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16614 40th Ave Ne Unit A_BLD1567_2026
RESIDENTIAL MECHANICAL 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:_1lQlD� N�_-___Uni4: A �C`li Project Description > �` _�- Owner: Address: s Ne_�nram ___ }t►�l on �l�2��'3 Phone: 4 -ico-o q I p Email: Applicant: Brennan Heating Address: 4601 S 134th PI Seattle 98168 Phone: 206-248-7900 Jaimie brennanheatin com — _��n,-----------— Email: @ 9 Applicant Signature: Electronic Signature if submitting on-line 1 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. CONTRACTOR INFORMATION Contractor Name:Brennan Heating Company: Brennan Heating License Number:BRENNHA971 R9 Expiration: 1 2/291 «_ Phone:206-248-7900 Email:Jaimie@brennanheating.com STAFF USE ONLY Permit #: Accepted by: Date: RESIDENTIAL MECHANICAL PERMIT APPLICATION 40 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+) ❑ Fireplace Insert ❑ Outdoor BBQ ❑ Heat Pump ❑ Freestanding Stove Qi Hydronic Piping ❑ Type II Hood ❑ Commercial Cooking Appliance ❑ PV System ❑ Boiler ❑ Gas Piping ❑ Storage Tank ❑ AC Unit ❑ 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 to 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 SPECIFICATIONS 4/ Gas Model No. ML18ODF045P24A MLIBODF045P36A ML18ODF07OP36A Heating Model No. - Low NO. --- --- ML18ODF070XP36A Performance 'AFUE 80% 80% 80% Input-Btuh 44,000 44,000 66,000 Output-Btuh 35,000 36,000 53,000 Temperature rise range-°F 25-55 15-45 25-55 Gas Manifold Pressure(in.w.g.) 3.5/ 10.0 3.5/ 10.0 3.5/ 10.0 Nat. Gas/LPG/Propane High Static-in.w.g. 0.50 0.50 0.50 Connections Flue connection-in. round 4 4 4 in. Gas pipe size IPS 112 112 112 Indoor Wheel nom.dia, x width-in. 10 x 7 10 x 8 10 x 8 Blower Motor output-hp 1/5 1/3 1/3 Tons of add-on cooling 1.5-2 2-3 1 2-3 Air Volume Range-cfm 401 - 1157 739- 1524 1 717- 1562 Electrical Voltage 120 volts-60 hertz- 1 phase Data Blower motor full load amps 3.1 6.1 6.1 Maximum overcurrent protection 115 15 15 Shipping Data lbs.- 1 package 1105 113 128 NOTE-Filters and provisions for mounting are not furnished and must be field provided. 'Annual Fuel Utilization Efficiency based on DOE test procedures and according to FTC labeling regulations.Isolated combustion system rating for non-weatherized furnaces. SPECIFICATIONS Gas Model No. MLIBODF09OP36B ML18ODF09OP48B ML18ODF11OP60C Heating Model No. - Low NO --- ML1 BODF090XP48B ML18ODFI IOXP60C Performance 'AFUE 80% 80% 80% Input-Btuh 88,000 88,000 110,000 Output-Btuh 71,000 71,000 89,000 Temperature rise range- °F 35-65 25-55 30-60 Gas Manifold Pressure(in.w.g.) 3.5/ 10.0 3.5/ 10.0 3.5/ 10.0 Nat. Gas/LPG/Propane High Static-in.w.g. 0.50 0.50 0.50 Connections Flue connection -in.round 4 4 4 in. Gas pipe size IPS 112 1/2 1/2 Indoor Wheel nom. dia.x width-in. 10 x 9 10 x 10 11-1/2 x 10 Blower Motor output-hp 1/3 112 1 Tons of add-on cooling 2 -3 3-4 4 -5 Air Volume Range-cfm 743-1695 917- 1929 1517-2760 Electrical Voltage 120 volts-60 hertz- 1 phase Data Blower motor full load amps 6.1 8.2 10.0 Maximum overcurrent protection 15 15 15 Shipping Data lbs. - 1 package 131 140 160 NOTE-Filters and provisions for mounting are not furnished and must be field provided, Annual Fuel Utilization Efficiency based on DOE test procedures and according to FTC labeling regulations.Isolated combustion system rating for non-weatherized furnaces. ML180DF 1 Page 5 CITY OF ARLINGTON 238 N. OLYMPIC AVE-ARLINGTON, WA. 98223 PHONE; (360) 403-3551 BUILDING PERMT Address:16614 40th Ave NE,Unit A Permit#:1567 Parcel N:00866700013500 Valuation:0.00 OWNER APPLICANT CONTRACTOR Name:HEATH LORI Name:Brennan Heating Name:Brennan Heating Address:16614 40TH AVE NE UNIT A Address:4601 S 134th Place Address:4601 S 134th Place City,State Zip:ARLINGTON,WA 98223-8444 City,State Zip:Seattle,WA 98168 City,State Zip:Seattle,WA 98168 Phone: Phone:206-248-7900 Phone:206-248-7900 MECIIANICAL CONTRACTOR PLUMBING CONTRACTOR I Name:Brennan Heating Name: 1 Address:4601 S 134th Place Address: City,State,Zip:Seattle,WA 98168 City,State,"Lip: Phone: 206-248-7900 Phone: LIC k: EXP: LIC k: EXP: JOB DESCRIPTION PERMIT TYPE: Residential Mechanical CODE YEAR: 2015 STORIES: CONST.TYPE: DWELLING UNITS: ] OCC GROUP: BUILDINGS: OCC LOAD: PERNUT 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 TI IE 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 IINLAWFUL 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/IRCI 10. AL S,TAX NOTICE:Sales tax relating to construction and construction materials in the City of Arlingto rted on your sales tax return form and ded City of A_rlin on N3101. —7 ^ 110 1npi Signature Print Name bate Rel y Date CONDITIONS Approved as submitted. j THIS PERMIT AUTHORIZS ONLY'ITIE WORK NOTED.TI]IS PERMIT COVERS WORK TO BE DONE ON PRIVATE PROPERTY ONLY. ANY �! CONSTRUCTION ON THE PUBLIC DOMAIN(CURBS,SIDEWALKS,DRIVEWAYS,MARQUEES,ETQ WILL REQUIRE SEPARATE PERMISSION. PERMIT FEES Date Description Fee Amount 7/25/2017 Furnace $25.00 7/25/2017 Mechanical Permit Base Fee $25.00 7/25/2017 Processing/rechnology Fee $25.00 - Total Due: S75.00 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 Community and Economic Development ImBuilding 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: Lori Heath CONTRACTOR: Brennan Heating OB ADDRESS:16614 40th Ave NE, Unit A OWNERADDRESS: 16614 40th Ave NE, Unit A USE of BUILDING: SFR PLAT NAME: Description of work: Replace Gas Furnace LOT# PERMIT NO: 1567 S rinklered: CONDITIONS: See Permit DATE ISSUED:7.25.2017 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 4D PHONE; (360)403-3551 BUILDING PERMIT Address:16614 40th Ave NE,Unit A Permit#:1567 Parcel#:00866700013500 Valuation:0.00 OWNER APPLICANT CONTRACTOR Name:HEATH LORI Name:Brennan Heating Name:Brennan Heating Address: 16614 40TH AVE NE UNIT A Address:4601 S 134th Place Address:4601 S 134th Place City,State Zip:ARLINGTON,WA 98223-8444 City,State Zip:Seattle,WA 98168 City,State Zip:Seattle,WA 98168 Phone: Phone:206-248-7900 Phone:206-248-7900 MECHANICAL CONTRACTOR PLUMBING CONTRACTOR Name:Brennan Heating Name: Address:4601 S 134th Place Address: City,State,Zip:Seattle,WA 98168 City,State,Zip: Phone: 206-248-7900 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/IRCI10. SALES TAX NOTICE:Sales tax relating to construction and construction materials in the City of Arlin gto �rted on your sales tax return form and coded City of Arlington#3101. Signature Print Name Date Relca,ed by 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 7/25/2017 Furnace $25.00 7/25/2017 Mechanical Permit Base Fee $25.00 7/25/2017 Processing/Technology Fee $25.00 Total Due: -- $75.00 Total Payment: $0.00 Balance Due: $75.00 CALL FOR INSPECTIONS BUILDING(360)403-3417 When calling for an inspection please leave the following information: Permit Number,Type of Inspection being requested,and whether you prefer morning or afternoon 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: Lori Heath CONTRACTOR: Brennan Heating JOB ADDRESS:16614 40th Ave NE, Unit A OWNERADDRESS: 16614 40th Ave NE, Unit A USE of BUILDING: SFR PLAT NAME: Description of work: Replace Gas Furnace LOT# PERMIT NO: 1567 Sprinklered: CONDITIONS: See Permit DATE ISSUED:7.25.2017 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: I CITY OF ARLINGTON 238 N. OLYMPIC AVE-ARLINGTON, WA. 98223 PHONE;(360)403-3551 BUILDING PERMIT Address:16614 40th Ave NE,Unit A Permlt#:1567 Parcel 11:00966700013500 Valuation:0,00 OWNER APPLICANT CONTRACTOR Name:HEATH LORI Name:Brennan licaling Name:Brennan Heating Address:16614 40TH AVE NE UNIT A Address:4601 S 134th Place Address:4601 S 134th Place City,Slate Zip:ARLINGTON,WA 98223-9444 City,Stele Zip:Seattle,WA 98168 City,Slate Zip:Seattle,WA 98168 Phone: Phone:206-248-7900 Phone:206-248-7900 MECHAMCAL CONTRACTOR PLUMBING CONTRACTOR Name:Brennan Heating Name: Address:4601 S 1341h Place Address: City,State,Zip:Seattle,WA 98168 City,State,Zip: Phone: 206-248-7900 Phone: LIC 4: EXP: LIC N: 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 WIT7!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. 'PHIS APPLICATION IS NOT A PERMIT UNTIL SIGNED BY THE BUILDING OFFICIAL OR HIS/HER DEPUTY AND AL1.FEES ARE PAID. IT 1S 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. IBC IOARCI 10. 1• F. Sale,,;lax relating to construction and construction materials in the City of Adingto ned on your sales tax return form and dad City of Arlin on H3101. Signature Print Name mcleascu ny Date CONDITIONS Approved as submitted. THIS PERMIT AUTHORIZS ONLY THE WORK NOTED,THIS PERMIT COVERS WORK TO BE DONE ON PRIVAIT PROPERTY ONLY, ANY CONSTRUCTION ON THE PUBLIC DOMAIN(CURBS,SIDEWALKS,DRIVEWAYS,MARQUEES,ETC,)WILL REQUIRE SEPARATE PERMISSION. PERMIT FEES Date Description Fee Amount 7/25/2017 Furnace $25.00 7/25/2017 Mechanical Permit Base Fee $25.00 7/25/2017 Processingrrechnology Fee $25.00 Total-Due: 575.00 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 reyuesled,and whether you prefer morning or afternoon Community and Economic Development 0 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: Lori Heath CONTRACTOR: Brennan Heating JOB ADDRESS:16614 40th Ave NE, Unit A OWNER ADDRESS: 16614 40th Ave NE, Unit A USE of BUILDING: SFR PLAT NAME: Description of work: Replace Gas Furnace LOT# PERMIT NO: 1567 S rinklered: CONDITIONS: Bee Permit DATE ISSUED:7.25.2017 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:16614 40th Ave NE,Unit A Permit#:1567 Parcel#:00866700013500 Valuation:0.00 OWNER APPLICANT CONTRACTOR Name:HEATH LORI Name:Brennan Heating Name:Brennan Heating Address: 16614 40TH AVE NE UNIT A Address:4601 S 134th Place Address:4601 S 134th Place City,State Zip:ARLINGTON,WA 98223-8444 City,State Zip:Seattle,WA 98168 City,State Zip:Seattle,WA 98168 Phone: Phone:206-248-7900 Phone:206-248-7900 MECHANICAL CONTRACTOR PLUMBING CONTRACTOR Name:Brennan Heating Name: Address:4601 S 134th Place Address: City,State,Zip:Seattle,WA 98168 City,State,Zip: Phone: 206-248-7900 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. IBC1I0/IRC110. SALES TAX NOTICE:Sales tax relating to construction and construction materials in the City of Arlin gto rted on your sales tax return form and coded City of Arlington#3101. Signature Print Name Date Relea ed y Dater/ 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 7/25/2017 Furnace $25.00 7/25/2017 Mechanical Permit Base Fee $25.00 7/25/2017 Processing/Technology Fee $25.00 Total Due: $75.00 Total Payment: $0.00 Balance Due: $75.00 CALL FOR INSPECTIONS BUILDING(360)403-3417 When calling for an inspection please leave the following information: Permit Number,Type of Inspection being requested,and whether you prefer morning or afternoon .. 5 � � .t • •�. � �� •� 0. RESIDENTIAL MECHANICAL PERMIT APPLICATION Department of Community B 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=_191 -._` o4ty r= r`( - ru1-_f' BrJire 1_._.�+ ' -- Project Description_ , �GXISnCH: S Owner: - ! H1f644__) Address Phone 4+z5 "15o q p 2 Email Applicant Brennan Heating Address 4601 S 134th PI Seattle 98168 Phone 206-248-7900 Email: Jaimie@brennanheating com Applicant Signature: Electronic Signature if submitting on-line 1 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. CONTRACTOR INFORMATION Contractor Name:Brennan Heating Company: Brennan Heating License Number:BRENNHA971 R9 Expiration: 12129 1 Imo--__- - Phone:206-248-7900 Email:Jaimie@brennanheating.com STAFF USE O Y Received Permit # �1 JUL. 24 2017 �e.�lv Accepted by Date: _ - -_- ---- RESIDENTIAL MECHANICAL 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+) ❑ Fireplace Insert ❑ Outdoor BBQ ❑ Heat Pump ❑ Freestanding Stove ❑ Hydronic Piping ❑ Type II Hood ❑ Commercial Cooking Appliance ❑ PV System ❑ Boiler ❑ Gas Piping ❑ Storage Tank ❑ AC Unit ❑ Solid-Fuel Appliance ❑ Other Gas Piping Information Not Applicable: (� Pipe Material i Pipe Size Distance From Meter to Furthest Appliance Total BTU's of all Appliances. New gas piping requires a pressure test to 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 i' SPECIFICATIONS `/ Gait Model No. ML18ODF04SP24A MLIBODF04SP36A ML18ODF07OP36A Heating Model No.- Low NO --- --- ML18ODF070XP36A Performance 'AFUE 80% 80% 80% Input-Btuh 44,000 44,000 66,000 Output-Btuh 35,000 36,000 53,000 Temperature rise range-°F 25-55 15-45 25-55 Gas Manifold Pressure(in.w.g.) 3.5/10.0 3.5/10.0 3.5/ 10.0 Nat, Gas/LPG/Propane High Static-in.w.g. 0.50 0.50 0,50 Connections Flue connection in.round 4 4 4 in. Gas pipe size IPS 1/2 1/2 112 Indoor Wheel nom.dia,x width-in, 10 x 7 10 x 8 10 x 8 Blower Motor output-hp 1/5 1/3 1/3 Tons of add-on cooling 1,5 2 2-3 1 2-3 Air Volume Range efm 401 -1157 739-1524 1 717- 1562 Electrical Voltage 120 volts-60 hertz- 1 phase Data Blower motor full load amps 3.1 6.1 6,1 Maximum overcurrent protection 15 15 15 Shipping Data lbs.-1 parkage 105 113 128 NOTE-Filters and provisions for mounting are not rumished and must be field provided. Annual Fuel Utilization Ffficiency based on DOE lest procedures and according to FTC labeling regulations.Isolated combustion system rating for non-waatherized furnaces. SPECIFICATIONS Gas Model No. ML18ODF09OP36B ML18ODF09OP48B MLIBODF11OP60C Heating Model No.-_ Low NO --- ML18ODF090XP488 MLIBODF110XP60C Performance 'AFUE 80% 80% 80% Input-Btuh 88,000 88,000 110,000 Output-Btuh 71,000 71,000 89,000 Temperature rise range-"F 35-65 25-55 30-60 Gas Manifold Pressure(in,w.g.) 3.5/10,0 3.5 110.0 3.5 l 10.0 Nat. Gas/LPG/Propane High Static-In.w.g. 0.50 0.50 0,50 Connections Flue connection -in.round 4 4 4 In. Gas pipe size IPS 1/2 1/2 112 Indoor Wheel nom. dia x width-in, 10 x 9 10 x 10 11-1/2 x 10 Blower Motor output-hp 1/3 1/2 1 Tons of add-on cooling 2-3 3.4 4-5 Air Volume Range-cfm 743-1695 1 917-1929 1 1517-2760 Electrical Voltage 120 volts-60 hertz- 1 phase Data Blower motor full load amps 6.1 8.2 10.0 Maximum overcurrent protection 15 15 15 Shipping Data lbs. -1 package 131 140 160 NOTE-Fillers and provisions for mounting are not furnished and must be field provided. 'Annual Fuel Utilization Efficiency based on DOE test procedures and according to FTC labeling regulations.Isolated combustion system rating for non-weatherized hunaces. ML180DF I Page 5 i BUILDING INSPECTION REPORT — MECHANICAL (RESIDENTIAL) Permit No. 1567 Address: 16614 40th Ave NE, Unit A Contractor: Brennan Heating Owner: Heath Date: 8/8/2017 ® APPROVAL ❑ PARTIAL APPROVAL ❑ CORRECTION ❑ OTHER APPLIANCE: Gas Furnace CO DETECTOR: © HEAT PUMP/AC UNIT: ❑ GAS PIPING: © DISCONNECT: ❑ DRIP LEG: ® SEISMIC: ❑ VENTING: ® 3" PAD: ❑ ACCESS: ® INSULATION/PROTECTION: ❑ SHUT-OFF VALVE: Fx DUCTS: L&I: Yes Date: 8/8/2017 Inspector: Kevin Olander Permit#: 1567 Permit Date: 07/25/17 Permit Type: RESIDENTIAL MECHANICAL Project Name: Heath Applicant Name: Brennan Heating Applicant Address: 4601 S 134th Place Applicant, City, State, Zip: Seattle,WA 98168 Contact: Mercedez Wilson Phone: 206-248-7900 Email: mercedez@brennanheating.com Scope of Work: Replace Gas Furnace Valuation: 0.00 Square Feet: 0 Number of Stories: 0 Construction Type: Occupancy Group: ID Code: Permit Issued: 07/26/2017 Permit Expires: Form Permit Type: Status: COMPLETE Assigned To: Kristin Foster Property Parcel# Address Legal Description Owner Name Owner Phone Zoning 142 Single Family 00866700013500 16614 40TH AVE NE UNIT HEATH LORI Residence A Condominium Common Wal Contractors Contractor Primary Contact Phone Address Contractor Type License License# Brennan Heating Jaimie How 206-248-7900 4601 S 134TH PL MECHANICAL COA 602 346 866 CONTRACTOR Brennan Heating Jaimie How 206-248-7900 4601 S 134TH PL MECHANICAL Labor d BRENNHA971R9 CONTRACTOR Industri anes Inspections Date Inspection Type Description Scheduled Date Completed Date Inspector Status C10. 08/14/2017 MECHANICAL 08/08/2017 BUILDING Completed ROUGH-IN 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 07/25/2017 Building Permit Payments Date Paid By Description Payment Type Accepted By Amount 07/26/2017 Jaimie How 65678543 cc $75.00 Outstanding Balance $0.00 Notes Date Note Created By: 07/26/2017 Emailed permit for signature.KF Kristin Foster Uploaded Files Date File Name 08/14/2017 2523265-16614 40th Ave NE,Unit A.docx 07/26/2017 2476879-1567 Issued Permit.pdf 07/25/2017 2474974-1567 Application.pdf