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HomeMy WebLinkAbout16404 40TH DR NE_BLD1927_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. P roject Add ress: 16404 40th Dr N E Project Description-like in kind furnace replacement Owner: Kim Gilbertson Address. 16404 40th Dr SE City. Arlington State.WA Zip Code: 98223 Phone. 425-231-0259 Email:nordstromha@comcast.net Applicant: Nordstrom Heating & Air Inc. Address: 4717 87th Ave NE City. Marysville State.WA Zip Code: 98270 Phone. 360-386-9819 Email. nordstromha@comcast.net CONTRACTOR INFORMATION Contractor Name:Nordstrom Heating & Air Inc. Address: 4717 87th AVe NE City. marysville State vva Zip Code: 98270 License Number: nordsha884jw Expiration: 04-16-20 Phone: 360-386-9819 Email:nordstromha@comcast.net STAFF USE ONLY Permit #: Accepted by: Date: 6/16LP Page 1 of 2 Y. RESIDENTIAL MECHANICAL PERMIT APPLICATION SING Department of Community& Economic Development City of Arlington • 18204 59th Ave NE• Arlington, WA 98223• Phone(360) 403-3551 SELECT ALL PROPOSED APPLIANCES Furnace (80+) Model #ADD1A060A9241B AFUE80 ❑ Heat Pump Model # AFUE HSPE ❑ AC Unit Model # SEER ❑ Freestanding Stove ❑ Fire Place Insert ❑ Outdoor BBQ ❑ Gas Piping ❑ Solid-Fuel Appliance ❑ Other Gas Piping Information Not Applicable: [El 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 Liz) � Applicant Signature: d5i513be"a92O e" Date: 04/02/2018 Applicant Printed Name: Debbie Elgin I hereby certify that the above information is correct and that the construction, installation for the above mentioned property will be in accordance with the applicable laws of the City of Arlington and the State of Washington. 6/16LP Page 2 of 2 TDD1 A060-SUB-1 B TAG: Downflow/Horizontal Induced Draft 5/8„ Gas Furnace 14-1/2" 13-1/4" 24-1l2" 28" TDD1 A060A9241 A 19 5/8" ADD1A060A9241A 5/8" SIDE PANEL 1/2' CUTOUT FOR 5"0 SIDE PANEL CUTOUT y HORIZONTAL FOR HORIZONTAL VENTING ' VENTING THROUGH THE CABINET 9-5/8" THROUGH 7/8"DIA.HOLES 4-1/8" THE CABINET ELECTRICAL 3-1/2 5" CONNECTION 3-3/8 ; 401 7/8"HOLE ' 7" % �i WITH PLUG 3/4" FLUE 2-1/8" OPENING 31 _` �131 e 29-1/2" 1-5/8"HOLE WITH PLUG DIA.GAS CON 0 20-1/4" CONNECTION (ALTERNATE) 1-5/8"HOLE 3l41, 12-3/8" 3 16/16 WITH PLUG 101, 10„ 19" 8-1/4" 1!2" 5-5/16" 1-5/8"HOLE WITH PLUG 3-3/4" 1-5/8"DIA.HOLE WITH PLUG GAS CONNECTION(ALT) 1-5/8"HOLE WITH PLUG FURNACE AIRFLOW(CFM)VS.STATIC PRESSURE(ins.w.g.) MODEL SPEED TAP 0.10 0.20 0.30 0.40 0.50 0.60 0.70 0.80 0.90 4- HIGH-Black 1200 1155 1111 1056 1001 924 848 774 701 TDD1A060A9241A 3- MED.-HIGH-Blue 1025 988 951 905 859 797 735 646 558 ADD1A060A9241A 2- MED.-LOW-Yellow 838 808 779 742 704 646 588 502 415 1 - LOW-Red 722 1 689 656 618 579 528 478 376 275 CFM VS.TEMPERATURE RISE MODEL CFM (CUBIC FEET PER MINUTE) 700 800 900 1 1000 1 1100 TDD1A060A9241A 63 56 49 44 40 ADD1A060A9241A ©2015 Ingersoll Rand General Data o TYPE Downf low/Horizontal VENT COLLAR—Size(in.) 4 Round RATINGS 2 HEAT EXCHANGER Input BTUH 60,000 Type-Fired Alum.Steel Capacity BTUH(ICS) ® 48,000 -Unfired AFUE 80.0 Gauge(Fired) 20 Temp.rise(Min.-Max.)°F. 35-65 ORIFICES—Main BLOWER DRIVE DIRECT Nat.Gas.Qty.—Drill Size 3—45 Diameter-Width(In.) 10 x 7 L.P.Gas Qty.—Drill Size 3—56 No.Used 1 GAS VALVE Redundant-Sin le Stage Speeds(No.) 4 PILOT SAFETY DEVICE CFM vs.in.w.g. See Fan Performance Type Hot Surface Ignition Motor HP 1/5 BURNERS—Type Multiport Inshot R.P.M. 1075 Number 3 Volts/Ph/Hz 115/1/60 POWER CONN.—V/Ph/Hz a 115/1/60 COMBUSTION FAN-Type Centrifugal Ampacity(In Amps) 5.5 Drive-No.Speeds Direct-1 Max.Overcurrent Protection(amps) 15 Motor HP-RPM 1/50-3180 PIPE CONN.SIZE(IN.) 1/2 Volts/Ph/Hz 115/1/60 DIMENSIONS H x W x D F.L.Amps 1.09 Crated(in.) 41 x 15-1/2 x 29-1/2 ILTER—Furnished? No Uncrated(In.) 40 x 14-1/2 x 28-1/2 Type Recommended High Velocity WEIGHT Hi Vel.(No.-Size-Thk.) 2-14 x 20-1 in. Shipping(Lbs.)/Net(Lbs) 129/119 O Central Furnace heating designs are certified to ANSI Z21.47/CSA 2.3. ®Ratings shown are for elevations up to 2000 feet.For elevations above 2000 feet;Ratings should be reduced at the rate of 4%for each 1000 feet above sea level. ®Based on U.S.Government Standard Tests. ®The above wiring specifications are in accordance with National Electrical Code;however,installations must comply with local codes. Mechanical Specifications NATURAL GAS MODELS—Central heat- BURNERS — Multi-port, in-shot burners STYLING — Heavy gauge steel and ing furnace designs are certified to ANSI will give years of quiet and efficient service. "wraparound" cabinet construction is Z21.47/CSA 2.3 for both natural and L.P. All models can be converted to L.P. gas used in the cabinet with baked-on enamel gas. Limit setting and rating data were without changing burners. finish for strength and beauty.The heat ex- established and approved under standard INTEGRATED SYSTEM CONTROL— changer section of the cabinet is completely rating conditions using American National lined with foil-faced fiberglass insulation. Standards Institute standards. Exclusively designed operational program This results in quiet and efficient operation provides total control of furnace limit sen- due to the excellent acoustical and insulat- SAFE OPERATION—The Integrated Sys- sors,blowers,gas valve,flame control and ing qualities of fiberglass. tem Control has solid state devices,which includes self diagnostics for ease of service. continuously monitor for presence of flame, FEATURES AND GENERAL OPERATION when the system is in the heating mode of AIR DELIVERY—The h sufficient direct- — These High Efficiency Gas Furnaces operation. Dual solenoid combination gas drive blower motor, with sufficient airflow employa HotSurface Ignition system,which valve and regulator provide extra safety. range for most heating and cooling require- eliminates the waste of a constantly burning ments, will switch from heating to cooling pilot. The integrated system control lights QUICK HEATING—Durable,cycle tested, speeds on demand from room thermostat. the main burners upon a demand for heat heavy gauge aluminized steel heat ex- The blower door safety switch will prevent from the room thermostat. Complete front changer quickly transfers heat to provide or terminate furnace operation when the service access. warm conditioned air to the structure. Low blower door is removed. (Fan relay and energy power vent blower,to increase ef- 35VA control transformer is standard). a. Low energy power venter. ficiency and provide discharge of gas fumes b. Vent proving differential switch. to the outside,allows common venting with hot water heater. Since Ingersoll Rand has a policy of continuous product and product data improvement,it reserves the right to change Library - specifications and design without notice. Product Section - Product Furnace Technical Literature-Printed in U.S.A. Model TDD1 Literature Type Submittal Ingersoll Rand Sequence 6200 Troup Highway Cc4T�)US Date 05/15 Tyler,TX 75707 $TS File No. TDD1A060-SUB-1B fntertek Supersedes TDD1A060-SUB-1A IWORQ Systems Inc. Page 1 of 2 0 F ARLINGTON 238 N. OLYMPIC AVE-ARLINGTON,WA. 98223 PHONE; (360)403-3551 BUILDING PERMIT Address:16404 40th Drive NE Permit#:1927 Parcel#:00866800023500 Valuation:0.00 OWNER APPLICANT CONTRACTOR Name:GILBERTSON CHRISTOPHER R& Name:Nordstrom Heating&Air,Inc. Name:NORDSTROM HEATING&AIR INC KIMBERLEY D Address:16404 40TH DR NE UNIT 235 Address:4717 87th Avneue NE Address:3930 88th Street NE City,State Zip:ARLINGTON,WA 98223 City,State Zip:Marysville,WA 98270 City,State Zip:MARYSVILLE,WA 98270 Phone: Phone:360-386-9819 Phone:425-3354029 MECHANICAL CONTRACTOR PLUMBING CONTRACTOR Name:NORDSTROM DATING&AIR INC Name: Address:3930 88th Street NE Address: City,State,Zip:MARYSVILLE,WA 98270 City,State,Zip: Phone:425-335-4029 Phone: LIC#:NORDSHA884JW EXP: 04/16/2020 LIC#: EXP: JOB DESCRIPTION PERMIT TYPE: Residential Mechanical CODE YEAR: 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 ALL FEES ARE PAID. IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. IBCI IO/IRC110. AI ;S A Ntl' i :F;Sales tax relating to construction and construction materials in the City of Arlin your sales tax return form and c City o Arlgton#310 Signature Print Name Date 4 YV Date 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 4/6/2018 Furnace $25.00 4/6/2018 Mechanical Permit Base Fee $25.00 4/6/2018 Processing/Technology Fee $25.00 Total Due: $75.00 Total Payment: $0.00 Balance Due: S75.00 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 https://www.iworq.net/iworq/permit/popupPennitEditLetterPrint.asp?sid=BIINIGPFOPCD... 4/6/2018 IWORQ Systems Inc. Page 1 of 2 CITY OF ARLINGTON 238 N. OLYMPIC AVE -ARLINGTON, WA. 98223 PHONE; (360)403-3551 BUILDING PERMIT Address:16404 40th Drive NE Permit#:1927 Parcel#:00866800023500 Valuation:0.00 OWNER APPLICANT CONTRACTOR Name:GILBERTSON CHRISTOPHER R& Name:Nordstrom Heating&Air,Inc. Name:NORDSTROM HEATING&AIR INC KIMBERLEY D Address: 16404 40TH DR NE UNIT 235 Address:4717 87th Avneue NE Address:3930 88th Street NE City,State Zip:ARLINGTON,WA 98223 City,State Zip:Marysville,WA 98270 City,State Zip:MARYSVILLE,WA 98270 Phone: Phone:360-386-9819 Phone:425-335-4029 MECHANICAL CONTRACTOR PLUMBING CONTRACTOR Name:NORDSTROM HEATING&AIR INC Name: Address:3930 88th Street NE Address: City,State,Zip:MARYSVILLE,WA 98270 City,State,Zip: Phone:425-335-4029 Phone: LIC#:NORDSHA884JW EXP: 04/16/2020 LIC#: EXP: JOB DESCRIPTION PERMIT TYPE: Residential Mechanical CODE YEAR: 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 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 Arling t p t your sales tax return form and coded City of Arlington#3101. Signature Print Name Date (� cI$VC&AyVDate 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 4/6/2018 Furnace $25.00 4/6/2018 Mechanical Permit Base Fee $25.00 4/6/2018 Processing/Technology Fee $25.00 Total Due: $75.00 Total Payment: $0.00 Balance Due: $75.00 CALL FOR INSPECTIONS BUILDING(360)403-3417 When calling for an inspection please leave the following information: Permit Number,Type of Inspection being requested,and whether you prefer morning or afternoon https://www.iworq.net/iworq/permit/popupPertnitEditLetterPrint.asp?sid=BIINIGPFOPCD... 4/6/2018 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: CHRISTOPHER AND KIMBERLEY GILBERTSON CONTRACTOR: NORDSTROM HEATING & AIR INC JOB ADDRESS:16404 40TH DRIVE NE OWNERADDRESS: 16404 40TH DRIVE NE USE of BUILDING: SFR PLAT NAME: VB R3 Description of Work: REPLACE GAS FURNACE LOT# PERMIT NO: BLD-1927 Sprinklered: CONDITIONS. SEE PERMIT/CALL FOR INSPECTIONS DATE ISSUED:4/6/2018 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: IWORQ Systems Inc. Page 1 of 2 CITY OF ARLINGTON 238 N. OLYMPIC AVE-ARLINGTON,WA. 98223 PHONE; (360)403-3551 BUILDING PERMIT Address:16404 40th Drive NE Permit#:1927 Parcel 4:00866800023500 Valuation:0,00 OWNER _ APPLICANT CONTRACTOR Name:GILBERTSON CHRISTOPHF.R R&KIMBERLEY D Name:Nordstrom Heating&Air,Inc. Name:NORDSTROM HEATING&AIR INC Address:16404 4orrH DR NE UN[T 23.5 Address:4717 87th Avneue NE Address:3930 88th Street NE City,State Zip:ARLINGTON,WA 98223 City,State Zip;Marysville,WA 98270 City,State Zip:MARYSVILLE,WA 98270 Phone: Phone:360-386-98[9 Phone:425-335-4029 MECHANICAL CONTRACTOR PLUMBING CONTRACTOR Name:NORDSTROM HEATING&AIR INC Name: Address:3930 88th Street NE Address: City,State;Zip:MARYSVILLE,WA 99270 City,State,Zip: Phone:425-335-4029 Phone: LIC#:NORDSHA884JW EXP: 04/16/2020 LIC#: EXI f JOB DESCRIPTION `1 PERMIT TYPE: Residential Mechanical CODE YEAR: STORIES: CONST.TYPE: DWELLING UNITS: OCC GROUP: BUILDINGS: OCC LOAD: PERMIT APPROVAL i AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUCTION AINDIN 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. TIUS 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 i01IRCl 10. Z 11.F.ti TAX N(Yi'I('E:Sales tax relating to construction and construction materials in the City of Arli1/- MY-7 sales tax return form and c c City o�Ari'igWn W110 "1 Signature vJ Print Name Date e C y Date CONDITIONS Approved as submitted. THIS PERMIT AUTHORIZE ONLY THE WORK NOTED,THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE PROPER'fY ONLY ANY CONSTRUCTION ON THE PUBLIC DOMAIN(CURBS,SIDEWALKS,DRIVEWAYS,MARQUEES,ETC.)WILL REQUIRE SEPARATE PERMISSION, PERMIT FEES Date Description Fee Amount 4/6/2018 Furnace $25,00 4/6/2018 Mechanical Permit Base Fee $25.00 4/6/2018 Processing/Technology Fee $25.00 Total Due: $75.00 Total Payment: $0.00 Balance Due: $75.00 CALL FOR INSPECTIONS BUILDING(360)403-3417 _ When calling for an inspection please leave the following information: Permit Number,Type of Inspection being requested,and whether you prefer morning or afternoon https://www.iworq.net/iworq/permit/popupPermitEditLetterPrint.asp?sid=BIINIGPFOPCD..- 4/6/2018 IWORQ Systems Inc. Page 1 of 2 CITY OF ARLINGTON 238 N. OLYMPIC AVE -ARLINGTON, WA. 98223 PHONE; (360)403-3551 BUILDING PERMIT Address:16404 40th Drive NE Permit#:1927 Parcel#:00866800023500 Valuation:0.00 OWNER APPLICANT CONTRACTOR Name:GILBERTSON CHRISTOPHER R& Name:Nordstrom Heating&Air,Inc. Name:NORDSTROM HEATING&AIR INC KIMBERLEY D Address: 16404 40TH DR NE UNIT 235 Address:4717 87th Avneue NE Address:3930 88th Street NE City,State Zip:ARLINGTON,WA 98223 City,State Zip:Marysville,WA 98270 City,State Zip:MARYSVILLE,WA 98270 Phone: Phone:360-386-9819 Phone:425-335-4029 MECHANICAL CONTRACTOR PLUMBING CONTRACTOR Name:NORDSTROM HEATING&AIR INC Name: Address:3930 88th Street NE Address: City,State,Zip:MARYSVILLE,WA 98270 City,State,Zip: Phone:425-335-4029 Phone: LIC#:NORDSHA884JW EXP: 04/16/2020 LIC#: EXP: JOB DESCRIPTION PERMIT TYPE: Residential Mechanical CODE YEAR: 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 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/IRCI l0. SALES TAX NOTICE:Sales tax relating to construction and construction materials in the City of ArliJ/ M� your sales tax return form and coded City of Arlington#3101. Signature Print Name Date � c4VM- yV Date CONDITIONS Approved as submitted. THIS PERMIT AUTHORIZE 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 4/6/2018 Furnace $25.00 4/6/2018 Mechanical Permit Base Fee $25.00 4/6/2018 Processing/Technology Fee $25.00 Total Due: $75.00 Total Payment: $0.00 Balance Due: $75.00 CALL FOR INSPECTIONS BUILDING(360)403-3417 When calling for an inspection please leave the following information: Permit Number,Type of Inspection being requested,and whether you prefer morning or afternoon https://www.iworq.net/iworq/permit/popupPermitEditLetterPrint.asp?sid=BIINIGPFOPCD... 4/6/2018 IWORQ Systems Inc. Page 2 of 2 https://www.iworq.net/iworq/permit/popupPermitEditLetterPrint.asp?sid=BIINIGPFOPCD... 4/6/2018 Search L&ISEARCt IV UI-ab'ioir' i Industries Safety&Health 0 Claims&Insurance M Workplace Rights G Trades&Licensing 9 Washington State Department of " Labor & Industries NORDSTROM HEATING &AIR INC Owner or tradesperson 4717 87TH AVE NE MARYSVILLE,WA 98270 Principals 425-335-4029 NORDSTROM,DANIEL JASON,PRESIDENT SNOHOMISH County AHLERS&CRESSMAN PLLC,AGENT Doing business as NORDSTROM HEATING&AIR INC WA UBI No. Business type 602 279 145 Corporation License Verify the contractor's active registration/license/certification(depending on trade)and any past violations. Construction Contractor Active. Meets current requirements. License specialties GENERAL License no. NORDSHA884JW Effective—expiration 04/16/2012—04/16/2020 Bond Developers Surety&Indem Co $12,000.00 Bond account no. 256304C Received by L&I Effective date 04/16/2012 04/12/2012 Expiration date Until Canceled Insurance Federated Mutual Ins Co $1,000,000.00 Policy no. 9869472 Received by L&I Effective date 04/04/2017 05/07/2017 Expiration date 05/07/2018 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 Help us improve may be recorded by other agencies. License Violations No license violations during the previous ,ear period. Workers' comp Do you know if the business has employees?If so,verify the business is up-to-date on workers'comp premiums. L&I Account ID Account is current. 099,363-00 Doing business as NORDSTROM HEATING&AIR INC Estimated workers reported Quarter 4 of Year 2017"4 to 6 Workers" L&I account contact T3/NATHAN KOZAK(360)902-6243-Email:KOZN235@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. I Workplace safety and health No inspections during the previous 6 year period. Aeees.+ I1Il�uahin�tun" Helpusimprove RESIDENTIAL MECHANICAL • A 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 Add ress:16404 40th Dr NE Project Description:like in kind furnace replacement Owner: Kim Gilbertson Address: 16404 40th Dr SE City:Arlington State.WA Zip Code: 98223 Phone: 425-231-0259 Email:nordstromha@comcast.net Applicant: Nordstrom Heating & Air Inc. Address:4717 87th Ave NE City: Marysville State WA Zip Code: 98270 Phone: 360-386-9819 Email: nordstromha@comcast.net CONTRACTOR INFORMATION Contractor Name:Nordstrom Heating & Air Inc. Address:4717 87th AVe NE City: marysville Statewa Zip Code: 98270 License Number:nordsha884jw Expiration: 04-16-20 Phone:360-386-9819 Email:nordstromha@comcast.net STAFF USE ON Permit #: ��� Accepted by: 6/16LP Page 1 of 2 Y. RESIDENTIAL MECHANICAL • A PERMIT APPLICATION Department of Community& Economic Development City of Arlington • 18204 59th Ave NE• Arlington,WA 98223• Phone(360) 403-3551 SELECT ALL PROPOSED APPLIANCES Furnace (80+) Model #ADDIA06OA9241B AFUE80 - ❑ Heat Pump Model # AFUE HSPE ❑ AC Unit Model # SEER ❑ Freestanding Stove lJ Fire Place Insert ❑ Outdoor BBQ ❑ Gas Piping ❑ Solid-Fuel Appliance ❑ Other LGas ng Information Not Applicable: F*� 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: 04/02/2018 Applicant Printed Name: Debbie Elgin I hereby certify that the above information is correct and that the construction, installation for the above mentioned property will be in accordance with the applicable laws of the City of Arlington and the State of Washington. 6/16LP Page 2 of 2 TDD1 A060-SU B-1 B TAG: Downflow/Horizontal Induced Draft Gas Furnace 14-1/2 � ` 28 TDD1 A060A9241 A 13-1!4 24-,rz ADD1 A060A9241 A 5l8' SIDE PANEL 1/2" CUTOUT FOR 5"¢S SIDE PANEL CUTOUT HORIZONTAL FOR HORIZONTAL VENTING '� VENTING THROUGH THE CABINET 9-518, THROUGH r� ,- THE 7/8"DIA.HOL CABINET ES t ELECTRICAL 3.1, CONNECTION i 40" 3-;t/8 1� 7/8"HOLE WITH PLUG FLUE OPENING i 2-U8" 13' ., f 29-1 2' 1-518"HOLE 3�a i� ✓ WITH PLUG 1-1/2"DIA.GAS `O 20-1n4' CONNECTION (ALTERNATE) 3la` `•,' 15116' ��O 1-5/8"HOLE .` 12-3/8' WITH PLUG / � O 10" 19" O O -3/E;' -5-5/16" 1-5/8"HOLE WITH PLUG 3-3/C '1-5/8"DIA.HOLE WITH PLUG GAS CONNECTION(ALT) 1-518"HOLE WITH PLUG FURNACE AIRFLOW(CFM)VS.STATIC PRESSURE(ins.w.g.) MODEL SPEEDTAP 0.10 0.20 0.30 0.40 0.50 0.60 0.70 0.80 0.90 4- HIGH-Black 1200 1155 1111 1056 1001 924 848 774 701 TDD-IA060A9241 A 3- MED.-HIGH-Blue 1025 988 951 905 859 797 735 646 558 ADD1A060A9241A 2- MED.-LOW-Yellow 838 808 779 742 704 646 588 502 415 1 - LOW-Red 722 689 656 618 579 528 478 376 275 CFM VS.TEMPERATURE RISE MODEL CFM (CUBIC FEET PER MINUTE) 700 800 900 1000 1100 TDD1A060A9241A 63 56 49 44 40 ADDIA06OA9241A C 2015 Ingersoll Rand General Data o TYPE Downflow/Horizontal VENT COLLAR—Size(in.) 4 Round RATINGS U. HEAT EXCHANGER Input BTUH 60,000 Type-Fired Alum.Steel Capacity BTUH(ICS) O 48,000 -Unfired AFUE 80.0 Gauge(Fired) 20 Temp.rise(Min.-Max.)°F 35-65 ORIFICES—Main BLOWER DRIVE DIRECT Nat.Gas.City.—Drill Size 3—45 Diameter-Width(In.) 10 x 7 L.P.Gas Qty.—Drill Size 3—56 No.Used 1 Redundant-Sin le Stage Speeds(No.) 4 PILOT SAFETY DEVICE CFM vs.in.w.g. See Fan Performance Type Hot Surface Ignition Motor HP 115 BURNERS—Type Multiport Inshot R.P.M. 1075 Number 3 Volts/Ph/Hz 115/1/60 POWER CONN.—V/Ph/Hz 4) 115/1/60 COMBUSTION -Type Centrifugal Ampacity(In Amps) 5.5 Drive-No.Speeds Direct-1 Max.Overcurrent Protection(amps) 15 Motor HP-RPM 1150-3180 PIPE CONN.SIZE(IN.) 1/2 Volts/Ph/Hz 115/1/60 DIMENSIONS H x W x D F.L.Amps 1.09 Crated(In.) 41 x 15-1/2 x 29-1/2 RTCTER—Furnished? No Uncrated(In.) 40 x 14-112 x 28-1/2 Type Recommended High Velocity WEIGHT Hi Vel.(No.-Size-Thk.) 2-14 x 20-1 in. Shipping(Lbs.)/Net(Lbs) 129/119 O Central Furnace heating designs are certified to ANSI Z21.47/CSA 2.3. ®Ratings shown are for elevations up to 2000 feet.For elevations above 2000 feet;Ratings should be reduced at the rate of 4%for each 1000 feet above sea level. ®Based on U.S.Government Standard Tests. O The above wiring specifications are in accordance with National Electrical Code;however,installations must comply with local codes. Mechanical Specifications NATURAL GAS MODELS—Central heat- BURNERS — Multi-port, in-shot burners STYLING — Heavy gauge steel and ing furnace designs are certified to ANSI will give years of quiet and efficient service. "wraparound" cabinet construction is Z21.47/CSA 2.3 for both natural and L.P. All models can be converted to L.P. gas used in the cabinet with baked-on enamel gas. Limit setting and rating data were without changing burners. finish for strength and beauty_The heat ex- established and approved under standard INTEGRATED SYSTEM CONTROL— changer section ofthe cabinet is completely rating conditions using American National Exclusively designed operational program lined with toil-faced fiberglass insulation. This results in Standards Institute standards. quiet and efficient o provides total control of furnace limit sen- due to the excellent acoustical and insulat- SAFE OPERATION—The Integrated Sys- sors,blowers,gas valve,flame control and ing qualities of fiberglass. tem Control has solid state devices,which includes self diagnostics for ease ofservice. continuously monitorfor presence offlame, FEATURES AND GENERAL OPERATION when the system is in the heating mode of AIR DELIVERY—The msuffi suffieed,cient direct- — These High Efficiency Gas Furnaces operation. Dual solenoid combination gas range drive blower motor, with sufficient airflow employa Hot Surface Ignition system,which valve and regulator provide extra safety. rams, will switcr most h from heatind ng to cooling eliminates thewaste ofa constantly burning ments, will switch from heating to cooling pilot. The integrated system control lights QUICK HEATING—Durable,cycle tested, speeds on demand from room thermostat. the main burners upon a demand for heat heavy gauge aluminized steel heat ex- The blower door safety switch will prevent from the room thermostat. Complete front changer quickly transfers heat to provide or terminate furnace operation when the service access. warm conditioned air to the structure. Low blower door is removed. (Fan relay and energy power vent blower,to increase ef- 35VA control transformer is standard). a. Low energy power venter. ficisfcy and provide discharge of gas fumes b. Vent proving differential switch. to the oytside,allows common venting with hot-water heater. ' Since Ingersoll Rand has a policy of continuous product and product data improvement,it reserves the right to change Library - specifications and design without notice. Product Section - Product Furnace Technical Literature-Printed in U.S.A. Model TDD1 CCT)US Literature Type SubmittalSequence Ingersoll Rand -6200 Troup HighwayDate 05/15 Tyler,TX 75707 °1L File No. TDDlA060-SUB-1B lntertek Supersedes TDD1A060-SUB-1A Permit#: 1927 Permit Date: 04/06/18 Permit Type: RESIDENTIAL MECHANICAL Project Name: Gilbertson Applicant Name: Nordstrom Heating &Air, Inc. Applicant Address: 4717 87th Avneue NE Applicant, City, State, Zip: Marysville,WA 98270 Contact: Debbie Elgin Phone: 360-386-9819 Email: nordstromha@comcast.net Scope of Work: Replace Furnace Valuation: 0.00 Square Feet: 0 Number of Stories: 0 Construction Type: Occupancy Group: ID Code: Permit Issued: 04/17/2018 Permit Expires: Form Permit Type: Status: LASERFICHE Assigned To: Kristin Foster Property Parcel# Address Legal Description Owner Name Owner Phone Zoning GILBERTSON 141 Single Family 00866800023500 16404 40TH DR NE CHRISTOPHER R Residence &KIMBERLEY D Condominium Detached Contractors Contractor Primary Contact Phone Address Contractor Type License License# NORDSTROM 1059 State Ave. CONSTRUCTION HEATING&AIR INC 425-335-4029 Ste.G CONTRACTOR COA 601764617 NORDSTROM 1059 State Ave. CONSTRUCTION Labor&NORDSHA772L2 HEATING&AIR INC 425-335-4029 Ste.G CONTRACTOR Industries Fees Fee Description Notes Amount Forced Air Heat fee per Btu $25.00 Mechanical Base Permit Fee $25.00 Processing/Technology $25.00 Total $75.00 Attached Letters Date Letter Description 04/06/2018 Building Permit Payments Date Paid By Description Payment Type Accepted By Amount 04/09/2018 Daniel Nordstrom 69346468 cc $75.00 Outstanding Balance $0.00 Notes Date Note Created By: 02/20/2019 Expired.Filed in address files.No final was done. Raelynn Jones 04/17/2018 Emailed permit for signature. Kristin Foster 04/06/2018 ADDIA060A9241AAFUE 80% Kristin Foster Uploaded Files Date File Name 04/18/2018 3279120-1927 Issued Permit.pdf 04/06/2018 3226433-1927 Cut Sheets.pdf 04/06/2018 3226434-1927 Application.pdf