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HomeMy WebLinkAbout17730 W Country Club Dr_BLD2158_2026 I 1 NOTICE TO PERMITEE AND/OR OWNER ❑ PARTIAL APPROVAL 71 CORRECTIONS REQUIRED ❑ DO NOT OCCUPY 21 APPROVED PERMIT#: ?._1"" LOT#: DATE: JOB ADDRESS: TYPE OF INSPECTION: '- - .��' n ' � ❑ NO PERMIT-STOP WORK-OBTAIN PERMIT:AND MAKE WORK COMPLY WITH CURRENT BUILDING AND/OR PLANNING CODES. ❑ CONSTRUCTION IS NOT IN ACCORDANCE WITH APPROVED PLANS AND PERMIT -STOP WORK:MAKE EXISTING WORK COMPLY WITH APPROVED PLAN AND PERMIT OR REMOVE IT. ❑ STOP WORK UNTIL AUTHORIZED TO CONTINUE BY INSPECTOR. ❑ CORRECTIONS LISTED BELOW MUST BE MADE BEFORE WORK CAN BE APPROVED. ❑ WORK NOT READY FOR INSPECTION: $50 REINSPECTION FEE(PER IBC) MUST BE PAID PRIOR TO NEXT INSPECTION. ❑ CONTACT INSPECTOR 360-403-3551 ❑ CALL FOR REINSPECTION THE ACTIONS OR CORRECTIONS INDICATED ABOVE ARE REQUIRED WITHIN DAYS OR PENALTIES IMPOSED BY LAW MAYAPPLY. FOR INSPECTION CALL: 360-403-3417 INSPECTOR i DATE' / Cl BUILDING DEPT. O PLANNING DEPT. CITY OF ARLINGTON '< C; I ry OF ARLINGTON 238 N. OLYMPIC AVE -ARLINGTON, WA. 98223 PHONE; (360)403-3551 BUILDING PERMIT Address:17730 West Country Club Drive Permit#:2158 Parcel#:00816000002200 Valuation:0.00 OWNER APPLICANT CONTRACTOR Name:BAILEY SHEILA M Name:CM Heating,Inc. Name:CM Heating Inc Address: 17730 W COUNTRY CLUB DR Address:1415 Broadway Address: 1415 Broadway City,State Zip:ARLINGTON,WA 98223-5948 City,State Zip:Everett,WA 98201 City,State Zip:Everett,WA 98201 Phone: Phone:360-691-9450 Phone:425-259-0550 MECHANICAL CONTRACTOR PLUMBING CONTRACTOR Name:CM Heating Inc Name: Address: 1415 Broadway Address: City,State,Zip:Everett,WA 98201 City,State,Zip.- Phone:425-259-0550 Phone: LIC#:CMHEAI'095R4 EXP: 05/03/2019 LIC#: EXP: JOB DESCRIPTION PERMIT TYPE: Residential Mechanical CODE YEAR: 2015 STORIES: 1 CONST.TYPE: `IB DWELLING UNITS: 1 OCC GROUP: R3 BUILDINGS: OCC LOAD: PERMIT APPROVAL I AGREE TO COMPLY WITH CITY AND STNfE 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 INSPEQUON HAS BEEN MADE AND APPROVAL OR A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. IBC]l0/IRC110. SALES TAX NOTICE:Sales tax relating to construction and construction materials in the City of fin I be p tied on yo�r�les tax return form PI]d codcd City of A lington# 1 1. C� 1 Signature Print Name Date Released By .Date CONDITIONS Approved as submitted. Inspection required. Additional requirements:Provide a 3" concrete pad with seismic bracing attached to pad, provide electrical disconnect, lines shall be insulated-the use of adhesive tape is not permitted. 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 9/19/2018 Furnace $25.00 9/19/2018 Heat Pump $25.00 9/19/2018 Mechanical Permit Base Fee $25.00 9/19/2018 Processing/Technology Fee $25,00 Total Due: $100.00 Total Payment: $100,00 Balance Due: $0.00 CALL FOR INSPECTIONS BUILDING(360)403-3417 When calling for an inspectlon please leave the following information: Permit Number,Type of Inspeoino heing requested,and whether you prefer morning or arternoon i CAI rY OF ARLINGTON 238 N. OLYMPIC AVE - ARLINGTON, WA. 98223 Go PHONE; (360)403-3551 BUILDING PERMIT Address:17730 West Country Club Drive Permit#:2158 Parcel#:00816000002200 Valuation:0.00 OWNER APPLICANT CONTRACTOR Name:BAILEY SHEILA M Name:CM Heating,Inc. Name:CM Heating Inc Address: 17730 W COUNTRY CLUB DR Address:1415 Broadway Address: 1415 Broadway City,State Zip:ARLINGTON,WA 98223-5948 City,State Zip:Everett,WA 98201 City,State Zip:Everett,WA 98201 Phone: Phone:360-691-9450 Phone:425-259-0550 MECHANICAL CONTRACTOR PLUMBING CONTRACTOR Name:CM Heating Inc Name: Address: 1415 Broadway Address: City,State,Zip:Everett,WA 98201 City,State,Zip: Phone:425-259-0550 Phone: LIC#:CMHEAI*095R4 EXP: 05/03/2019 LIC#: EXP: JOB DESCRIPTION PERMIT TYPE: Residential Mechanical CODE YEAR: 2015 STORIES: 1 CONST.TYPE: `1B 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 INSPI;C N HAS BEEN MADE AND APPROVAL OR A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. IBC I O/1RCI10. SALES TAX NOTICE:Sales tax relating to construction and construction materials in the City of lin� t be ep d on your les tax return form and coded City of Arlington#3101. -_ Signature Print Name Date Released By •Date CONDITIONS Approved as submitted. Inspection required. Additional requirementsTrovide a 3" concrete pad with seismic bracing attached to pad, provide electrical disconnect, lines shall be insulated-the use of adhesive tape is not permitted. THIS PERMIT AUTHORIZS ONLY THE WORK NOTED.THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC DOMAIN(CURBS,SIDEWALKS,DRIVEWAYS,MARQUEES,ETC.)WILL REQUIRE SEPARATE PERMISSION. PERMIT FEES Date Description Fee Amount 9/19/2018 Furnace $25.00 9/19/2018 Heat Pump $25.00 9/19/2018 Mechanical Permit Base Fee $25.00 9/19/2018 Processing/Technology Fee $25.00 Total Due: $100.00 Total Payment: $100.00 Balance Due: $0.00 CALL FOR INSPECTIONS BUILDING(360)403-3417 When calling for an inspection please leave the following information: Permit Number,Type of Inspection being requested,and whether you prefer morning or afternoon . . � � ., '• �• e Permit Information Date 9/19/2018 Permit Number 2158 Project Name Bailey Applicant Name CM Heating,Inc. Applicant Address 1415 Broadway City,State,Zip Everett,WA 98201 Contact Meredith Gilbert Phone 360-691-9450 Email meredith@cmheating.com Permit Type Residential Mechanical Site Address 17730 West Country Club Drive Valuation 0.00 Status Ready to Issue Permit Issued Permit Expires Square Feet 0 Type of Construction/Occupancy Load Number of Stories 0 Proposed Use Replace Gas Furnace and Install Heat Pump Assigned To Kristin Foster Property Parcel Address Legal Owner Owner Phone Zoning 00816000002200 117730 W COUNTRY CLUB DR BAILEY SHEILA M 111 Single Family Residence-Detached Contractors Contractor Name Primary Contact Phone Email Contractor Type License License# C-M Heating Inc Debbie Bauers 425-259-0550 iebbie cmheatin .corn MECHANICAL CONTRACTOR -abor&Industries ,-MHEAMH877DN Fees Fee Description Notes Amount Furnace 322.10.00.00 $25.00 Heat Pump 322.10.00.00 $25.00 Mechanical Permit Base Fee 322.10.00.00 $25.00 Processing/Technology Fee 341.43.00.02 $25.00 Total $100.00 Payments Date Paid By Amount Description Payment Type Accented By 9/19/2018 Idebbie bauers I $100.00 71816513 ;c Totall $100.001 Amount Outstanding:$0.00 Uploaded Files liptOsd File Date File Uploaded B 9/19/2018 2:29:38 PM 2158 Application.pdf Foster, Kristin �< 9/19/2018 2:29:37 PM 2158 Heat Pump Specs.pdf Foster,Kristin I x 9/19/2018 2:29:37 PM 2158 Furnace Specs.pdf Foster.Kristin I x i .m ,} 1 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:17730 West Country Club Drive Project Description-install heat pump and gas furnace Owner: sheila bailey Address: 17730 West Country Club Drive City: arlington Stated Zip Code: 98223 Phone: (360) 691-9450 Email:BAILEYSK@MSN.COM Applicant: cm heating Address: 1415 broadway City: everett Stater Zip Code: 98201 Phone: 4252590550 Email: meredith@cmheating.com CONTRACTOR INFORMATION Contractor Name:cm heating Address: 1415 broadway City: everett State.wa Zip Code: 98201 License Number:cmheai*095r4 Expiration: 5/19 Phone:4252590550 Email:meredith@cmheating.com Received AUG 31 2018 STAFF USE 0 LY Permit #: 74i1�G0 Accepted by: Date: 6/16LP Page 1 of 2 RESIDENTIAL MECHANICAL 1112CIDIIAIT AI7112I If� AT'AAI \ ■ ■..■�r�■■ ■ ram■ r ■vr+ ■ v■'m Department of Community& Economic Development City of Arlington • 18204 59th Ave NE• Arlington,WA 98223• Phone(360) 403-3551 SELECT ALL PROPOSED APPLIANCES �j Furnace (80+) Model #TG8SO4OAO8MP11 AFUE80% Heat Pump Model #TH4B2421S AFUE HSPE8.55 ❑ AC Unit Model # SEER ❑ Freestanding Stove CZ� 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/secuwed every 6 lu 8 feel • Proper Combustion air and venting required for all appliances • A shut-off valve is required within 6 feet of all appliances HXP�L'Ct�L^�t.•�c'LG�.tt Applicant Signature: Date: 08/31/2018 Applicant Printed Name: meredith gilbert 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 a Hoine Espanol Contact Search L&I Ask Labor &'Industries Safety& Health 0 Claims&Insurance 0 Workplace Rights 0 Trades&Licensing AWashington State Department of Labor & Industries C M HEATING INC Owner or tradesperson 1415 BROADWAY EVERETT,WA 98201 Principals 425-259-0550 GARNER,JAMES NICHOLAS,PRESIDENT SNOHOMISH County ■ GARNER,JAMES NICHOLAS,VICE PRESIDENT GARNER,KATHLEEN DIANE,SECRETARY ■ GARNER,KATHLEEN DIANE,TREASURER ■ GARNER,JAMES NICHOLAS,AGENT SMITH,PAMELA (End:01/01/1980) ■ GARNER,PAUL MILTON,PRESIDENT (End:10/01/2012) Doing business as C M HEATING INC WA UBI No. Business type 601 114 652 Corporation Governing persons JAMES GARNER PAUL M GARNER; KATHLEEN GARNER; License Verify the contractor's active registration/license/certification(depending on trade)and any past violations. Construction Contractor Active. Meets current requirements. License specialties GENERAL License no. CMHEAI`095R4 Effective—expiration 12/24/1991—05/03/2019 Bond CBIC $12,000.00 Bond account no. 655840 Received by L&I Effective date 04/24/2002 12/01/2001 Expiration date Until Canceled Insurance American Hallmark Ins Co of Te $1,000,000.00 Policy no. Help us improve r "CL603347 Received by L&I Effective date 04/24/2018 05/03/2018 Expiration date 05/03/2019 Insurance history Savings, . No savings accounts during the previous 6 year period. Lawsuits against the bond or savings No lawsuits against the bond or savings accounts during the previous 6 year period. L&I Tax debts No L&I tax debts are recorded for this contractor license during the previous 6 year period,but some debts may be recorded by other agencies. License Violations Infraction no. PBATI01045 Satisfied Issue date RCW/WAC 05/16/2014 18.106.020 Violation city Violation amount MOUNTLAKE TERRACE $250.00 Type of violation PLUMBER INFRACTION Description Contractor employed a person to engage in the trade of plumbing without a current journeyman,specialty or trainee certificate, temporary permit or medical gas endorsement as required.C M Heating employed Thomas Andrew Holden to perform plumbing installation work;Installed a new gas water heater,when not certified as a plumber as required. Workers' comp Do you know if the business has employees?If so,verify the business is up-to-date on workers'comp premiums. L&I Account ID Account is current. 490,794-01 Doing business as CHIMNEY MASTERS Estimated workers reported Quarter 2 of Year 2018"31 to 50 Workers" L&I account contact T1/NICHOLE CAROW(360)902-5634-Email:CANI235@lni.wa.gov Public Works Strikes and Debarments Verify the contractor is eligible to perform work on public works projects. Contractor Strikes No strikes have been issued against this contractor. Contractors not allowed to bid No debarments have been issued against this contractor. Workplace safety and health Check for any past safety and health violations found on jobsites this business was responsible for Inspection results date 03/16/2015 No violations Inspection no. 317935327 Location 1415 Broadway Everett,WA 98201 i j r�l'l'CSS �11'ashington^ i SUBMITTAL DATA SHEET MULTI-POSITION SINGLE-STAGE GAS FURNACES MODELS: TG8S/TGLS �* PdO JOB NAME: LOCATION: PURCHASER: ORDER NO: ENGINEER: SUBMITTED TO: FOR: REF: APPROVAL: CONSTRUCTION: SUBMITTED BY: DATE: UNIT DESIGNATION: SCHEDULE NO. MODEL NO. DIMENSIONS -INCHES 4"Dia.Vent Electrical RIGHT SIDE FRONT 5" 24.38 Connection " LEFT SIDE Entry ��— Outlet O Vent Connection Outlet B Electrical Entry o Gas Pipe 33• .5, �_P0• � , o Entry P 23" — m m SUPPLY END Thermostat J Wiring 14" .5" B � —28.5" ►� 1.5" ��1" A—� 30.25" ��—24.25" RETURN END Cabinet Dimensions Approximate PRODUCT DATA BTUH(kW) Nominal Cabinet Operating Input CFM Size (Inches) Weights Heating Performance A B C Lbs Input Capacity MBH TG(8,L)SO40A08MP11 800 A 14 1/2 13 3/8 10.3 89 Output Capacity MBH TG(8,L)S060A10MP11 1000 A 14 1/2 13 3/8 10.3 91 Air Temp.Rise °F TG(8,L)S060Al2MP11 1200 A 14 1/2 13 3/8 10.3 94 TG(8,L)S080B12lVIP11 1200 B 17 1/2 16 3/8 11.8 103 Suaoly Air Blower Performance TG(8,L)S080C16MP11 1600 C 21 19 7/8 13.6 114 1 Total Supply Air CFM TG(8,L)S080C22MP11 2200 C 21 19 7/8 13.6 119 Total External Static TG(8,L)S100B12MP11 1200 B 17 1/2 16 3/8 11.8 108 Pressure IWG TG(8,L)S100C16MP11 1600 C 21 19 7/8 13.6 118 Blower Speed(circle)_HI MH ML L TG(8,L)S100C20MP11 2000 C 21 19 7/8 13.6 122 Motor Rating HP TG(8,L)S120C16MP11 1600 C 21 19 7/8 15.8 123 TG(8,L)S120C20MP11 2000 C 21 19 7/8 15.8 129 Electrical Data. TG(8,L)S130D20MP11 2000 D 24 1/2 23 3/8 17.5 135 Power Supply 1_I_ Due to continuous product improvements, specifications are subject to change Total Unit Ampacity AMPS without notice. Installation and conversions of these furnaces must be made by qualified distributor, dealer, or contractor personnel. Minimum Wire Size AWG Maximum Overcurrent Device ❑ Fuses ❑ Circuit Breaker AMPS I Unit Weiaht �RE<il}QR: ISO 9001 Certified Quality Total Unit Weight LBS Management System Johnson Controls Unitary Products 363671-USD-F-0613 i�� Wow a,, aTr N j i FEATURES • Easily applied in upflow, horizontal left or right,or downflow • Timed on, adjustable off blower capability for maximum com- installation with minimal conversion necessary fort. • Compact,easy to install, ideal height 33"tall cabinet. • Blower door safety switch. • Blower-off delay for cooling SEER improvement. • Low NOx models have been designed to meet specific code • Easy access to controls to connect power/control wiring. requirements. • Built-in, high level self diagnostics with fault code displays • Airflow leakage less than 1%of total airflow at ductblaster standard on integrated control module for reliable operation. conditions. • Low unit amp requirement for easy replacement application • No knockouts to deal with, making installation easier. • Single wire twinning or staging feature available. • Movable duct connector flanges for application flexibility. • All models are convertable to use propane(LP)gas • Quiet inducer operation. • Electronic Hot Surface Ignition saves fuel cost with increased • Inducer rotates for easy conversion of venting options. dependability and reliability. • Fully supported blower assembly for easy access and • 100%shut off main gas valve for extra safety removal of blower. 4 speed,direct drive PSC motor • External air filters used for maximum flexibility in meeting 24V,40 VA control transformer and blower relay supplied for customers IAQ needs. add-on cooling. • Venting applications-may be installed as a common vent • Hi-tech tubular aluminized steel primary heat exchanger. with other gas-fired appliances or use a masonry chimney. • 114 turn knobs provided for easy door removal. FIELD INSTALLED ACCESSORIES PROPANE(LP)CONVERSION KIT- COMBUSTIBLE FLOOR BASE KIT- 1 NP0347-All Models except 130,000 BTU input For installation of these furnaces in downflow applications 1 NP0501 - 130,000 BTU input only directly onto combustible flooring material, These kits are This accessory conversion kit may be used to convert natural required to prevent potential overheating situations These kits gas units for propane(LP)operation. are also required in any applications where the furnace in SIDE RETURN FILTER RACKS- installed in a downflow configuration without an evaporator coil, where the combustible floor base kit provides access for com- 1 SR0200-All Models bustible airflow. 1SR0302-All Models 1CB0514-For 14-1/2"cabinets 1SF0101 -All Models 1CB0517-For 17-1/2"cabinets BOTTOM RETURN FILTER RACKS- 1 CB0521 -For 21"cabinets 1 BR0514 or 1 BR0614-For 14-1/2"cabinets 1CB0524-For 24-1/2"cabinets 1 BR0517 or 1 BR0617-For 17-1/2"cabinets HIGH ALTITUDE PRESSURE SWITCHES- 1 BR0521 or 1 BR0621 -For 21"cabinets For installation where the altitude is less than 8,000 feet it is not 1 BR0524 or 1 BR0624-For 24-1/2"cabinets required that the pressure switch be changed For altitudes 1 BR05xx series are galvanized steel filter racks. 1 BR06xx are above 8,000 feet,see kits below pre-painted steel filter racks to match the appearance of the fur- 1 PS3301 nace cabinet 1 PS3302 MASONRY CHIMNEY KITS- For installations where these furnaces are vented using exist- ing or new lined masonry chimneys. 1 CK0603 1 C K0604 Subject to change without notice.Printed in U S.A. 363671-USD-F-0613 Copyright©2013 by Johnson Controls, Inc.All rights reserved Supersedes:363671-USD-E-0612 York International Corp. 6006 York Drive Norman,OK 7306 I I SUBMITTAL DATA SHEET LX SERIES SPLIT SYSTEM HEAT PUMPS 13 SEER— R-410A — 1 PHASE — 1.5 THRU 5 NOMINAL TONS MODELS: TH41318 THRU 60 JOB NAME: LOCATION: PURCHASER: ORDER NO: ENGINEER: SUBMITTED TO: FOR: REF: APPROVAL: CONSTRUCTION: SUBMITTED BY: DATE: UNIT DESIGNATION: SCHEDULE NO. MODEL NO. PRODUCT DATA DIMENSIONS - INCHES Cooling Performance Total Capacity MBH C Outdoor Design Temp OF Heating Performance Total Capacity MBH Outdoor Design Temp OF O Electrical Data Power Supply p cfl Compressor Ampacity AMPs ®IUZZO� 00�� Total Unit Ampacity AMPS Power Input Req KW Minimum Wire Size AWG e Maximum Overcurrent Device A0339-001 ❑ Fuses ❑ Circuit Breaker Unit Weight Dimensions Refrigerant Connection Unit (Inches) Service Valve Size Unit Weight LBS Model A B C Liquid Vapor TH4131821 S 33-1/4 29-1/4 29-1/4 TH462421 S 36-1/4 29-1/4 29-1/4 y CERTIFIED- TH4133021S 39-1/2 35-1/4 31-3/4 3/4 C ® TH4B3521 S 39-1/2 35-1/4 31-3/4 3/8 TH4B3621 H 39-1/2 35-1/4 31-3/4 C US TH4B4221 H 39-1/2 35-1/4 31-3/4 7/8 ^ TH4134821 S 39-1/2 38 31-3/4 / \\l TH4136021 S 42-3/4 38 34-1/4 7/8* AMERICAN _, $Adapter fitting must be field installed for the required 1-1/8"line set. QUALITY " ui l,l "``\ All dimensions are in inches and are subject to change without notice. DESIGNED,ENGINEERED& ISO 9001 Overall height is from bottom of base pan to top of fan guard. ASSEMBLED IN THE USA Certified Quality Overall length and width include screw heads. Management System 5006082-BSD-A-0216 � �1 • � • . FEATURES WARRANTY SUMMARY` • Easier Installation - Independent panels provide quick Standard 5-year limited parts warranty. access for unit setup. Installation time is reduced by easy Standard 10-year limited compressor warranty power and control wiring access. Options are provided for indoor piston orTXV.The factory installed filter-drier and fac- tory charge for a 15-Ft lineset means less time spent brazing registered online within 90 days of purchase for replacement and charging the system. The small base dimension and or closing for new home construction. reduced unit size make for easier retrofits. *Does not apply to R-22 models,3-Phase models,or Internet sales Accessible Information - QR code on unit provides quick See Limited Warranty certificate in User's Information Manual for details access to technical documents and warranty information. Durable Finish - The coated steel wire fan guard, coated CLEARANCES external fasteners, and pre-treated G90-equivalent galva- nized steel chassis components resist corrosion and rust The minimum clearances shown below must be maintained creep. Titanium colored powdercoat paint further protects should any patio or yard improvements be done around the out- external panels. door unit. • Rugged Coil Protection-Coils are protected from mechan- 10"Clearance Coil Area ical damage by a proven stamped steel coil guard design 60"Overhead Clearance Quality Coils - Enhanced aluminum fins are mechanically 18"Minimum Service Panel Access bonded to copper tubing. 24"Minimum Unit to Unit Distance Protected Compressor-Compressors are protected inter- nally by a high pressure relief valve and a temperature sen- MATCHING AIR SIDE EQUIPMENT sor, and externally by the system high and low pressure switches The liquid line filter-drier is factory installed to pro- Model No. ❑ tect the compressor against moisture and debris. • Reliable Operation -Ball bearing fan motors provide supe- Submittal Form No. ❑ rior performance in extreme temperatures Factory installed accumulator ensures proper functioning across a wide range of conditions FIELD INSTALLED ACCESSORIES • Environmentally Friendly - CFC-free R-410A refrigerant Off Cycle Time Delay(S1-2TD08700124) delivers environmentally friendly performance with zero ozone depletion. Standard Low Ambient Control(S1-2LA06700424) • Top Discharge -Air is blown up, away from the structure Advanced Low Ambient Control(S1-2LA04701024) and any landscaping and allows compact location on multi- High Ambient Condenser Fan Motor(S1-FHM HT) unit applications. Outdoor Communicating Board Kit(S1-33102952310) • Low Operating Sound Levels - Developed using CFD and Compressor Start Assist(S1-2SA067 )* FEA tools,the sturdy cabinet and top design provides sound Compressor Crankcase Heater(S1-025 )* performance of 76 dBA or lower. Compatible accessories for Indoor Blower-Off Delay Kit(S1-2FD06700224) further sound reduction are also available Low Temperature Cutoff(S1-2LT067224) • Better Service Access - Diagonal base valves with open Support Feet(S1-HPRKIT- )* access for low-loss fittings,single panel access to the electri- Anchor Bracket Kit(S1-1 HK0401) cal controls, full corner access, and removable fan guard Indoor TXV Kit(S1-1TVM )* allow easy access for unit maintenance. Agency Listed-Safety certified by CSA to UL 1995/CSA Wall Mount Kit(S1-ACB- )* 22.2. Performance certified to ANSI/AHRI Standard 210/240 Winter Cover Kit(S1-CCVRE ) in accordance with the Unitary Small Equipment certification Cold Weather Charging Tent(S1-CHGTENT01) program. Touch-up Paint(S1-5130153 ) Compressor Sound Blanket(S1-010076 )* *See price pages for accessory information. Refer to Technical Guide for detailed specifications on the unit and its accessories. Verify the actual ratings for each specific matchup in the online AHRI directory at www.ahridirectory.orq at the time of bid or sale. It is also recommended to print the rating certificate, if needed, at the time of bid or sale Subject to change without notice. Published in U.S.A. 5006082-BSD-A-0216 Copyright©2016 by Johnson Controls,Inc.All rights reserved. Supersedes:Nothing York International Corp. 5005 York Drive Norman,OK 73069 _ •� I 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: 17730 West Country Club Drive Project Description-install heat pump and gas furnace Owner: sheila bailey Address. 17730 West Country Club Drive City. arlington State:wa Zip Code: 98223 Phone: (360) 691-9450 Email:BAILEYS K@MSN.COM Applicant: cm heating Address: 1415 broadway City: everett State.wa Zip Code: 98201 Phone. 4252590550 Email: meredith@cmheating.com CONTRACTOR INFORMATION Contractor Name:cm heating Address: 1415 broadway City: everett State vva Zip Code: 98201 License Number:cmheai*095r4 Expiration. 5/19 Phone: 4252590550 Email:meredith@cmheating.com STAFF USE ONLY Permit #: Accepted by: Date: 6/16LP Page 1 of 2 Y. RESIDENTIAL MECHANICAL PERMIT APPLICATION SING Department of Community& Economic Development City of Arlington • 18204 59th Ave NE• Arlington, WA 98223• Phone(360) 403-3551 SELECT ALL PROPOSED APPLIANCES Furnace (80+) Model #TG85040A08MP11 AFUE80% Heat Pump Model #TH4B24215 AFUE HSPE8.55 ❑ 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 Ly�ce� Applicant Signature: d5a513b"a92O "'e`1e6 Date: 08/31/2018 Applicant Printed Name: meredith gilbert 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 SUBMITTAL DATA SHEET MULTI-POSITION SINGLE-STAGE GAS FURNACES MODELS: TGBS/TGLS JOB NAME: LOCATION: PURCHASER: ORDER NO: ENGINEER: SUBMITTED TO: FOR: REF: APPROVAL: CONSTRUCTION: SUBMITTED BY: DATE: UNIT DESIGNATION: SCHEDULE NO. MODEL NO. DIMENSIONS - INCHES 4"Dia.Vent Electrical RIGHT SIDE FRONT 5" 24.38 Connection LEFT SIDE Entry "��— Outlet Vent OConnection— Outlet Entry B QQQ C o Gas Pipe ® ® 33" .5"��20"� r , a Entry 23" ® ® SUPPLY END Thermostat ? 0 5 Wiring 14" .5' B m J L J �28.5" � i,� A�� 30.25" I��1[ 24.25" ►+ RETURN END Cabinet Dimensions Approximate PRODUCT DATA BTUH (kW) Nominal Cabinet Operating Input CFM Size (Inches) Weights Heating Performance A B C Lbs Input Capacity MBH TG(8,L)SO40A08MP11 800 A 14 1/2 13 3/8 10.3 89 Output Capacity MBH TG(8,L)S060A10MP11 1000 A 14 1/2 13 3/8 10.3 91 Air Temp. Rise °F TG(8,L)S060Al2MP11 1200 A 14 1/2 13 3/8 10.3 94 TG(8,L)S080B12MP11 1200 B 17 1/2 16 3/8 11.8 103 Supply Air Blower Performance TG(8,L)S080C16MP11 1600 C 21 19 7/8 13.6 114 Total Supply Air CFM TG(8,L)S080C22MP11 2200 C 21 19 7/8 13.6 119 Total External Static TG(8,L)S100B12MP11 1200 B 17 1/2 16 3/8 11.8 108 Pressure IWG TG(8,L)S100C16MP11 1600 C 21 19 7/8 13.6 118 Blower Speed (circle) HI MH MIL L TG(8,L)S100C20MP11 2000 C 21 19 7/8 13.6 122 TG(8,L)S120C16MP11 1600 C 21 19 7/8 15.8 123 Motor Rating HP TG(8,L)S120C20MP11 2000 C 21 19 7/8 15.8 129 Electrical Data TG(8,L)S130D20MP11 2000 D 24 1/2 23 3/8 17.5 135 Power Supply Due to continuous product improvements, specifications are subject to change Total Unit Ampacity AMPS without notice. Installation and conversions of these furnaces must be made by qualified distributor, dealer, or contractor personnel. Minimum Wire Size AWG Maximum Overcurrent Device ❑ Fuses ❑ Circuit Z Breaker AMPS rsO'� oISGgp�°� Unit Weight P SP Iso9001 Total Unit Weight LBS Certified Quality g ` Management System Johnson Controls Unitary Products 363671-USD-F-0613 FEATURES • Easily applied in upflow, horizontal left or right, or downflow • Timed on, adjustable off blower capability for maximum com- installation with minimal conversion necessary. fort. • Compact, easy to install, ideal height 33"tall cabinet. • Blower door safety switch. • Blower-off delay for cooling SEER improvement. • Low NOx models have been designed to meet specific code • Easy access to controls to connect power/control wiring. requirements. • Built-in, high level self diagnostics with fault code displays • Airflow leakage less than 1%of total airflow at ductblaster standard on integrated control module for reliable operation. conditions. • Low unit amp requirement for easy replacement application. • No knockouts to deal with, making installation easier. • Single wire twinning or staging feature available. • Movable duct connector flanges for application flexibility. • All models are convertable to use propane (LP)gas. • Quiet inducer operation. • Electronic Hot Surface Ignition saves fuel cost with increased • Inducer rotates for easy conversion of venting options. dependability and reliability. • Fully supported blower assembly for easy access and • 100%shut off main gas valve for extra safety. removal of blower. • 4 speed, direct drive PSC motor. • External air filters used for maximum flexibility in meeting • 24V,40 VA control transformer and blower relay supplied for customers IAQ needs. add-on cooling. • Venting applications-may be installed as a common vent • Hi-tech tubular aluminized steel primary heat exchanger. with other gas-fired appliances or use a masonry chimney. • 1/4 turn knobs provided for easy door removal. FIELD INSTALLED ACCESSORIES PROPANE(LP)CONVERSION KIT- COMBUSTIBLE FLOOR BASE KIT- 1 NP0347-All Models except 130,000 BTU input For installation of these furnaces in downflow applications 1 NP0501 - 130,000 BTU input only directly onto combustible flooring material, These kits are This accessory conversion kit may be used to convert natural required to prevent potential overheating situations. These kits gas units for propane(LP)operation. are also required in any applications where the furnace in installed in a downflow configuration without an evaporator coil, SIDE RETURN FILTER RACKS- where the combustible floor base kit provides access for com- 1 SR0200-All Models bustible airflow. 1 SR0302-All Models 1 CB0514- For 14-1/2"cabinets 1 SF0101 -All Models 1 CB0517- For 17-1/2"cabinets BOTTOM RETURN FILTER RACKS- 1CB0521 - For 21"cabinets 1 BR0514 or 1 BR0614-For 14-1/2"cabinets 1 CB0524- For 24-1/2"cabinets 1 BR0517 or 1 BR0617-For 17-1/2"cabinets HIGH ALTITUDE PRESSURE SWITCHES- 1 BR0521 or 1 BR0621 -For 21"cabinets For installation where the altitude is less than 8,000 feet it is not 1 BR0524 or 1 BR0624-For 24-1/2"cabinets required that the pressure switch be changed. For altitudes 1 BR05xx series are galvanized steel filter racks. 1 BR06xx are above 8,000 feet,see kits below. pre-painted steel filter racks to match the appearance of the fur- 1 PS3301 nace cabinet. 1 PS3302 MASONRY CHIMNEY KITS - For installations where these furnaces are vented using exist- ing or new lined masonry chimneys. 1 CK0603 1 CK0604 Subject to change without notice. Printed in U.S.A. 363671-USD-F-0613 Copyright©2013 by Johnson Controls, Inc.All rights reserved. Supersedes:363671-USD-E-0612 York International Corp. 5005 York Drive Norman, OK 7306 NOTICE TO PERMITEE AND/OR OWNER ❑ PARTIAL APPROVAL '1 CORRECTIONS REQUIRED ❑ DO NOT OCCUPY n APPROVED PERMIT#: LOT#: DATE: JOB ADDRESS: �'?�� i�� �t,� i s�' � I, � ' 1, ;�' TYPE OF INSPECTION: ❑ NO PERMIT-STOP WORK-OBTAIN PERMIT:AND MAKE WORK COMPLY WITH CURRENT BUILDING AND/OR PLANNING CODES. ❑ CONSTRUCTION IS NOT IN ACCORDANCE WITH APPROVED PLANS AND PERMIT -STOP WORK: MAKE EXISTING WORK COMPLY WITH APPROVED PLAN AND PERMIT OR REMOVE IT. Cl STOP WORK UNTIL AUTHORIZED TO CONTINUE BY INSPECTOR. ❑ CORRECTIONS LISTED BELOW MUST BE MADE BEFORE WORK CAN BE APPROVED. ❑ WORK NOT READY FOR INSPECTION: $50 REINSPECTION FEE(PER IBC) MUST BE PAID PRIOR TO NEXT INSPECTION. ❑ CONTACT INSPECTOR 360-403-3551 ❑ CALL FOR REINSPECTION THE ACTIONS OR CORRECTIONS INDICATED ABOVEARE REQUIRED WITHIN DAYS OR PENALTIES IMPOSED BY LAWMAYAPPLY. FOR INSPECTION CALL: 360-403-3417 INSPECTOR DATE' Cl BUILDING DEPT. M PLANNING DEPT. CITY OF ARLINGTON • SUBMITTAL DATA SHEET LX SERIES SPLIT SYSTEM HEAT PUMPS 13 SEER - R-410A- 1 PHASE - 1.5 THRU 5 NOMINAL TONS MODELS: TH41318 THRU 60 JOB NAME: LOCATION: PURCHASER: ORDER NO: ENGINEER: SUBMITTED TO: FOR: REF: APPROVAL: CONSTRUCTION: SUBMITTED BY: DATE: UNIT DESIGNATION: SCHEDULE NO. MODEL NO. PRODUCT DATA DIMENSIONS - INCHES Cooling Performance Total Capacity MBH C Outdoor Design Temp OF — Heating Performance Total Capacity MBH Outdoor Design Temp OF Electrical Data Power Supply Compressor Ampacity AMPs Total Unit Ampacity AMPs 0P Power Input Req KW Minimum Wire Size AWG B Maximum Overcurrent Device \. / r A0339-001 ❑ Fuses ❑ Circuit Breaker Unit Weight Dimensions Refrigerant Connection Unit (Inches) Service Valve Size Unit Weight LBS Model A B C Liquid Vapor TH4B1821 S 33-1/4 29-1/4 29-1/4 TH4B2421S 36-1/4 29-1/4 29-1/4 A Moll J.0 Rai CERTIFIED- TH4133021S 39-1/2 35-1/4 31-3/4 3/4 ® U itary Small AC TH4133521S 39-1/2 35-1/4 31-3/4 3/8 TH4133621H 39-1/2 35-1/4 31-3/4 CIEP us TH4B4221H 39-1/2 35-1/4 31-3/4 7/8 _ TH4B4821S 39-1/2 38 31-3/4 TH4B6021S 42-3/4 38 34-1/4 7/8$ AM ERICAN $Adapter fitting must be field installed for the required 1-1/8"line set. QUALITY /S��9000 kraitily-N%— All dimensions are in inches and are subject to change without notice. DESIGNED,ENGINEERED& IS0 9001 Overall height is from bottom of base pan to top of fan guard. ASSEMBLED IN THE USA Certified Quality Overall length and width include screw heads. Management System 5006082-BSD-A-0216 FEATURES WARRANTY SUMMARY* • Easier Installation - Independent panels provide quick Standard 5-year limited parts warranty. access for unit setup. Installation time is reduced by easy Standard 10-year limited compressor warranty. power and control wiring access. Options are provided for indoor piston or TXV.The factory installed filter-drier and fac- tory charge for a 15-Ft lineset means less time spent brazing registered online within 90 days of purchase for replacement and charging the system. The small base dimension and or closing for new home construction. reduced unit size make for easier retrofits. *Does not apply to R-22 models,3-Phase models,or internet sales. • Accessible Information - QR code on unit provides quick See Limited Warranty certificate in User's Information Manual for details. access to technical documents and warranty information. • Durable Finish - The coated steel wire fan guard, coated CLEARANCES external fasteners, and pre-treated G90-equivalent galva- nized steel chassis components resist corrosion and rust The minimum clearances shown below must be maintained creep. Titanium colored powdercoat paint further protects should any patio or yard improvements be done around the out- external panels. door unit. • Rugged Coil Protection -Coils are protected from mechan- • 10"Clearance Coil Area ical damage by a proven stamped steel coil guard design. • 60"Overhead Clearance • Quality Coils - Enhanced aluminum fins are mechanically • 18" Minimum Service Panel Access bonded to copper tubing. • 24" Minimum Unit to Unit Distance • Protected Compressor - Compressors are protected inter- nally by a high pressure relief valve and a temperature sen- MATCHING AIR SIDE EQUIPMENT sor, and externally by the system high and low pressure switches. The liquid line filter-drier is factory installed to pro- Model No. ❑ tect the compressor against moisture and debris. • Reliable Operation - Ball bearing fan motors provide supe- Submittal Form No. ❑ rior performance in extreme temperatures. Factory installed accumulator ensures proper functioning across a wide range of conditions. FIELD INSTALLED ACCESSORIES • Environmentally Friendly - CFC-free R-410A refrigerant delivers environmentally friendly performance with zero Off Cycle Time Delay(S1-2TD08700124) ozone depletion. Standard Low Ambient Control (S1-2LA06700424) • Top Discharge - Air is blown up, away from the structure Advanced Low Ambient Control (S1-2LA04701024) and any landscaping and allows compact location on multi- High Ambient Condenser Fan Motor(S1-FHM HT) unit applications. Outdoor Communicating Board Kit(S1-33102952310) • Low Operating Sound Levels - Developed using CFD and Compressor Start Assist(S1-2SA067 ) FEA tools, the sturdy cabinet and top design provides sound Compressor Crankcase Heater(S1-025 ) performance of 76 dBA or lower. Compatible accessories for Indoor Blower-Off Delay Kit(S1-2FD06700224) further sound reduction are also available. Low Temperature Cutoff(S 1-2LT067224) • Better Service Access - Diagonal base valves with open Support Feet(S1-HPRKIT- )* access for low-loss fittings, single panel access to the electri- Anchor Bracket Kit(S1-1 HK0401) cal controls, full corner access, and removable fan guard allow easy access for unit maintenance. Indoor TXV Kit(S 1-ACB- M ) • Agency Listed -Safety certified by CSA to UL 1995/CSA Wall Mount Kit(S -ACB )* 22.2. Performance certified to ANSI/AHRI Standard 210/240 Winter Cover Kit(S1-CCVRE ) in accordance with the Unitary Small Equipment certification Cold Weather Charging Tent(S1-CHGTENT01) program. Touch-up Paint(S1-5130153 ) Compressor Sound Blanket(S1-010076 )* *See price pages for accessory information. Refer to Technical Guide for detailed specifications on the unit and its accessories. Verify the actual ratings for each specific matchup in the online AHRI directory at www.ahridirectory.orq at the time of bid or sale. It is also recommended to print the rating certificate, if needed, at the time of bid or sale. Subject to change without notice.Published in U.S.A. 5006082-BSD-A-0216 Copyright©2016 by Johnson Controls, Inc.All rights reserved. Supersedes: Nothing York International Corp. 5005 York Drive Norman,OK 73069 u ry OF ARLINGTON 238 N. OLYMPIC AVE-ARLINGTON, WA. 98223 PHONE; (360)403-3551 BUILDING PERMIT Address:17730 West Country Club Drive Permit#:2158 Parcel#:00816000002200 Valuation:0.00 OWNER APPLICANT CONTRACTOR Name:BAILEY SHEILA M Name:CM Heating,Inc. Name:CM Heating Inc Address: 17730 W COUNTRY CLUB DR Address:1415 Broadway Address: 1415 Broadway i City,State Zip:ARLINGTON,WA 98223-5948 City,State Zip:Everett,WA 98201 City,State Zip:Everett,WA 98201 Phone: Phone:360-691-9450 Phone:425-259-0550 MECHANICAL CONTRACTOR PLUMBING CONTRACTOR Name:CM Heating Inc Name: Address: 1415 Broadway Address: City,State,Zip:Everett,WA 98201 City,State,Zip: Phone:425-259-0550 Phone: LIC#:CMHEAI*095R4 EXP: 05/03/2019 LIC#: EXP: i JOB DESCRIPTION PERMIT TYPE: Residential Mechanical CODE YEAR: 2015 STORIES: 1 CONST.TYPE: `IB 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 1NSPE N HAS BEEN MADE AND APPROVAL"OR A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. IBCI 10/IRC110. SALES TAX NOTICE:Sales tax relating to construction and construction materials in the City of lin I be` tied on yourjtlles tax return form pigd coded City of A lington# 1 I. __ i 1 , 0- 12' Signature Print Name 1 Date Released By •Date CONDITIONS Approved as submitted. Inspection required. Additional requirementsTrovide a 3" concrete pad with seismic bracing attached to pad, provide electrical disconnect, lines shall be insulated-the use of adhesive tape is not permitted. THIS PERMIT AUTHORIZS ONLY THE WORK NOTED,THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC DOMAIN(CURBS,SIDEWALKS,DRIVEWAYS,MARQUEES,ETC.)WILL REQUIRE SEPARATE PERMISSION. PERNUT FEES Date Description Fee Amount 9/19/2018 Furnace $25.00 9/1912018 Heat Pump $25.00 9/19/2018 Mechanical Permit Base Fee $25.00 9/19/2018 Processing/Technology Fee $25.00 Total Due: $100.00 Total Payment: $100.00 Balance Due: $0.00 CALL FOR INSPECTIONS BUILDING(360)403-3417 When calling for an inspection please leave the following information: Permit Number,Type of Inspection heing requested,and whether you prefer morning or afternoon LI FY OF ARLINGTON e 238 N. OLYMPIC AVE -ARLINGTON, WA. 98223 PHONE; (360) 403-3551 BUILDING PERMIT Address:17730 West Country Club Drive Permit#:2158 Parcel#:00816000002200 Valuation:0.00 OWNER APPLICANT CONTRACTOR Name:BAILEY SHEILA M Name:CM Heating,Inc. Name:CM Heating Inc Address: 17730 W COUNTRY CLUB DR Address:1415 Broadway Address: 1415 Broadway City,State Zip:ARLINGTON,WA 98223-5948 City,State Zip:Everett,WA 98201 City,State Zip:Everett,WA 98201 Phone: Phone:360-691-9450 Phone:425-259-0550 MECHANICAL CONTRACTOR PLUMBING CONTRACTOR Name:CM Heating Inc Name: Address: 1415 Broadway Address: City,State,Zip:Everett,WA 98201 City,State,Zip: Phone:425-259-0550 Phone: LIC#:CMHEAI*095R4 EXP: 05/03/2019 LIC#: EXP: JOB DESCRIPTION PERMIT TYPE: Residential Mechanical CODE YEAR: 2015 STORIES: 1 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 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 INSPEC N HAS BEEN MADE AND APPROVAL OR A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. IBC1 l0/IRC110. SALES TAX NOTICE:Sales tax relating to construction and construction materials in the City of fin t be on your les tax return form and coded City of Arlington#3101. Signature Print Name Date Released By •Date CONDITIONS Approved as submitted. Inspection required. Additional requirements:Provide a 3" concrete pad with seismic bracing attached to pad, provide electrical disconnect, lines shall be insulated- the use of adhesive tape is not permitted. THIS PERMIT AUTHORIZS ONLY THE WORK NOTED.THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC DOMAIN(CURBS,SIDEWALKS,DRIVEWAYS,MARQUEES,ETC.)WILL REQUIRE SEPARATE PERMISSION. PERMIT FEES Date Description Fee Amount 9/19/2018 Furnace $25.00 9/19/2018 Heat Pump $25.00 9/19/2018 Mechanical Permit Base Fee $25.00 9/19/2018 Processing/Technology Fee $25.00 Total Due: $100.00 Total Payment: $100.00 Balance Due: $0.00 CALL FOR INSPECTIONS BUILDING(360)403-3417 When calling for an inspection please leave the following information: Permit Number,Type of Inspection being requested,and whether you prefer morning or afternoon • Community and Economic Development Building Division INSPECTION RECORD SHALL REMAIN AT JOB Building construction shall not commence until permit SITE holder or agent has posted this Inspection Record Card in a conspicuous place on the premises. OWNER:SHEILA BAILEY CONTRACTOR:CM HEATING, INC. JOB ADDRESS:17730 WEST COUNTRY CLUB DRIVE OWNER ADDRESS:17730 WEST COUNTRY CLUB DRIVE USE ofBUILDING: SFR PLAT NAME: VB R3 Description of Work:INSTALL HEAT PUMP AND FURNACE LOT# PERMIT NO: BLD-2158 Sprinklered:NO CONDITIONS:SEE PERMIT DATE ISSUED:9/19/2018 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: Permit#: 2158 Permit Date: 09/19/18 Permit Type: RESIDENTIAL MECHANICAL Project Name: Bailey Applicant Name: CM Heating, Inc. Applicant Address: 1415 Broadway Applicant, City, State, Zip: Everett,WA 98201 Contact: Meredith Gilbert Phone: 360-691-9450 Email: meredith@cmheating.com Scope of Work: Replace Gas Furnace and Install Heat Pump Valuation: 0.00 Square Feet: 0 Number of Stories: 0 Construction Type: Occupancy Group: ID Code: Permit Issued: 09/21/2018 Permit Expires: Form Permit Type: Status: COMPLETE Assigned To: Kristin Foster Property Parcel# Address Legal Description Owner Name Owner Phone Zoning 00816000002200 17730 W COUNTRY CLUB BAILEY SHEILA M 111 Single Family DR Residence-Detached Contractors Contractor Primary Contact Phone Address Contractor Type License License# CM HEATING INC 425-259-0550 1500 INDUSTRY CONSTRUCTION Plumbing CMHEAHL750LP ST STE 200 CONTRACTOR Contractor CM HEATING INC 425-259-0550 1500 INDUSTRY CONSTRUCTION Construction CMHEAHL751 W ST STE 200 CONTRACTOR Contractor CM HEATING INC 425-259-0550 1500 INDUSTRY CONSTRUCTION UBI 605890285 ST STE 200 CONTRACTOR Inspections Date Inspection Type Description Scheduled Date Completed Date Inspector Status 10/08/2018 R00.FURNACE 10/08/2018 10/08/2018 BUILDING Approved FINAL Fees Fee Description Notes Amount Forced Air Heat fee per Btu $25.00 Heat Pump/Heat Exchangers $25.00 Mechanical Base Permit Fee $25.00 Processing/Technology $25.00 Total $100.00 Attached Letters Date Letter Description 09/19/2018 Building Permit Payments Date Paid By Description Payment Type Accepted By Amount 09/19/2018 debbie bauers 71816513 cc $100.00 Outstanding Balance $0.00 Uploaded Files Date File Name 10/10/2018 4028559-1830 Final.12-df 09/21/2018 3966537-2158 Issued Permit.pdf 09/19/2018 3959587-2158 Apnlication.pdf 09/19/2018 3959585-2158 Furnace Specs.pdf 09/19/2018 3959586-2158 Heat Pump Specs.pdf