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HomeMy WebLinkAbout19731 50th Ave Ne_BLD2086_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- 19731 50TH AVE NE Project Description:2 ZONE DUCTLESS HEAT PUMP Owner: Jesse Eberle Address. 19731 50TH AVE NE City. ARLINGTON State WA Zip Code: 98223 Phone: 9106506451 Email:N/A Applicant: BLACK LION HEATING & AIR CONDITIONING Address: 11001 118TH PL NE City: KIRKLAND State.WA Zip Code: 98033 Phone. 425-814-3944 Email. BRENDA@BLACKLIONHVAC.COM CONTRACTOR INFORMATION Contractor Name:BLACK LION HEATING & AIR CONDITIONING Address: 11001 118TH PL NE City: KIRKLAND State WA Zip Code: 98033 License Number. BLACKLH873QQ Expiration: 11/2019 Phone: 425-814-3944 Email:BRENDA@BLACKLION HVAC.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 #MITSUBISHI AFUE HSPE1 ❑ 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: d'S13be"a92O�db81 Date: 07/26/2018 Applicant Printed Name: Brenda lopez 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 1. .0 CITY OF ARLINGTON 238 N. OLYMPIC AVE-ARLINGTON, WA. 98223 PHONE; (360)403-3551 BUILDING PERMIT Address: 19731 50th Avenue NE Permit#:2086 Parcel#:00689900000600 Valuation;0,00 OWNER APPLICANT CONTRACTOR Name;ELBERLE JESSE Name:Black Lion Heating&Air Name:Black Lion Heating and Air Conditioning Address: 197111 50TH AVE NF, Address:)I001 118th Place NE Address: 11001 1 I8tlt Place NE City,State Zip:ARLINGTON,WA 98223 City,State Zip:Kirkland,WA 98033 City,State Zip:Kirkland,WA 99033 Phone: Phone:425-814-3944 Phone:425-814-3944 MECHANICAL CONTRACTOR PLUMBING CONTRACTOR Name:Black Lion Hearing and Air Conditioning Name: Address: 11001 1 I8th Place NE Address: City,State,Zip:Kirkland,WA 98033 City,Statc,Zip: Phone:425-814-3944 Phone: LIC!t: 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 TIIE WORK AUTHORIZF,D THEREBY; NO PERSON WILL BE FMPLOYF.D IN VIOLATION OF THE LABOR CODE OF THE STATF.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/TIER DEPUTY AND ALL FEES ARE PAID. 1T IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION I[AS BEEN MADE AND,APPROVAL OR A CEKTI' 'ATE OF OCCUPANCY HAS BEEN GRANTF,D. IBCI 10/IRCl10. 'LUTICE•sales tax Maia�&kd-A- I rtslruclion and construction materials in the 'ay of Arhng m 1 repuricd on your sales rax retum form codrd C` o' rlington#3101.I/Ifil �y / r'S t�[ lure Print Name Once It leased By Dal CONDITIONS 3" concr a pad<ith seismic bracing attached to pad. Provide electrical disconnect. Lines shall be insulted, the use of adhesive tapes is prohibited. Call for final inspection. THIS PERMIT AUTHORIZS ONLY THE WORK NOTED,THIS PERMIT COVRRS WORKTO BE DONE ON PRIVATE PROPERTY ONLY, ANY CONSTRUCTION ON THE PUBLIC DOMAIN(CURBS,SIDEWALKS,DRIVEWAYS,MARQUEES,ETC.)WILL REQUIRE SEPARATE PERMISSION PERMIT FEES Date Descriptlon Fea Amount 8l7/2018 A/C Unit $25.00 81712018 Mechanical Permit Base Fee $25,00 87712018 Processing/Technology Fee $25,00 Total Due: $75,00 Total Payment; S0.00 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 GITY OF ARLINGTON ' 238 N. OLYMPIC AVE - ARLINGTON, WA. 98223 PHONE; (360) 403-3551 BUILDING PERMIT Address:19731 50th Avenue NE Permit#:2086 Parcel#:00689900000600 Valuation:0.00 OWNER APPLICANT CONTRACTOR Name:ELBERLE JESSE Name:Black Lion Heating&Air Name:Black Lion Heating and Air Conditioning Address: 19731 50TH AVE NE Address:l 1001 118th Place NE Address: 11001 118th Place NE City,State Zip:ARLINGTON,WA 98223 City,State Zip:Kirkland,WA 98033 City,State Zip:Kirkland,WA 98033 Phone: Phone:425-814-3944 Phone:425-814-3944 MECHANICAL CONTRACTOR PLUMBING CONTRACTOR Name:Black Lion Heating and Air Conditioning Name: Address: 11001 118th Place NE Address: City,State,Zip:Kirkland,WA 98033 City,State,Zip: Phone:425-814-3944 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 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 n st reported on your sales tax return form and coded City of Arlington#3101. /:Ila Signature Print Name Date V R leased By t Dat CONDITIONS 3" concrete pad with seismic bracing attached to pad. Provide electrical disconnect. Lines shall be insulted, the use of adhesive tapes is prohibited. Call for final inspection. 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 8/7/2018 A/C Unit $25.00 8/7/2018 Mechanical Permit Base Fee $25.00 8/7/2018 Processing/Technology Fee $25.00 Total Due: $75.00 Total Payment: S0.00 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 AN. �' 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:19731 50TH AVE NE Project Description:2 ZONE DUCTLESS HEAT PUMP Owner: Jesse Eberle Address: 19731 50TH AVE NE City:ARLINGTON StateYVA Zip Code: 98223 Phone: 9106506451 Email:N/A Applicant: BLACK LION HEATING & AIR CONDITIONING Address: 11001 118TH PL NE City: KIRKLAND State WA Zip Code: 98033 Phone: 425-814-3944 Email: BRENDA@BLACKLIONHVAC.COM CONTRACTOR INFORMATION Contractor Name:BLACK LION HEATING & AIR CONDITIONING Address: 11001 118TH PL NE City: KIRKLAND State WA Zip Code: 98033 License Number:BLACKLH873QQ Expiration: 11/2019 Phone:425-814-3944 Email:BRENDA@BLACKLIONHVAC.COM Received STAFF USE ONLY Permit #: ab* Accepted by: Date: 6/16LP Page 1 of 2 tJ . RESIDENTIAL MECHANICAL s 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 C1 Furnace (80+) Model # AFUE [ Heat Pump Model #MITSUBISHI AFUE HSPE1 ❑ AC Unit Model # SEER ❑ Freestanding Stove ❑' Fire Place Insert ❑ Outdoor BBQ ❑ Gas Piping ❑' Solid-Fuel Appliance ❑ Other Gas Piping Information j 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: M" " Date' 07/26/2018 Applicant Printed Name: brenda lopez 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 1 ® MITSUBISHI ,W Vk ELECTRIC COOLING & HEATINGi: ffM.SERIES SUBMITTAL DATA: t MULTI-INDOOR Job Name: System Reference: Date: GENERAL FEATURES • Highly energy-efficient system that features 100%heating capacity at 5°F with guaranteed capacity down to-13'F It xe� • Quiet operation • Built-in base an heater to prevent ice in drain an 11 • Limited warranty:five years parts and seven years compressors It IN,t1ERT R r 1 ACCESSORIES ❑ 3/8"x 1/2"Port Adapter(MAC-A454JP-E) ❑ 1/2"x 3/8"Port Adapter(MAC-A.455JP-E) 14 0 ❑ 1/2"x 5/8"Port Adapter(MAC-A456JP-E) ly ❑ 114"x 3/8"Port Adapter(PAC-493PI) 1 Y ❑ 3/8"x 5/8"Port Adapter(PAC-SG76RJ-E) ❑ M-NET Adapter(PAC-IF01MNT--E) 40= ❑ Drain Socket(PAC-SG60DS-E) Outdoor Unit MXZ-3C30NAHZ ❑ Airflow Guide(PAC-SH96SG-E) (For data on specific indoor units,see the MXZ-C Technical and Service Manual.) Specifications Model Name Unit Type MXZ-3C30NAHZ Rated Capacity Btu/h 28,400/27,400 Cooling* Capacity Range Btu/h 6,000-28,400 (Non-ducted/Ducted) Rated Total Input W 2,272/2,661 Rated Capacity Btu/h 28,600 127,600 Heating at 47°F* (Non-ducted/Ducted) Capacity Range Btulh 7,200-36,000 Rated Total Input W 2,096/2,187 Rated Capacity Btu/h 18,000/16,500 Heating at to 1 (Non-ducted/Ducted) Maximum Capacity Btu/h 28,600/27,600 Rated Total Input W 1,991 11,993 Heating at 5°F* Maximum Capacity Btu/h 28,600 Power Supply Voltage,Phase,Hertz 208/230V,1-Phase,60 Hz Electrical Requirements Recommended Fuse/Breaker Size A 40 MCA A 30 Voltage Indoor-Outdoor S1-S2 V AC 208/230 Indoor-Outdoor S2-S3 V DC±24 Compressor DC INVERTER-driven Twin Rotary Fan Motor(ECM) F.L.A. 1.9 Sound Pressure Level 54 Heating dB(A) 58 External Dimensions(H x W x D) In/mm 41-9/32 x 37-13/32 x 13 1048 x 950 x 330 Net Weight I Lbs/kg 189/86 External Finish Munsell No.3Y 7.8111 Refrigerant Pipe Size O.D.— Liquid(High Pressure) In I mm 1/4/6.35 Eight Ports I Gas(Low Pressure) AA/2/12.7:B,C:3/8/9.52 Max.Refrigerant Line Length Ft/m 230/70 Max.Piping Length for Each Indoor Unit Ft/m 82/25 Max.Refrigerant Pipe Height I If IDU is Above ODU Ft/m 49/15 Difference If IDU is Below ODU 49/15 Connection Method Flared/Flared Refrigerant R410A Rating Conditions perAHRI Standard: Cooling i Indoor 800 F(270 C)DB/670 F(190 C)WB Heating at 47•F I Indoor:70Q F(210 C)DB/60•F(160 C)WB Heating at 170 F i Indoor..70D F(21•C)DB Cooling i Outdoor.951 F(351 C)DB/W.B.23 9°C(75•F) Heating at 47•F I Outdoor 470 F(6°C)DB/430 F(60 C)WB Heating at 170 F i Outdoor.170 F(-80 C)DB/15•F(-90 C)WB I. OGOiVed Specifications are subject to change without notice. m 2015 Mitsubishi Electric US,Inc. JUL 2 6 2018 I Operating Range: Energy Efficiencies: Outdoor Indoor Unit Type SEER EER HSPF COP @ COP 47°F @ 17°F Cooling D.B.23 to 115°F[D.B.-5 to 46°C]*1 Non-ducted Heating D.B.-13to70°F[D.B.-25to21°C] ( O6+06+09) 18.0 12.5 11.0 4.00 2.65 *1.D.B.5 to 115-F[D.B.-15 to 46°C], Ducted and 17.00 11.40 10.40 3.85 2.58 Men an optional Air Outlet Guide is installed. Non-ducted Ducted 16.0 10.3 9.8 3.70 2.50 (09+09+09) Multi-zone Indoor/Outdoor Combination Table MSZ-FH* MSZ-GE* MFZ* MVZ* SEZ-KD* SLZ* (PCA PLA* PEAD* MXZ-3C30NAHZ OK OK OK 12,18,24 OK OK OK OK 18.24 OK 24 OK 30,36 NO 12.30 NO 30,36 NO *Refer to indoor unit submittal. Notes: • Minimum of two Indoor Units must be connected to the MXZ-3C30NAHZ. • Minimum installed capacity cannot be less than 12,000 Btu/h. • System can operate with only one Indoor Unit turned on. • May connect to any style indoor unit or combination. • Information provided at 208/230V. Refer to the MXZ-C Technical&Service Manual for detailed specifications and additional information per Indoor Unit Combination. MVZ CONNECTION RULES: • Only 1 MVZ may be used on any system. • When an MVZ is connected,total connected capacity must be 100%or less. • When an MVZ is connected,no P-Series indoor units can be used(PCA,PLA,or PEAD). Notes: Specifications are subject to change without notice. 0 2015 Mitsubishi Electric US,Inc. i it MXZ-3C30NAHZ OPERATIONAL PERFORMANCE DUCTED: Operational Cooling Performance for Indoor Heating Capacity Range(Btu/h) Power Usage Range Unit Combinations is i (Unit A+Unit B+Unit C1, UnitA Unit B Unit C 9 9000 0 0 10900 0 12 12000 0 0 13600 0 15 15000 0 0 18000 0 18 17200 0 0 21600 0 0 24 24000 0 0 24000 0 0 9+9 9000 9000 0 10900 10900 0 9+12 9000 12000 0 9771 13029 0 9+15 9000 15000 0 9000 15000 0 9+18 8000 16000 0 8000 16000 0 9+24 6545 17455 0 6545 17455 0 12+12 12000 12000 0 12000 12000 0 12+15 10667 13333 0 10667 13333 0 TBD 12+18 9600 14400 0 9600 14400 I 12+24 8000 16000 0 8000 16000 0 15+15 12000 12000 0 12000 12000 15+18 10909 13091 0 10909 13091 0 18+18 12000 12000 0 12000 12000 0 9+9+9 9000 9000 9000 9133 9133 9133 9+9+12 8220 8220 10960 '1280 8280 11040 9+9+15 7473 7473 12455 7527 7527 12545 9+9+18 6850 6850 13700 6900 6900 13800 9+12+12 7473 9964 9964 7527 10036 10036 9+12+15 6850 9133 11417 6900 9200 11500 12+12+12 9133 9133 9133 9200 9200 1 9200 Specifications are subject to change without notice. 0 2015 Mitsubishi Electric US,Inc. i �. � 1 1 MXZ-3C30NAHZ OPERATIONAL w • PERFORMANCE, w , w A contd. NON-DUCTED: Operational CoolingCapacity IndoorPerformance for .- Current i: Unit Combinations W 6 6000 0 0 7400 0 - 9 9000 0 0 11000 0 12 12000 0 0 14400 0 15 14000 0 0 18000 0 0 18 17200 0 0 21600 0 0 24 22500 0 0 22600 0 0 6+6 6000 6000 0 7400 7400 0 6+9 6000 9000 0 736" 11040 0 6+12 6000 12000 0 7333 14667 0 6+15 5714 14286 0 6286 15714 0 6+18 5750 17250 0 5750 17250 0 6+24 4800 19200 0 4800 19200 0 9+9 9000 9000 0 11000 0 9+12 8571 11429 0 9429 12571 0 9+15 8625 14375 0 8625 14375 0 TBD 9+18 8000 16000 0 8000 16000 0 9+24 6545 17455 0 6545 17455 0 12+12 11500 11500 0 115u., 11500 0 12+15 10667 13333 0 10667 13333 0 12+18 9600 14400 0 9600 14400 0 12+24 8000 16000 0 8000 16000 0 15+15 12000 12000 0 12000 12000 0 15+18 10909 13091 0 10909 13091 18+18 12000 12000 0 12000 12000 0 6+6+6 6000 6000 6000 7400 7400 7400 6+6+9 6000 6000 9000 7371 7371 11057 6+6+12 6000 6000 12000 7100 7100 14200 6+6+15 5778 5778 14444 6311 6311 15778 6+6+18 5680 5680 17040 5720 5720 17160 6+6+24 4733 4733 18933 4767 4767 19067 Specifications are subject to change without notice. C 2015 Mitsubishi Electric US,Inc. i f MXZ-3C30:NAHZ OPERATIONAL PERFORMANCE, contd. NON-DUCTED: Operational Cooling Capacity Range IndoorPerformance for Unit Combinations Current is i (Unit A+Unit B+Unit C); UnitA Unit B Unit C (W) 6+9+9 6000 9000 9000 7100 10650 10650 6+9+12 5778 8667 11556 6311 9467 12622 6+9+15 5680 8520 14200 5720 8580 14300 6+9+18 5164 7745 15491 5200 7800 15600 6+12+12 5680 11360 11360 5720 11440 11440 6+12+15 5164 10327 12909 520u 10400 13000 6+12+18 4733 9467 14200 4767 9533 14300 4733 11833 11833 6+15+15 4767 11917 11917 TBD 9+9+9 8667 8667 8667 9467 9467 9467 9+9+12 8520 8520 11360 8580 8580 11440 9+9+15 7745 7745 12909 7800 7800 13000 9+9+18 7100 7100 14200 7150 7150 14300 9+12+12 7745 10327 10327 7800 10400 10400 9+12+15 7100 9467 11833 7150 9533 12+12+12 9467 9467 19467 9533 9533 Specifications are subject to change without notice. 0 2015 Mitsubishi Electric US,Inc. i i i I DIMENSIONS: 9 Unit: inch(mm) •7/8• 23-5/a' -7/9• 0RW Air 2-13/16' 9 7t3 Make 7-IJ12' <-19 2-U Shooen NW,:hee Hale /16' 7Fourdo on Sot m1ol 1JA2• EVE R � m 0 H • _Y Side Air Inlakeb a A N 01-3/32'04W*0 hole 13/3T' Air N� t3/32" ICartect wire hotel 4J 80ischarge ? 2-07/8'pu hea hole 2-4&32'kt-13/32'1 N01 Hole T-15/t6• lCortnKt wire hale) WaLo'40lon adl HUM 7.3/32' E7/8•Mn0CkMf hole 1.5132• mect.V wire Wet 37.13132• 31/ 13' y_19/371 a ="32 A =CH O0 rortae 'I' Hnnrxr. ht d 0 .1 =0 I•i•' 2-3/4• o n Q� c t '! i �,�= GASir Wt,l LIF LIO VA'H6.3GIFt ARt O® GASJ BJ GAS 7/8'Y9.521FLArG; Q® IQ!lllllW A_LIO 1/C'f06.3$1FLARlJJ . �l As GA51/2'1012.MARF 1FREE SPACE Lock nut Conduit plate Top a Conduit connector e > o Lmore 1J'•25/3Y a more —tQ'Q 2.SERVICE SPACE a O 0 w - 0 Conduit plate Under J-15/%'a sere TERM$PACE 13.75/32'or°vr f3.25t3T'a ox" MITSUBISHI ET� �S /� ELECTRIC COOLING & HEATING Inter•tek 1340 Satellite Boulevard Suwanee,GA 30024 Toll Free:800-433-4822 www.mehvac.com FORM#MXZ-3C30NAHZ for Multiple Indoor Unit Styles-201505 Specifications are subject to change without notice. 0 2015 Mitsubishi Electric US,Inc. 44, CITY OF ARLINGTON 238 N. OLYMPIC AVE -ARLINGTON, WA. 98223 PHONE; (360)403-3551 BUILDING PERMIT Address: 19731 50th Avenue NE Permit#:2086 Parcel#:00689900000600 Valuation:0.00 OWNER APPLICANT CONTRACTOR Name;ELBERLE JESSE Name:Black Lion Heating&Air Name:Black Lion Heating and Air Conditioning Address: 19731 50TH AVE NE Address:l 1001 118th Place NE Address: 11001 1 l8th Place NE City,State Zip:ARLINGTON,WA 98223 City,State Zip:Kirkland,WA 98033 City,State Zip:Kirkland,WA 98033 Phone: Phone:425-814-3944 Phone:425-914-3944 MECHANICAL CONTRACTOR PLUMBING CONTRACTOR Name:Black Lion Heating and Air Conditioning Name: Address: 11001 1 18th Place NE Address: City,State,Zip:Kirkland,WA 99033 City,State,Zip: Phone:425-814-3944 Phone: LIC!l: EXP: LIC it: 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 RUILDING OFFICIAL OR HIS/HER DEPUTY AND ALL FEES ARE PAID. IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UN'IlL A FINAL INSPECTION I IAS BEEN MADE AND APPROVAL OR A CERTI ' FATE OF OCCUPANCY HAS BEEN GRANTED. IBCI 10/IRC110, 5 ) ' •Sales tax relan construction and construction materials in the .ity ofArling n st reported on your sales tax return form I coded(" of rlington#3101. � V -T i tore Print Name Date R leased By pat CONDITIONS 3" concr e pa&l9ith seismic bracing attached to pad. Provide electrical disconnect. Lines shall be insulted, the use of adhesive tapes is prohibited. Call for final inspection. THIS PERMIT AUTHORIZS ONLY THE WORK NOTED.THIS PERMIT COVERS WORKTO HE DONE ON PR1VAfE PROPL:KI'Y ONLY. ANY CONSTRUCTION ON THE PUBLIC DOMAIN(CURBS,SIDEWALKS,DRIVEWAYS,MARQUEES,ETC.)WILL REQUIRE SEPARATE PERMISSION- PERMIT FEES Date Description Fee Amount 8l7/2018 A/C Unit $25.00 8!7/2018 Mechanical Permit Base Fee $25.00 8l7/2018 Processing/Technology Fee $25.00 Total Due: $75.00 Total Payment; 50.00 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 AS CITY OF ARLINGTON 238 N. OLYMPIC AVE -ARLINGTON, WA. 98223 PHONE; (360) 403-3551 BUILDING PERMIT Address:19731 50th Avenue NE Permit#:2086 Parcel#:00689900000600 Valuation:0.00 OWNER APPLICANT CONTRACTOR Name:ELBERLE JESSE Name:Black Lion Heating&Air Name:Black Lion Heating and Air Conditioning Address: 19731 50TH AVE NE Address:11001 118th Place NE Address: 11001 1 l8th Place NE City,State Zip:ARLINGTON,WA 98223 City,State Zip:Kirkland,WA 98033 City,State Zip:Kirkland,WA 98033 Phone: Phone:425-814-3944 Phone:425-814-3944 MECHANICAL CONTRACTOR PLUMBING CONTRACTOR Name:Black Lion Heating and Air Conditioning Name: Address: 11001 118th Place NE Address: City,State,Zip:Kirkland,WA 98033 City,State,Zip: Phone:425-914-3944 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 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 l0/IRC110. SALES TAX NOTICE:Sales tax relating to construction and construction materials in the City of Arling n i st reported on your sales tax return form and coded City of Arlington#3101. Signature Print Name Date V R leased By bat CONDITIONS 3" concrete pad with seismic bracing attached to pad. Provide electrical disconnect. Lines shall be insulted, the use of adhesive tapes is prohibited. Call for final inspection. 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 8/7/2018 A/C Unit $25.00 8/7/2018 Mechanical Permit Base Fee $25.00 8/7/2018 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 MITSUBISHI r, /_ ELECTRIC Q COOLING & HEATING ffM.SERIES SUBMITTAL DATA: MXZ-3C30NAH MUL INVERTER HEAT-PUMP SYSTEM TI-INDOOR Job Name: System Reference: Date: GENERAL FEATURES • Highly energy-efficient system that features 100%heating capacity at 5°F with guaranteed capacity down to-13'F I1 • Quiet operation IL Lj • Built-in base pan heater to prevent ice in drain pan to , nllllllllllllllllllllllm, NN CKR • Limited warranty:five years parts and seven years compressors 0 dllllllllllllllllllllllllllllllllllllllh IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII ACCESSORIES Ic glllllllllllllllllllllllllllllllllllllllllllll ❑ 3/8"x 1/2"Port Adapter(MAC-A454JP-E) 1� llllllllllllllllllllllllilll�lllll ❑ 1/2"x 3/8"Port Adapter(MAC-A455JP-E) 1� ❑ 1/2"x 5/8"Port Adapter(MAC-A456JP-E) 'I, ❑ 1/4"x 3/8"Port Adapter(PAC-493PI) 44 ❑ 3/8"x 5/8"Port Adapter(PAC-SG76RJ-E) 1 •e*= ❑ M-NET Adapter(PAC-IF01MNT-E) ❑ Drain Socket(PAC-SG60DS-E) Outdoor Unit:MXZ-3C30NAHZ ❑ Airflow Guide(PAC-SH96SG-E) (For data on specific indoor units,see the MXZ-C Technical and Service Manual.) Specifications Model Name Unit Type MXZ-3C30NAHZ Rated Capacity Btu/h 28,400/27,400 Cooling*(Non-ducted/Ducted) Capacity Range Btu/h 6,000-28,400 Rated Total Input W 2,272/2,661 Rated Capacity Btu/h 28,600/27,600 Heating at 47*F* Capacity Range Btu/h 7,200-36,000 (Non-ducted/Ducted) Rated Total Input W 2,096/2,187 Rated Capacity Btu/h 18,000/16,500 Heating at(Non-ducted/Ducted)1 (Non-ducte Maximum Capacity Btu/h 28,600/27,600 Rated Total Input W 1,991 /1,993 Heating at 5*F* Maximum Capacity Btu/h 28,600 Power Supply Voltage,Phase,Hertz 208/230V, 1-Phase,60 Hz Electrical Requirements Recommended Fuse/Breaker Size A 40 MCA A 30 Voltage Indoor-Outdoor S1-S2 V AC 208/230 Indoor-Outdoor S2-S3 V DC±24 Compressor DC INVERTER-driven Twin Rotary Fan Motor(ECM) F.L.A. 1.9 Sound Pressure Level Cooling 54 Heating dB(A) 58 External Dimensions(H x W x D) In/mm 41-9/32 x 37-13/32 x 13 1048 x 950 x 330 Net Weight Lbs/kg 189/86 External Finish Munsell No.3Y 7.8/11 Refrigerant Pipe Size O.D.— Liquid(High Pressure) In/mm 1/4/6.35 Eight Ports Gas(Low Pressure) A:1/2/12.7;B,C:3/8/9.52 Max.Refrigerant Line Length Ft/m 230/70 Max.Piping Length for Each Indoor Unit Ft/m 82/25 Max.Refrigerant Pipe Height If IDU is Above ODU Ft/m 49/15 Difference If IDU is Below ODU 49/15 Connection Method Flared/Flared Refrigerant R410A Rating Conditions per AHRI Standard: Cooling I Indoor:800 F(270 C)DB/670 F(190 C)WB Heating at 470F I Indoor:700 F(210 C)DB/600 F(160 C)WB Heating at 170 F Indoor:700 F(210 C)DB Cooling I Outdoor:95o F(35o C)DB/W.B.23.9°C(75°F) Heating at 47oF I Outdoor:47'F(8o C)DB/43o F(6o C)WB Heating at 17o F Outdoor:17o F(-8o C)DB/15o F(-90 C)WB Specifications are subject to change without notice. ©2015 Mitsubishi Electric US,Inc. SPECIFICATIONS: 1 Operating Range: Energy Efficiencies: Outdoor Indoor Unit Type SEER EER HSPF COP @ COP 47°F @ 17°F Cooling D.B.23 to 115°F[D.B.-5 to 46°C]*1 Non-ducted Heating D.B.-13to70°F[D.B.-25to21°C] (06+06+09) 18.0 12.5 11.0 4.00 2.65 -1.D.B.5 to 115°F[D.B.-15 to 46°C], Ducted and 17.00 11.40 10.40 3.85 2.58 when an optional Air Outlet Guide is installed. Non-ducted Ducted (09+09+09) 16.0 10.3 9.8 3.70 2.50 Multi-zone Indoor/Outdoor Combination Table MSZ-FH* MSZ-GE* MFZ* MVZ* SEZ-KD* SLZ* (A24 PLA* PEAD* MXZ-3C30NAHZ OK OK OK 12,18,24 OK OK OK OK 18,24 OK 24 OK 30,36 NO 12,30 NO 30,36 NO *Refer to indoor unit submittal. Notes: • Minimum of two Indoor Units must be connected to the MXZ-3C30NAHZ. • Minimum installed capacity cannot be less than 12,000 Btu/h. • System can operate with only one Indoor Unit turned on. • May connect to any style indoor unit or combination. • Information provided at 208/230V. Refer to the MXZ-C Technical&Service Manual for detailed specifications and additional information per Indoor Unit Combination. MVZ CONNECTION RULES: • Only 1 MVZ may be used on any system. • When an MVZ is connected,total connected capacity must be 100%or less. • When an MVZ is connected,no P-Series indoor units can be used(PCA,PLA,or PEAD). Notes: Specifications are subject to change without notice. ©2015 Mitsubishi Electric US,Inc. OPERATIONAL . DUCTED: Operational Cooling IndoorPerformance for Power Unit Combinations Unit A Unit B Unit C (W) 9 9000 0 0 10900 0 0 12 12000 0 0 13600 0 0 15 15000 0 0 18000 0 0 18 17200 0 0 21600 0 0 24 24000 0 0 24000 0 0 9+9 9000 9000 0 10900 10900 0 9+ 12 9000 12000 0 9771 13029 0 9+15 9000 15000 0 9000 15000 0 9+18 8000 16000 0 8000 16000 0 9+24 6545 17455 0 6545 17455 0 12+ 12 12000 12000 0 12000 12000 0 12+ 15 10667 13333 0 10667 13333 0 TBD 12+ 18 9600 14400 0 9600 14400 0 12+24 8000 16000 0 8000 16000 0 15+ 15 12000 12000 0 12000 12000 0 15+ 18 10909 13091 0 10909 13091 0 18+ 18 12000 12000 0 12000 12000 0 9+9+9 9000 9000 9000 9133 9133 9133 9+9+ 12 8220 8220 10960 8280 8280 11040 9+9+ 15 7473 7473 12455 7527 7527 12545 9+9+ 18 6850 6850 13700 6900 6900 13800 9+12+12 7473 9964 9964 7527 10036 10036 9+12+15 6850 9133 11417 6900 9200 11500 12+ 12+ 12 9133 9133 9133 9200 9200 9200 Specifications are subject to change without notice. ©2015 Mitsubishi Electric US,Inc. OPERATIONAL O. NON-DUCTED: Operational Cooling IndoorPerformance for Power Unit Combinations Unit A Unit B Unit C (W) 6 6000 0 0 7400 0 0 9 9000 0 0 11000 0 0 12 12000 0 0 14400 0 0 15 14000 0 0 18000 0 0 18 17200 0 0 21600 0 0 24 22500 0 0 22600 0 0 6+6 6000 6000 0 7400 7400 0 6+9 6000 9000 0 7360 11040 0 6+12 6000 12000 0 7333 14667 0 6+15 5714 14286 0 6286 15714 0 6+18 5750 17250 0 5750 17250 0 6+24 4800 19200 0 4800 19200 0 9+9 9000 9000 0 11000 11000 0 9+12 8571 11429 0 9429 12571 0 9+ 15 8625 14375 0 8625 14375 0 TBD 9+ 18 8000 16000 0 8000 16000 0 9+24 6545 17455 0 6545 17455 0 12+ 12 11500 11500 0 11500 11500 0 12+ 15 10667 13333 0 10667 13333 0 12+ 18 9600 14400 0 9600 14400 0 12+24 8000 16000 0 8000 16000 0 15+ 15 12000 12000 0 12000 12000 0 15+ 18 10909 13091 0 10909 13091 0 18+ 18 12000 12000 0 12000 12000 0 6+6+6 6000 6000 6000 7400 7400 7400 6+6+9 6000 6000 9000 7371 7371 11057 6+6+ 12 6000 6000 12000 7100 7100 14200 6+6+ 15 5778 5778 14444 6311 6311 15778 6+6+ 18 5680 5680 17040 5720 5720 17160 6+6+24 4733 4733 18933 4767 4767 19067 Specifications are subject to change without notice. ©2015 Mitsubishi Electric US,Inc. OPERATIONAL O . NON-DUCTED: Operational Cooling IndoorPerformance for Power is O Unit Combinations Unit A Unit B Unit C (W) 6+9+9 6000 9000 9000 7100 10650 10650 6+9+ 12 5778 8667 11556 6311 9467 12622 6+9+ 15 5680 8520 14200 5720 8580 14300 6+9+ 18 5164 7745 15491 5200 7800 15600 6+ 12+ 12 5680 11360 11360 5720 11440 11440 6+ 12+ 15 5164 10327 12909 5200 10400 13000 6+ 12+ 18 4733 9467 14200 4767 9533 14300 4733 11833 11833 6+15+15 TBD 4767 11917 11917 9+9+9 8667 8667 8667 9467 9467 9467 9+9+ 12 8520 8520 11360 8580 8580 11440 9+9+ 15 7745 7745 12909 7800 7800 13000 9+9+ 18 7100 7100 14200 7150 7150 14300 9+ 12+ 12 7745 10327 10327 7800 10400 10400 9+12+15 7100 9467 11833 7150 9533 11917 12+ 12+ 12 9467 9467 9467 9533 9533 9533 Specifications are subject to change without notice. ©2015 Mitsubishi Electric US,Inc. 1 • MXZ-3C30NAHZ Unit: inch (mm) 6-7/8' 23-5/8' 6-7/8" Rear Air Intake 2-13/16' 9 27/32" 2-1/32' 4-19/ 2' 2-U Shaped Notched Hale 3-3/16' (Foundation Bolt 1110) 13/32' -1/8' Side Air Intake* \_ 91-3/32'punahed hole 6-01-5/16'Drain Hole 13/32" Air N 13/32" (Connecting wire hole) �oischarge 2-07/8'punched hole 2-(15/32'x1-13/32'1 Oval Hole 2-15/16" (Connecting wire hole) (Foundation Balt M10) 2-3/32" 3-07/8'knockout hole 1-5/32' (Connecting wire hole) ^gy�pp 37-13/32' 31/32' 13' 19/32" AJl bW. C C Handle Handle 0® Handle O Handle Air Intake 0® 2-3/4' A GS)Unit Cl + l 1}LID 1/4'(06.35)FLARE GDo ASI Unit B GAS 3/8'(09.52)FLARF r� LID) LID 1/4'(06.35)FLARE �t °n GAS Unit A-GAS 1/2'(012.7)FLARE 1-5/16' 14-7/32' 1.FREE SPACE E Lock nut Conduit plate Top E � E 3-15/16' or mare nn Conduit connector G° \a 0 0 �T 3-15/16" or more 13-25/32' or more Gt 2.SERVICE SPACE 2 0 E o e 0 0 0 0. Conduit plate Under 3-15/16' or more SERVICE SPACE 13-25132' or more 13-25/32' or more MITSUBISHI ETA �S ELECTRIC STeo COOLING & HEATING Intertek 1340 Satellite Boulevard Suwanee,GA 30024 Toll Free:800-433.4822 www.mehvac.com FORM#MXZ-3C30NAHZ for Multiple Indoor Unit Styles-201505 Specifications are subject to change without notice. ©2015 Mitsubishi Electric US,Inc. Jesse eberle Customer: AHRI #: 19731 50 ave ne Jesselceberle@gmail.com Arlington 98223 NEW EQUIPMENT LIST910-650-6451 Furnace Mxz3c30nahz Coil AC/HP Mszgl24. Mszg106 Stat Water heater Filter 1 6plyC�r1ps EXISTING EQUIPMENT/ AREA Furnace Width Height (Circle) 90% 80% Duct size left: Width Depth _ Duct size right: Width Depth Filter on: Left Right Top Bottom Plenum Height Base Can Height _ c Furnace B-Vent size PVC vent size Fil te # of stat wires _ Pump req. Yes No Furnace location Chimney liner req. Yes No Ladder required above 6' Yes No Ladder height required Combustion air req. Yes No Additional lineset beyond 50' Approx. channel length req. 1 Oft Single zone g124 Backyard 3c30 2 zone g124 and gl06 K Master and living room Customer's Home Hyper / non hyper Left X = Unit location Right Front Eberle MSZGL24 MASTER $15410.00 MXZ3C30NA $3,967.00 MUIZGL24 $2,865.00 MSZGL24 $19410.00 MSZGL06 $784.00 Linest $280.00 LinesetX 2 $560.00 Elec $1 ,000.00 Elec $1 ,000.00 10 FT CHANNEL $160.00 10FT CHANNEL $160.00 $0.00 $0.00 Me h elec $200.00 Mech elec $200.00 Pad $150.00 Pad $150.00 $0.00 $0.00 One day $2,050.00 One day $2,050.00 $8,115.00 $10,281 .00 i MXZ3C30NAHZ $5,188.00 MSZGL24 $15410.00 MSZGL06 $784.00 LI N ESET X 2 $560.00 ELECTRICAL $15000.00 10 FT CHANNLE $160.00 MECH ELEC $200.00 PAD $150.00 ONE DAY $25050.00 $111502.00 $0.00 Permit#: 2086 Permit Date: 08/07/18 Permit Type: RESIDENTIAL MECHANICAL Project Name: Eberle Applicant Name: Black Lion Heating &Air Applicant Address: 11001 118th Place NE Applicant, City, State, Zip: Kirkland, WA 98033 Contact: Brenda Lopez Phone: 425-814-3944 Email: brenda@blacklionhvac.com Scope of Work: Install 2 zone ductless heat pump Valuation: 0.00 Square Feet: 0 Number of Stories: 0 Construction Type: Occupancy Group: ID Code: Permit Issued: 08/16/2018 Permit Expires: Form Permit Type: Status: COMPLETE Assigned To: Launa Black Property Parcel# Address Legal Description Owner Name Owner Phone Zoning 00689900000600 19731 50TH AVE NE ELBERLE JESSE 111 Single Family Residence-Detached Contractors Contractor Primary Contact Phone Address Contractor Type License License# BLACK LION HVAC BLACK LION 425-814-3944 11001 118TH PL CONSTRUCTION LABOR&BLACKLH873QQ HVAC NE CONTRACTOR INDUSTRIES Fees Fee Description Notes Amount Air Cond.Unit Btu/h<100>; $25.00 Btu/hp>500 Mechanical Base Permit Fee $25.00 Processing/Technology $25.00 Total $75.00 Attached Letters Date Letter Description 08/07/2018 Building Permit Payments Date Paid By Description Payment Type Accepted By Amount 08/21/2018 brenda lopez 71371574 cc $75.00 Outstanding Balance $0.00 Uploaded Files Date File Name 08/16/2018 3832490-2086 Issued Permit.pdf 08/07/2018 3793740-al9731 ttachments C015031000017664943 Vv990cYKQ42Fc9t33N3f MXZ-3C30NAHZ Submittal.pdf 08/07/2018 3793741-19731 Residential Mechanical D76ABr9KgTPm8Qpdf