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HomeMy WebLinkAbout6916 WOODBINE DR_BLD1951_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:6916 Woodbine Dr Project Description:Install furnace Owner: Anastasia Kesic Address. 6916 Woodbine Dr City. Arlington State WA Zip Code: 98223 Phone. 253.576.4398 Email:n/a Applicant: Terra O'Connor Address: 18933 59th Ave NE #107 City. Arlington State:WA Zip Code: 98223 Phone. 360.435.7359 Email. shannonheightsheating@gmail.com CONTRACTOR INFORMATION Contractor Name:Shannon Heights Heating, Inc. Address: 18933 59th Ave NE #107 City: Arlington State WA Zip Code: 98223 License Number:SHANNHH842DJ Expiration: 03/11/2020 Phone: 360.435.7359 Email:shannonheightsheating@gmail.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 #G8MVL0701716B1 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: ❑ 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: d5a513be"a92O�tlb81'e`1e6' Date: 05/01/2018 Applicant Printed Name: Terra O'Connor 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 WORQ Systems Inc. Page I of 2 CITY 0__ F ARLINGTON 238 N.OLYMPIC AVE-ARLINGTON, WA.98223 „F. PHONE;(360)403-355I BUILDING PERMIT Address:6916 Woodbine Drive Permit#:195I Parcel#:00738500400800 Valuation:0.00 OWNER APPLICANT CONTRACTOR Name:KESIC MANE R&ANASTASIA M Name:Shannon Fleights Beating,Ire. Name:SHANNON HEIGHTS HEATING Address:6916 WOODBINE DR Address:1893 3 591h Ave NE,#10'/ Address:18933 59TH AVE NE#I07 City,State Zip:ARLINGTON,WA 98223 City,State Gip:Arlington,WA 98223 City,State ZipARLINGTON,WA 98223 Phone: Phone:253-570-4398 Phone:360-435-7359 MECHAINICAL CONTRACTOR PLUMBING CONTRACTOR Name:SHANNON HEIGHTS HEATING :Name: Address:18933 59TH AVE NE#107 Address: City,State,Zip:ARLINGTON,WA 98223 City,State,Zip: Phone-.360-435-7359 Phone: LIC#:SRANTNIH-1842DJ EXP: 3/11/2020 LIC#: EXP: JOB DESCRIPTION PEWIT TYPE: Residential Mechanical CODE YEAR; 2015 STORIES: 2 CONST.TYPE: VB DWELLING UNITS: I OCC GROUP: R3 BUILDINGS: OCC.LOAD: PERMIT APPROVAL I AGREE TO COMPLY WITH CITY AND STATE,LAWS REGULATING CONSTRUCTION AND IN DOING THE WORK AUTHORIZED TIIEREBY;NO PERSON WILL BE EMPLOYED IN VIOLATION OF THE LABOR.CODE OF THE STATE OF WAS14I.NGTON RELATING TO WORKMEN'S COMPENSATION INSURANCE AND RCW 1827. TIES APPLICATION IS NO'f A PERMIT UNTIL SIGNED BY T E BUILDING OFFICIAL OR FII•S/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. IBC I I0/IRC I I0. SAIA1.141AX sti )T C".`i Sales tax relating to construction and construction materials in the City ofA.' t o r "ita�si,�:n your sales tax return form and Wed City F lington#310L n tore Print Naive D to I Date CONDITIONS Approved as submitted.Adhere to the installation of model#08MVL0701716B I AFUE 80%. THIS PERMIT AUnIORIZS ONLY THE WORK NOTED.THIS PERMIT COVERS WORK TO BE DONr'E ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PLIBLIC DOMAIN(CURBS,SIDEWALKS,DRIVEWAYS,MARQUEES,ETC.)WILL;REQUIRE SEPARATE PERMISSION, PERMIT FEES Tate Description Fee Amount 5/2/2018 Furnace $25.00 5/2/2018 Mechanical Permit Base Fee $25.00 5/2/2018 ProcessinglTechnotogy Fee $25.00 Total Due: $75.011 Total Payment: $0.00 Balance Due: $75.00 CALL FOR INSPECTIONS BUILD€ANC,(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.i%vorq.net/iworq/permit/pop-apPermitEditL.ettei-Print.asp?sid= HTiNHROFIAC... 5/2/20I8 IWORQ Systems Inc. Pagel of 2 CITY OF ARLINGTON 238 N. OLYMPIC AVE-ARLINGTON, WA. 98223 PHONE; (360)403-3551 BUILDING PERMIT Address:6916 Woodbine Drive Permit#:1951 Parcel#:00738500400800 Valuation:0.00 OWNER APPLICANT CONTRACTOR Name:KESIC MANE R&ANASTASIA M Name:Shannon Heights Heating,Inc. Name:SHANNON HEIGHTS HEATING Address:6916 WOODBINE DR Address:18933 59th Ave NE,#107 Address: 18933 59TH AVE NE#107 City,State Zip:ARLINGTON,WA 98223 City,State Zip:Arlington,WA 98223 City,State Zip:ARLINGTON,WA 98223 Phone: Phone:253-576-4398 Phone:360-435-7359 MECHANICAL CONTRACTOR PLUMBING CONTRACTOR Name:SHANNON HEIGHTS HEATING Name: Address: 18933 59TH AVE NE#107 Address: City,State,Zip:ARLINGTON,WA 98223 City,State,Zip: Phone:360-435-7359 Phone: LIC#:SHANNHH842DJ EXP: 3/11/2020 LIC#: EXP: JOB DESCRIPTION PERMIT TYPE: Residential Mechanical CODE YEAR: 2015 STORIES: 2 CONST.TYPE: ` 13 DWELLING UNITS: I OCC GROUP: R3 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 NnTwE:Sales tax relating to construction and construction materials in the City of A*gtZnyour sales tax return form and coded City of Arlington#3101. �. Signature Print Name Date cased y Date CONDITIONS Approved as submitted. Adhere to the installation of model#G8MVL0701716B 1 AFUE 80%. 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 5/2/2018 Furnace $25.00 5/2/2018 Mechanical Permit Base Fee $25.00 5/2/2018 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=GHINHROFIAC... 5/2/2018 • 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:ANASTAIS AND MANE KESIC CONTRACTOR:SHANNON HEIGHTS HEATING oBADDRESS:6916 WOODBINE DRIVE OWNER ADDRESS:6916 WOODBINE DRIVE USE ofBUILDING: SFR PLAT NAME:WOODLANDS VB R3 Description of Work:REPLACE GAS FURNACE LOT# 8 PERMIT NO: BLD-1951 Sprinklered:NO CONDITIONS:SEE PERMIT DATE ISSUED:5/2/2018 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 CONNECTIONFINAL (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: G8MVL 80% VARIABLE SPEED, COMMUNICATING, TWO-STAGE GAS FURNACE EASIER TO SELL •80%AFUE •Series'B'approved for Twinning applications(0902116, 1002122, and 1352422)with accessory(order separately) •Supports two-stage cooling units - - •Observer®Communicating Control System �__ • Flame roll-out sensors standard TSTAT0201CW _ Category I venting Recommended (sold separately) • Blocked vent switch ---= • Dehumidification feature in cooling •24 VAC humidifier terminal • Electronic air cleaner terminal •California NOx approved TOUGHER •Variable speed ECM blower motor •Adjustable heating blower OFF delay • Factory set blower ON delay • RPJ Aluminized steel heat exchanger Illustrations and photographs are only representative. • High temperature limit control prevents overheating Some Product models may vary. • Direct ignition with Silicon Nitride ignitor •One piece prepainted steel cabinet QUIETER •Two-stage operation •Two-stage induced draft blower • In-shot burners • Insulated blower compartment EASIER TO INSTALL AND SERVICE •33-1/3"(847mm)high,for ease of installation - • Innovative knobs for easydoor removal and secure attachment CARBON MONOXIDE POISONING AND FIRE HAZARD Failure to follow this vvarning could result In personal injury,death, • Factory shipped for natural gas,with propane The n`ae isanmo2gdeslgned for ,n recreation vehicles, n.factured(uncoils)homes or outdoors, gas conversion kits available Failure to follow this vvarning could result In personal injury,death, • Four position -upflow/downflow/horizontal (left/right)installation and/or property damage. •Three position vent elbow capability •Through the casing flue pipe for counterflow applications oEs'6m •Common venting with other Category I appliances • Masonry chimney adapter available - o •Self diagnostics FRTIF�� •Slide out blower assembly ISO goo, WARRANTY* -u, • 10 year No Hassle ReplacementTM limited warranty •20 year heat exchanger limited warranty •5 year parts limited warranty Use of the AHRI Certified TM Mark indicates -With timely registration,an additional 5 year parts limited warranty a manufacturer's participation in the For residential applications only.See warranty certificate for complete program.For verification of certification for individual products,go to details and restrictions, including warranty coverage for other applications. vrww.ahridirectory.org. UNIT PERFORMANCE DATA Cooling Capacity CFM Heating range @.5 in. Operating Dimensions Operating Model Input Efficiency W.C. Height x Width x Depth Weight Number MBTUH AFUE 125 Pa inches millimeters Ibs k Notes G8MVL0451412B 44,000 80% 410-1175 33-1/3 x 14-3/16 x 29 847 x 360 x 737 107 49 G8MVL0701716B 66,000 80% 805-1685 1 33-1/3 x 14-3/16 x 29 847 x 360 x 737 126 57 G8MVL0902116B 88,000 80% 725-1770 33-1/3 x 17-1/2 x 29 847 x 445 x 737 146 66 G8MVL1102122B 110,000 80% 700-2230 33-1/3 x 21 x 29 847 x 533 x 737 152 69 G8MVL1352422B 132,000 80% 920-2290 1 33-1/3 x 24-1/2 x 29 847 x 622 x 737 163 74 Specifications subject to change without notice. Page 1 SUPERSEDES: 15G8MVL-02PP Catalog No. 15G8MVL-02.1PP.rb.xlsx EFFECTIVE DATE: 08/25/2015 IWORQ Systems Inc. Page I of 2 F . CITE' OF ARLINGTON J 239 N. OLYMPIC AVE-ARLINGTON, WA. 98223 _ PHONE; (360)403-3551 BUILDING PERMIT _ Address:6915 Woodbine Drive Permit#•1957 Parcel#:0073R500400806 Valuation:0,00 OWNER APPLICANT CONTRACTOR Nance:KFSIC MANE R&AtNASTASIA M Name:Shannon Heights Ileating,Inc, Name:SHANNON HEIGI-I.TS HI.ATINC Address:6916°sk()ODBINF.DR Address;19933 591h Ave NE,#101 Address:19933 59T}i AVE NE#107 001,State Zip:ARLINGTON,WA 98223 04,,State Zip:Arlington,WA 98223 City,State.Zip:ARLIN(TrON,WA 98223 Phone: Phone:253-576-4398 Phone:360 43 5-73 5 9 MECHANICAL CONTRACTOR PLUMBING CONTRACTOR Name:SHANNON Ii1610KI'3 HEATI,VG Name: Address;18933 39TH AVE NL 9107 Address: City,State,Zip:ARLINGTON,WA 98223 City,State,Zip: Phone:360-435-7359 Phone: LIC#:SHANNFIH942DJ EXP: 311 t/2020 LIC#: E7(P: JOB DESCRIPTION PERMIT TYPE: Residential Mechanical CODE YEAR: 2015 STORIES: 2 CONS]'.TYPE: VB DWFLLfNG UN US: ( OCC GROUP: R3 BUILDINGS: OCC LOAD: PERMIT APPROVAL I A{TREE TO CO-h4PLY WITH CITY AND STATE LAWS REGULATING CONNSTRUCTION AND IN DOING THE WC)".AUTHORIZED THEREBY;NO PERSON WILL HE EMPLOYED IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHING TON RELATING TO WORKMEN'S CIJMPEi:'SA'I'fON INSURANCE AND RCW 13,27. THIS APPLICATION IS NOP A P'1'RNIIT UNTIL SIGNED BY THE BUILDING OFFICIAL OR HI,S/HER DEPI'TY AND ALL PEES ARE PAID, IT IS UNLAWFUL TO USE OR OCCUPY A SUILDLNG OR STRUCTURE UNTIL,A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CFR.TtFTCATE OF OCCUPANCY HAS BEEN GRANTED, IBC 110/IRCI I0- SALLS CAN NOTICE:Sales tax relating to construction and construction materials in the City of Art gtbuasw d.km vourrules tax return formand udcd City lingfon#3101- im Print Name D tc !late CONDITIONS Approved as Submitted.Adhere to the installation of model#G8MVL0701716B I A UE 80%, THIS Pr_RM1T AUTTIORIZS ONLY THE WORK NOTED.THIS PERN41T COVERS WORK TO BE DONE ON'PRIVATE PROPERTY ONLY, ANY CONST'RIXTTON ON THE Pi_BL1C DOMAIN{CU.RBS,SIDr.WAI.k S,DRIVEWAYS,?4fARQlJF;F:S,ETC„)WILL RFQ(JIRE SEPARATE PERMISSION, _ PERMIT FEES Date Description Fee Amount 5/2/2018 Furnace $25-00 5/2/2018 Mechanical Permit Base Fee $25,00 502018 ProcessingNehnology Fee $25,00 Total Due: $75.00 Total Payment•. $0,00 Balance Due; $75.00 CALL FOR INSPECTIONS ~ � — R(ALDING(360)41133417 When ealling 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/iwo.rq/PermiVpopupPerniitEditLetterPrint.asp'?sid=ONNFIROFIAC,.. 512/2018 IWORQ Systems Inc. Page 1 of 2 CITY OF ARLINGTON 238 N. OLYMPIC AVE -ARLINGTON, WA. 98223 PHONE; (360) 403-3551 BUILDING PERMIT Address:6916 Woodbine Drive Permit#:1951 Parcel#:00738500400800 Valuation:0.00 OWNER APPLICANT CONTRACTOR Name:KESIC MANE R&ANASTASIA M Name:Shannon Heights Heating,Inc. Name:SHANNON HEIGHTS HEATING Address:6916 WOODBINE DR Address:18933 59th Ave NE,#107 Address: 18933 59TH AVE NE#107 City,State Zip:ARLINGTON,WA 98223 City,State Zip:Arlington,WA 98223 City,State Zip:ARLINGTON,WA 98223 Phone: Phone:253-576-4398 Phone:360-435-7359 MECHANICAL CONTRACTOR PLUMBING CONTRACTOR Name:SHANNON HEIGHTS HEATING Name: Address: 18933 59TH AVE NE#107 Address: City,State,Zip:ARLINGTON,WA 98223 City,State,Zip: Phone:360-435-7359 Phone: LIC#:SHANNHH842DJ EXP: 3/11/2020 LIC#: EXP: JOB DESCRIPTION PERMIT TYPE: Residential Mechanical CODE YEAR: 2015 STORIES: 2 CONST.TYPE: VB DWELLING UNITS: 1 OCC GROUP: R3 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. IBC IO/IRCI 10. SALES TAX NOTICE:Sales tax relating to construction and construction materials in the City of A*gtZ,�nyour sales tax return form and coded City of Arlington#3101. S.Z � Signature Print Name Date eased y Date CONDITIONS Approved as submitted. Adhere to the installation of model#G8MVL0701716B I AFUE 80%. 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 5/2/2018 Furnace $25.00 5/2/2018 Mechanical Permit Base Fee $25.00 5/2/2018 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=GHINHROFIAC... 5/2/2018 IWORQ Systems Inc. Page 2 of 2 https://www.iworq.net/iworq/permit/popupPertnitEditLetterPrint.asp?sid=GHINHROFIAC... 5/2/2018 IWORQ Systems Inc. Page 1 of 2 Permit Information Date 5/2/2018 Permit Number 1951 Project Namel Kesic Applicant Name Shannon Heights Heating, Inc. Applicant Address)18933 59th Ave NE,#107 City,State,Zipl Arlington,WA 98223 Contact)Terra O'Conner Phone l 253-576-4398 Email shannonheightsheating@gmail.com Permit Type Residential Mechanical Site Addressl6916 Woodbine Drive Valuation l 0.00 Statusl Applied Permit Issued) Permit Expires) Square Feetl0 Type of Construction/Occupancy Load l Number of Stories)0 Proposed Usel Like-for-like furnace change out Assigned To Kristin Foster Property Owner Parcel Address Legal Owner Phone Zoning 00738500400800 6916 WOODBINE KESIC MANE R&ANASTASIA 111 Single Family Residence- DR M Detached Contractors Contractor Name Primary Phone Email Contractor License License# Contact Type SHANNON HEIGHTS Terra 360-435- shannonheightsheating@gmail.comCONTRACTOR SHANNHH081BC HEATING O'Conner 7359 Fees Fee Description Notes Amount Furnace 322.10.00.00 $25.00 Mechanical Permit Base Fee 322.10.00.00 $25.00 Processingfrechnology Fee 341 43.00.02 $25.00 Total $75.00 https://www.iworq.net/iworq/Pennit/popupPermitEditPrint.asp?sid=GHINHROFIACPJPA... 5/2/2018 IWORQ Systems Inc. Page 2 of 2 Notes Date Note 5/2/2018 Furnace G8MVL0701716B1 80% Uploaded Files Upload File Date File Uploaded By 5/2/2018 3:39:22 PM 1951 Spec Sheet.odf Foster,Kristin x 5/2/2018 3:39:22 PM 1951 Application.pdf Foster,Kristin x https://www.iworq.net/iworq/Pennit/popupPennitEditPrint.asp?sid=GHINHROFIACPJPA... 5/2/2018 5/2/2018 SHANNON HEIGHTS HEATING INC 11 Search L&I �.'':`tiri<(}ir!.;EJ t2';CJ 7'•i5 ,'„(S E;S x I_!,,E:nSin9 All Wa5hington State Department of `J Labor & Industries SHANNON HEIGHTS HEATING INC Owner or tradesperson 18933 59TH AVE NE#107 Principals ARLINGTON,WA 98223 360-435-7359 O'CONNOR,MICAHEL JOSEPH,VICE SNOHOMISH County PRESIDENT O'CONNOR,TERRA JENNAE,SECRETARY O'CONNOR,TERRA JENNAE,TREASURER SCHMAUS,GEORGE ALBERT,CHIEF EXECUTIVE OFFICER O'CONNOR,TERRA JENNAE,AGENT Doing business as SHANNON HEIGHTS HEATING INC WA UBI No. Business type 603 571 948 Corporation Governing persons GEORGE SCHMAUS MICHAEL OCONNOR; TERRA OCONNOR; License Verify the contractor's active registration/license I certification(depending on trade)and any past violations. Construction Contractor Active. Meets current requirements. License specialties GENERAL License no. SHANNHH842DJ Effective—expiration 03111/2016—03/11/2020 Bond Federated Mutual Ins Co $12,000.00 Bond account no. 9205833 Received by L&I Effective date 03/11/2016 02/23/2016 Expiration date Until Canceled Insurance Federated Mutual Ins Co $1,000,000.00 Policy no. 9239140 Received by L&I Effective date 11/27/2017 01/02/2016 Expiration date 01/02/2019 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 No license violations during the previous 6 year period. https://secure.Ini.wa.gov/verify/Detail.aspx?UBI=603571948&LI C=SHANNHH842DJ&SAW= 1/2 5/2/2018 SHANNON HEIGHTS HEATING INC 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 503,985-02 Doing business as SHANNON HEIGHTS HEATING INC Estimated workers reported Pending current quarter filing L&I account contact T2/KATHY ULRICH(360)9024829-Email:WITE235@Ini.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 No inspections during the previous 6 year period. Washington State Dept.of Labor&Industnes,Use of this site is subject to the laws of the slate of Washington. ijt>�tg if5 3(iitFY(1 tiJ. https://secure.Ini.wa.gov/verify/Detail.aspx?UB1=603571948&LiC=SHANNHH842DJ&SAW= 2/2 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:6916 Woodbine Dr Project Description:Install furnace Owner: Anastasia Kesic Address: 6916 Woodbine Dr City:Arlington State'.WA Zip Code: 98223 Phone: 253.576.4398 Email:n/a Applicant: Terra O'Connor Address: 18933 59th Ave NE #107 City: Arlington State WA Zip Code: 98223 Phone: 360.435.7359 Email: shannonheightsheating@gmail.com CONTRACTOR INFORMATION Contractor Name:Shannon Heights Heating, Inc. Address: 18933 59th Ave NE #107 _ City: Arlington State WA Zip Code: 98223 License Number:SHANNHH842DJ Expiration: 03/11/2020 Phone:360.435.7359 Email:shannonheightsheating@gmail.com STAFF USE O Y// Received, Permit #: P;,t Accepted by: GI Date: MAY 01 2018 6/16LP Page 1 of 2 `1A . I �' 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 G8MVL0701716B1 80% Q; Furnace (80+) Model # AFUE ❑ Heat Pump Model # AFUE HSPE ❑ AC Unit Model # SEER ❑ Freestanding Stove ❑' Fire Place Insert ❑ Outdoor BBQ ❑ Gas Piping ❑'I 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 cL Q'coaff wt, Applicant Signature: �.W....,......._ .,.., — Date 05/01/2018 Applicant Printed Name: Terra O'Connor 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 G8MVL 80% VARIABLE SPEED, COMMUNICATING, TWO-STAGE GAS FURNACE EASIER TO SELL •80%AFUE •Series'B'approved for Twinning applications(0902116, _ 1002122,and 1352422)with accessory(order separately) •Supports two-stage cooling units •Observers'Communicating Control System TSTAT0201Cw •Flame roll-out sensors standard Recommended - •Category I venting (sold separately) - •Blocked vent switch =Z — •Dehumidification feature in cooling __- •24 VAC humidifier terminal •Electronic air cleaner terminal •California NOx approved TOUGHER •Variable speed ECM blower motor •Adjustable heating blower OFF delay •Factory set blower ON delay •RPJ Aluminized steel heat exchanger Wvb•MMa•M phologaphs are only represenlaWe •High temperature limit control prevents overheating Some Pro.ct models may vary •Direct ignition with Silicon Nitride ignitor •One piece prepainted steel cabinet QUIETER •Two-stage operation •Two-stage induced draft blower •In-shot burners •Insulated blower compartment EASIER TO INSTALL AND SERVICE •33-1/3"(847mm)high,for ease of installation A111.1 WARNING • Innovative knobs for easy door removal and secure attachment CARBON MUNUXIDE PUI$ONING AND FIRE HAZARD •Factory shipped for natural gas,with propane a aaM r w R in lr•rs�w ino•r h� r•eo es ,..r..!prn vrhr_.,,- gas conversion kits available a�'Jioi rrmpa ., he�srv,ai rajury,anam. • Four position-upflow/downflow/horizontal(left/right)installation •Three position vent elbow capability •Through the casing flue pipe for counterflow applications cEo,n� •Common venting with other Category I appliances •Masonry chimney adapter available •Self diagnostics •Slide out blower assembly Isa 9001 WARRANTY* • 10 year No Hassle ReplacementTM limited warranty •20 year heat exchanger limited warranty •5 year parts limited warranty Use of the AHRI certified TM Mark indicates -With timely registration,an additional 5 year parts limited warranty a manufacturer's participation in the *For residential applications only.See warranty certificate for complete program.For verification of certification for individual products,go to details and restrictions,including warranty coverage for other applications. v—v ahridireclory.org UNIT PERFORMANCE DATA Cooling Capacity CFM Heating range @.5 in. Operating Dimensions Operating Model Input Efficiency W.C. Height x Width x Depth Weight Number MBTUH AFUE (125 Pa) inches(millimeters) Ibs k Notes G8MVL0451412B 44,000 80% 410-1175 33-1/3 x 14-3/16 x 29 847 x 360 x 737) 107 49 G8MVL0701716B 66.000 80% 805-1685 33-1/3 x 14-3/16 x 29 847 x 360 x 737 126 57 G8MVL0902116B 88,000 80% 725-1770 33-1/3 x 17-1/2 x 29 847 x 445 x 737 146 66 G8MVL1102122B 110.000 80% 700-2230 1 33-1/3 x 21 x 29 847 x 533 x 737 152 69 G8MVL1352422B 132,000 80% 920-2290 1 33-1/3 x 24-1/2 x 29 847 x 622 x 737 163 74 Specifications subject to change without notice. Page 1 SUPERSEDES:15G8MVL-02PP Catalog No. 15G8MVL-02 1 PP rb.xlsx EFFECTIVE DATE: 08/?5ip015 ep g P' WIDSI I 1 1 Permit#: 1951 Permit Date: 05/02/18 Permit Type: RESIDENTIAL MECHANICAL Project Name: Kesic Applicant Name: Shannon Heights Heating, Inc. Applicant Address: 18933 59th Ave NE, #107 Applicant, City, State, Zip: Arlington,WA 98223 Contact: Terra O'Conner Phone: 253-576-4398 Email: shannonheightsheating@gmail.com Scope of Work: Like-for-like furnace change out Valuation: 0.00 Square Feet: 0 Number of Stories: 0 Construction Type: Occupancy Group: ID Code: Permit Issued: 05/03/2018 Permit Expires: Form Permit Type: Status: COMPLETE Assigned To: Kristin Foster Property Parcel# Address Legal Description Owner Name Owner Phone Zoning 00738500400800 6916 WOODBINE DR KESIC MANE R& 111 Single Family ANASTASIA M Residence-Detached Contractors Contractor Primary Contact Phone Address Contractor Type License License# SHANNON HEIGHTS 18933 59th Ave CONSTRUCTION HEATING Terra O'Conner 3604357359 Ne#107 CONTRACTOR UBI 603 571 948 SHANNON HEIGHTS 18933 59th Ave CONSTRUCTION Construction SHANNHH842DJ HEATING Terra O'Conner 3604357359 Ne#107 CONTRACTOR Contractor Inspections Date Inspection Type Description Scheduled Date Completed Date Inspector Status CIO. 05/10/2018 MECHANICAL 05/10/2018 BUILDING Approved 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 05/02/2018 Building Permit Payments Date Paid By Description Payment Type Accepted By Amount 05/02/2018 Terra OConnor 69794028 cc $75.00 Outstanding Balance $0.00 Notes Date Note Created By: 05/03/2018 Emailed permit for signature. Kristin Foster 05/02/2018 Furnace G8MVLO701716B1 80% Kristin Foster Uploaded Files Date File Name 05/03/2018 3441533-1951 Issued Permit.pdf 05/02/2018 3437533-1951 Application.pdf 05/02/2018 3437534-1951 Spec Sheet.pdf