS CONNECTION FINAL (360)403-3417 FINAL INSPECTION All sections must be signed off prior to final inspection Electrical must be signed off prior to final inspection COMMENTS: CITY OF ARLINGTON 238 N. OLYMPIC AVE-ARLINGTON,WA.98223 PHONE; (360)403-3551 BUILDING PERMIT _ Address:207 N Gifford Ave Permit#:1735 Parcel#:00455400300600 Val ustion:0.00 OWNER APPLICANT CONTRACTOR Name:S WIRTZ RON/NANCY Name:CM Heating,Inc. Name:CM Heating Inc Address:450 E BURKE Address:1415 Broadway Address:1415 Broadway City,State Zip:ARLINGTON,WA 98223 City,State Zip:Everett,WA 98201 City,State Zip:Everett,WA 98201 Phone: Phone:425-259-0550 Phone:425-259-0550 MECHANICAL CONTRACTOR PLUMBING CONTRACTOR Name:CM Heating Inc Name: Address: 1415 Broadway Address: City,State,Zip:Everett,WA 98201 City,State,Zip: Phone:425-259-0550 Phone: LIC#: EXP: LIC#: EXP: JOB DESCRIPTION PERMIT TYPE: Residential Mechanical CODE YEAR: 2015 STORIES: CONST.TYPE: DWELLING UNITS: ] OCC GROUP: BUILDINGS: OCC LOAD: PERMIT APPROVAL I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUCTION AND IN DOING THE WORK AUTHORIZED THEREBY,NO PERSON WILL BE EMPLOYED IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO WORKMEN'S COMPENSATION INSURANCE AND RCW 18.27. THIS APPLICATION IS NOT A PERMIT UNTIL SIGNED BY THE BUILDING OFFICIAL OR HIS/HER DEPUTY AND AI.I.FEES ARE PAID. IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED, IBCI 10/IRCI10. SALES TAX NOTICE.:Sales tax relating to construction and construction materials in the City of Arlin u ) 1 i carted on your sales tax return form and coded City of Arlington#3101. I Pg- Si al re Print Name Date Vlf • sad II ,Date CONDITIONS Approved as submitted. Adhere to the installation of model #4MXS36NMVJU.Additional requirements: 3" concrete pad with seismic bracing attached to pad is required,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 11/8/2017 Heat Pump $25.00 11/8/2017 Mechanical Permit Base Fee $25.00 1118/2017 Process Ing/Tech nology Fee $25.00 Total Due: $75.00 Total Payment: $75.00 Balance Due: $0.00 CALL FOR INSPECTIONS BUILDING(360)403-3417 When calling for an inspection please leave the following Information: ,� I CITY OF ARLINGTON 238 N. OLYMPIC AVE -ARLINGTON, WA. 98223 PHONE; (360)403-3551 BUILDING PERMIT Address:207 N Gifford Ave Permit#:1735 Parcel#:00455400300600 Valuation:0.00 OWNER APPLICANT CONTRACTOR Name:S WIRTZ RON/NANCY Name:CM Heating,Inc. Name:CM Heating Inc Address:450 E BURKE Address:1415 Broadway Address: 1415 Broadway City,State Zip:ARLINGTON,WA 98223 City,State Zip:Everett,WA 98201 City,State Zip:Everett,WA 98201 Phone: Phone:425-259-0550 Phone:425-259-0550 MECHANICAL CONTRACTOR PLUMBING CONTRACTOR Name:CM Heating Inc Name: Address: 1415 Broadway Address: City,State,Zip:Everett,WA 98201 City,State,Zip: Phone:425-259-0550 Phone: LIC#: EXP: LIC#: EXP: JOB DESCRIPTION PERMIT TYPE: Residential Mechanical CODE YEAR: 2015 STORIES: 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 Arlin o "", rt�d on your sales tax return form and coded City of Arlington#3101. • 01 Signature Print Name Date sed B)r Date CONDITIONS Approved as submitted. Adhere to the installation of model #4MXS36NMVJU. Additional requirements: 3" concrete pad with seismic bracing attached to pad is required,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 11/8/2017 Heat Pump $25.00 11/8/2017 Mechanical Permit Base Fee $25.00 11/8/2017 Processing/Technology Fee $25.00 Total Due: $75.00 Total Payment: $75.00 Balance Due: $0.00 CALL FOR INSPECTIONS BUILDING(360)403-3417 When calling for an inspection please leave the following information: Permit Number,Type of Inspection being requested,and whether you prefer morning or afternoon Permit Information Date 11/8/2017 Permit Number 1735 Project Name Swirtz Applicant Name CM Heating, Inc. Applicant Address 1415 Broadway City, State,Zip Everett,WA 98201 Contact Debbie Bauers Phone 425-259-0550 Email debbie@cmheating.com Permit Type Residential Mechanical Site Address 207 N Gifford 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 Parcel Address Legal Owner Owner Phone Zoning 00455400300600 207 N GIFFORD SWIRTZ RON/NANCY 111 Single Family Residence-Detached Contractors Contractor Name Primary Contact Phone Email Contractor Type License License# CM Heating Inc (Meredith Gilbert 425-259-0550 JIMECHANICAL CONTRACTOR 1_abor&Industries CMHEAMH877DN Fees Fee Description Notes Amount Heat Pum2 32Z 10.00 00 $25.00 Mechanical Permit Base Fee 322.10.00.00 $25.00 Processing/Technology Fee 341.43.00.02 $25.0 Total $75.0 Uploaded Files Upload File Date File Uploaded By I 11/8/2017 8:46:59 AM 11735 Heat Pump Info,pdf Foster,Kristin h 11/8/2017 8:46:40 AM 11735 Application.gdf Foster,Kristin . lot, RE4IDENTIAL MECHP4NICAL y� J PERMIT APPLICATION Department of Community& Economic Development City of Arlington • 18204 59th Ave NE• Arlington, WA 98223• Phone(360) 403-3551 THIS APPLICATION IS TO BE USED WHEN APPLYING FOR NEW MECHANICAL INSTALLATION AND OR GAS PIPING FOR EXISTING RESIDENCES. PLEASE FILL OUT ALL PAGES OF THIS APPLICATION AND INCLUDE ALL INFORMATION. Project Address:207 NORTH GIFFORD AVE Project Description:INSTALL DUCTLESS HEAT PUMP Owner: RON SWIRTZ Address: 207 NORTH GIFFORD AVE City: ARLINGTON State WA Zip Code: 98223 Phone: 360-435-8371 Entail:BOATSAILOR02@YAHOO.COM Applicant: C.M. HEATING INC Address: 1415 BROADWAY City: EVERETT State WA Zip Code: 98201 Phone: 425-259-0550 Email: DEBBIE@CMHEATING.COM CONTRACTOR INFORMATION Contractor Name:C.M. HEATING INC Address: 1415 BROADWAY City: EVERETT State.WA Zip Code: 98201 License Number:CMHEAI*095R4 Expiration: 05/19 Phone:425-259-0550 Email:DEBBIE@CMHEATING.COM STAFF USE ON Received Permit#: Accepted by: Date: NOV 0 7 HP 6/16LP Page 1 of 2 RESIDENTIAL MEC"ANICAL PERMIT APPLICATION t fly 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 #4MXS36NMVJU AFUE HSPE [� AC Unit Model #_ SEER Freestanding Stove Fire Place Insert ID Outdoor BBQ CII Gas Piping L1! Solid-Fuel Appliance Il Other Gas Piping Informatlon Not Applicable: i 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: 11/07/2017 Applicant Printed Name: Debbie Bauers I hereby certify that the above information is correct and that the construction, installation for the bbdve imentioned 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 CERTIFIED Certificate of Product Ratings AHRI Certified Reference Number: 8103871 Date: 11/7/2017 Product: Variable Speed Multi-Split Heat Pump Outdoor Unit Model Number: 4MXS36NMVJU Indoor Unit Type: Non-Ducted Indoor Units Manufacturer: DAIKIN AC (AMERICAS), INC. Trade/Brand name: DAIKIN Series name: Manufacturer responsible for the rating of this system combination is DAIKIN AC (AMERICAS), INC. Rated as follows in accordance with AHRI Standard 210/240-2008 for Unitary Air-Conditioning and Air-Source Heat Pump Equipment and subject to verification of rating accuracy by AHRI-sponsored, independent,third party testing: Cooling Capacity(Btuh): 36000 EER Rating(Cooling): 9.20 SEER Rating (Cooling): 17.70 Heating Capacity(Btuh)@ 47 F: 36000 Region IV HSPF Rating(Heating): 12.20 Heating Capacity(Btuh)@ 17 F: 22000 CERTIFIED RATINGS FOR VARIABLE-SPEED,MINI-AND MULTI-SPLIT SYSTEMS ARE VALID FOR ALL COMBINATIONS OF INDOOR UNITS (BASED ON COMBINATION TYPES)WITH THE SPECIFIC OUTDOOR UNIT LISTED ABOVE AND IN THE AHRI DIRECTORY OF CERTIFIED EQUIPMENT.VISIT WWW.AHRIDIRECTORY.ORG TO VERIFY THAT THIS COMBINATION IS AN ACTIVE LISTING AND THE DATA LISTED ON THIS CERTIFICATE IS ACCURATE.SEARCH ON THE AHRI REFERENCE#TO QUICKLY LOCATE THIS COMBINATION IN THE DIRECTORY. Ratings followed by an asterisk(*)indicate a voluntary rerate of previously piIshnd data,unless accompanied with a WA ,which indicates an involuntary rerate. DISCLAIMER AHRI does not endorse the product(s)listed on this Certificate and makes no representations,warranties or guarantees as to,and assumes no responsibility for, the product(s)listed on this Certificate.AHRI expressly disclaims all liability for damages of any kind arising out of the use or performance of the product(s),or the unauthorized alteration of data listed on this Certificate.Certified ratings are valid only for models and configurations listed in the directory at www.ahridirectory.org. TERMS AND CONDITIONS This Certificate and its contents are proprietary products of AHRI.This Certificate shall only be used for individual,personal and confidential reference purposes.The contents of this Certificate may not,in whole or in part,be reproduced;copied;disseminated; A. �` ISO into a computer database;or otherwise utilized,in any form or manner or by any means,except for the user's individual, personal and confidential reference. AIR-CONDITIONING,HEATING, CERTIFICATE VERIFICATION &REFRIGERATION INSTITUTE The information for the model cited on this certificate can be verified at www.ahridirectory.org,click on"Verify Certificate"link we make life better- and enter the AHRI Certified Reference Number and the date on which the certificate was issued, which is listed above,and the Certificate No.,which is listed at bottom right. 131545557180414917 ©2014 Air-Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: � y 11/8/2017 C M HEATING INC Search L&I " Washington State Department of Labor & Industries C M HEATING INC Owner or tradesperson 1415 BROADWAY Principals EVERETT,WA 98201 425-259-0550 GARNER,JAMES NICHOLAS,PRESIDENT SNOHOMISH County GARNER,JAMES NICHOLAS,VICE PRESIDENT GARNER,KATHLEEN DIANE,SECRETARY GARNER,KATHLEEN DIANE,TREASURER GARNER,JAMES NICHOLAS,AGENT SMITH,PAMELA (End:01/01/1980) GARNER,PAUL MILTON,PRESIDENT (End:10/01/2012) Doing business as C M HEATING INC WA UBI No. Business type 601 114 652 Corporation Governing persons JAMES GARNER PAUL M GARNER; KATHLEEN GARNER; 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. CMHEAI*095R4 Effective—expiration 12/24/1991—05/03/2019 Bond CBIC $12,000.00 Bond account no. 655840 Received by L&I Effective date 04/24/2002 12101/2001 Expiration date Until Canceled Insurance Ohio Security Ins Co $1,000,000.00 Policy no. https:Hsecure.ini.wa.gov/verify/Detaii.aspx?UBI=601114652&LIC=CMHEAI*095R4&SAW= 1/3 11/8/2017 r_.M HEATING INC BKS55127154 Received by L&I Effective date 04/20/2017 05/03/2016 Expiration date 05/03/2018 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 may be recorded by other agencies. License Violations Infractlon no. PBATI01045 Satisfied Issue date RCW/WAC 05/16/2014 18.106.020 Violation city Violation amount MOUNTLAKE TERRACE $250.00 Type of violation PLUMBER INFRACTION Description Contractor employed a person to engage in the trade of plumbing without a current journeyman,specialty or trainee certificate, temporary permit or medical gas endorsement as required.C M Heating employed Thomas Andrew Holden to perform plumbing installation work;Installed a new gas water heater,when not certified as a plumber as required. Workers' comp Do you know if the business has employees?If so,verify the business is up-to-date on workers'comp premiums. L&I Account ID Account is current. 490,794-01 Doing business as CHIMNEY MASTERS Estimated workers reported Quarter 3 of Year 2017"31 to 50 Workers" L&I account contact T2/MATT PEDERSEN(360)902-5476-Email:PEDM235@lni.wa.gov Public Works Strikes and Debarments Verify the contractor is eligible to perform work on public works projects. Contractor Strikes No strikes have been issued against this contractor. Contractors not allowed to bid No debarments have been issued against this contractor. Workplace safety and health Check for any past safety and health violations found on jobsites this business was responsible for. Inspection results date 031l6/2015 No violations Inspection no. 317935327 Location 1415 Broadway Everett,WA 98201 hftps://secure.Ini.wa.gov/verify/Detail.aspx?UBI=601114652&LIC=CMHEAI*095R4&SAW= 2/3 11/8/2017 -�) C M HEATING INC 10 Washington Stale Dept.of Labor&Industries.Use of(his site is subject to the laws of the slate of Washington. J Help us Imp hftps://secure.Ini.wa.gov/verify/Detail.aspx?UBI=601114652&LIC=CMHEAI*095R4&SAW= 3/3 .,1 I Permit#: 1735 Permit Date: 11/08/17 Permit Type: RESIDENTIAL MECHANICAL Project Name: Swirtz Applicant Name: CM Heating, Inc. Applicant Address: 1415 Broadway Applicant, City, State, Zip: Everett,WA 98201 Contact: Debbie Bauers Phone: 425-259-0550 Email: debbie@cmheating.com 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: 11/08/2017 Permit Expires: Form Permit Type: Status: LASERFICHE Assigned To: Kristin Foster Property Parcel# Address Legal Description Owner Name Owner Phone Zoning 00455400300600 207 N GIFFORD SWIRTZ RON/ 111 Single Family NANCY Residence-Detached Contractors Contractor Primary Contact Phone Address Contractor Type License License# CM HEATING INC 425-259-0550 1500 INDUSTRY CONSTRUCTION Plumbing CMHEAHL750LP ST STE 200 CONTRACTOR Contractor CM HEATING INC 425-259-0550 1500 INDUSTRY CONSTRUCTION Construction CMHEAHL751 W ST STE 200 CONTRACTOR Contractor CM HEATING INC 425-259-0550 1500 INDUSTRY CONSTRUCTION UBI 605890285 ST STE 200 CONTRACTOR Inspections Date Inspection Type Description Scheduled Date Completed Date Inspector Status 12/22/2017 R00.HEAT PUMP/ 12/22/2017 BUILDING Completed AC UNIT FINAL 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 11/08/2017 Building Permit Payments Date Paid By Description Payment Type Accepted By Amount 11/08/2017 Debbie Bauers 67210656 cc $75.00 Outstanding Balance $0.00 Uploaded Files Date File Name 11/08/2017 2765848-1735 Issued Permit.pdf 11/08/2017 2763186-1735 Heat Pump Info.pdf 11/08/2017 2763182-1735 Application.pdf