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HomeMy WebLinkAbout19205 45TH DR NE_BLD3576_2026 NOTICE TO PERMITEE AND/OR OWNER ❑ PARTIAL APPROVAL ❑ CORRECTIONS REQUIRED Cl DO NOT OCCUPY 2fAPPROVED PERMIT#: AMfPM DATE: /l _cam JOB ADDRESS: �` i G( LOT#• PROJECT: �f��,`• ����G� TYPE OF INSPECTION: OTHER: ❑ NO PERMIT-STOP WORK-OBTAIN PERMIT Cl CONSTRUCTION IS NOT IN ACCORDANCE WITH,APPROVED PLANS AND PERMIT -STOP WORK ❑ STOP WORK UNTIL AUTHORIZED TO CONTINUE BY INSPECTOR. Cl 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 1 it1 THE ACTIONS OR CORRECTIONS INDICATED ABOVE ARE REQUIRED WITHIN DAYS OR PENALTIES IMPOSED BYLAW MAYAPPLY. FOR INSPECTION CALL: 360-403-3417 INSPECTOR DATE Cl PLANNING Cl CIVIL /BUILDING CITY OF ARLINGTON I CITY OF ARLINGTON 18204 59th Avenue NE,Arlington,WA 98223 INSPECTIONS: 360-403-3417-Pen-nit Center:360-403-3551 BUILDING PERMIT Permit#:3576 19205 45TH DR NE Permit Expiration Date:05/24/2021 Parcel#: 00928200003900 Valuation: .00 OWNER APPLICANT CONTRACTOR JACOBSEN LYNDA Nordstrom Heating&Air NORDSTROM HEATING&AIR INC 19205 45TH DR NE 1059 State Ave. Ste.G 1059 State Ave.Ste.G ARLINGTON,WA 98223-4764 Marysville,WA 98270 MARYSVILLE,WA 98270 360-386-9819 425-335-4029 LIC:NORDSHA884JW EXP:04/16/2022 MECHANICAL CONTRACTOR PLUMBING CONTRACTOR Nordstrom Heating&Air Inc. 1059 State Ave Ste.G Marysville,WA 98270 360-386-9819 LIC#:NORDSHA884JW EXP: 04/16/2022 LIC#: EXP: JOB DESCRIPTION PERMIT TYPE: Residential Mechanical CODE YEAR: 2015 STORIES: CONST.TYPE: DWELLING UNITS: OCC GROUP: BUILDINGS: OCC LOAD: PERMIT APPROVAL The issuance or granting of this permit shall not be construed to be a pen-nit for,or approval of, any violation of this Code or any other ordinance or order of the City,of any state or federal law,or of any order,proclamation,guidance advice or decision of the Governor of this State.To the extent the issuance or granting of this permit is interpreted to allow construction activity during any period of time when such construction is prohibited or restricted by any state or federal law,or order,proclamation,guidance advice or decision of the Governor of this State, this permit shall not authorize such work and shall not be valid.The building official is authorized to prevent occupancy or use of a structure where in violation of this Code,any other City ordinances of this jurisdiction or any other ordinance or executive order of the City,or of any state or federal law,or of any order,proclamation, guidance advice or decision of the Governor. The building official is authorized to suspend or revoke this pen-nit if it is determined to be issued in error or on the basis of incorrect,inaccurate or incomplete information,or in violation of any City ordinance,regulation or order,state or federal law, or any order,proclamation,guidance or decision of the Governor. 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 110/IRCI10. SALES TAX NOTICE: Sales tax relating to construction and construction materials in the City of Arlington must be reported on your sales tax return form and coded City of Arlington#3101. g4o li-A yv 21, 11/25/2020 Signa re Print Name Date 6KOCaSCOY Date CONDITIONS Adhere to approved appliance.Approved pennit shall be onsite for inspections.Call for fmal inspection. THIS PERMIT AUTHORIZES 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 FI+ES Date Description 11/25/2020 Inspection Fee Fee Amount 11/25/2020 Forced Air Heat $75.00 11/25/2020 Mechanical Base $15.00 11/25/2020 Processing/Technology Fee $25.00 $25.00 Total Due: $140.00 Total Payment: $0.00 Balance Due: $140.00 CALL FOR INSPECTIONS Call by 3:30 pm for next day inspection,allow 48 bours for Fire Inspections When calling for an inspection please leave the following information: Permit Number,Type of Inspection being requested,and whether you prefer morning or afternoon 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:19205 45th Dr NE Project Description:like in kind furnace replacement Owner: Lynda Jacobsen Address: 19205 45th Dr NE City: Arlington State WA Zip Code: 98223 Phone: 425-359-5117 Email:dalyn435@yahoo.com Applicant: Nordstrom Heating & Air Inc. Address: 1059 State Ave Suite G City: Marysville State WA Zip Code: 98270 Phone: 360-386-9819 Email: office@ nordstromheating.com CONTRACTOR INFORMATION Contractor Name:Nordstrom Heating & Air Address: 1059 State Ave Suite G City. Marysville State WA Zip Code: 982870 License Number:nordsha884jw Expiration: 04/16/2022 Phone:360-386-9819 Email:office@ nordstrom heating.com r<eceivrcJ STAFF USE ONLY NOV 47.020 Permit#:,PLb- 5S-l�0 Accepted by: Date: 6/16LP Page 1 of 2 RESIDENTIAL MECHANICAL e � PERMIT APPLICATION Department of Community& Economic Development City of Arlington • 18204 59th Ave NE• Arlington, WA 98223• Phone(360) 403-3551 SELECT ALL PROPOSED APPLIANCES Furnace (80+) Model #S8X2A040M3PSAA AFUE80 ❑ Heat Pump Model # AFUE HSPE_ ❑ AC Unit Model # SEER ❑ Freestanding Stove ❑ Fire Place Insert Ll Outdoor BBQ ❑ Gas Piping ❑ Solid-Fuel Appliance ❑ Other i 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 o�eGG��Cgrrz Applicant Signature: Date: 11i24i2020 Applicant Printed Name: Debbie Elgin I hereby certify that the above information is correct and that the construction, installation for the above mentioned property will be in accordance with the applicable laws of the City of Arlington and the State of Washington. 6/16LP Page 2 of 2 Submittal Upflow / Downflow / Horizontal Left/Right Two Stage Non-condensing Gas Fired Furnace 40,000 BTU H S8X2A040M3PSAB _ s 615 c Note:Models may have a"T"in the 12th digit designating they meet California less than 40 ng/J(NOx)emissions requirements. Note:Graphics in this document are for representation only.Actual model may differ in appearance. Received NOV Q 4 2020 g0,>- � May 2020 S8X2A040 M 3-SUB-1 B-E N Outline Drawings Table 1. 14.5"Width Cabinet �r e a I j I I � I I I a 0 x 1 Y � Jos. i L - A `5 a I � 0 jwp LI -3 s � ---- -- -r s r. S8X2A040M3-SUB-1 B-EN Product Specifications MODEL S8X2A040M3PSAB MODEL S8X2A040M3PSAB TYPE Upflow/Horizontal/ Type recommended High Velocity Downflow RATINGS(a) High Vel.(No.-Size-Thk.) 1—14x25—1 in. VENT PIPE DIAMETER—Min(in.) 1st Stage Input BTUH 26,000 (d) 4 Round 1st Stage Capacity BTUH(ICS) 20,900 HEAT EXCHANGER—Type Aluminized Steel 2nd Stage Input BTUH 40,000 Gauge(Fired) 20 2nd Stage Capacity BTUH(ICS)(b)(C) 31,800 ORIFICES—Main 1st Stage Temp.Rise(Min.-Max.) 20—50 Nat.Gas Qty.—Drill Size 2-45 2nd Stage Temp.Rise(Min.-Max.) 30—60 GAS VALVE Redundant-Two Stage AFUE(%)(c) 80 PILOT SAFETY DEVICE TYPE 120 V SiNi Igniter Return Air Temp.(Min.-Max.) 55OF-80OF BURNERS—Qty 2 BLOWER DRIVE DIRECT POWER CONN.—V/Ph/Hz(e) 120/1/60 Diameter—Width(In.) 11 X 8 Ampacity(Amps) 9.6 No.Used 1 Max.Overcurrent Protection(Amps) 15 Speeds(No.) 9 PIPE CONN.SIZE(in.) 1/2 CFM vs.in.w.g. See Fan Performance DIMENSIONS Table Motor HP 1/2 Uncrated(In.) 34 x 14.5 x 28.75 RPM 1075 Crated(In.) 35.5 x 16.5 x 30.87 Volts/Ph/Hz 120/1/60 WEIGHT FLA 6.4 Shipping(Lbs.)/Net(Lbs.) 102/94 COMBUSTION FAN—Type Centrifugal (a) For U.S.applications,above input ratings(BTUH)are up to 2,000 feet,derate 4%per 1,000 feet for elevations above 2,000 feet above Drive—No.Speeds Direct-2 sea level. (b) Central Furnace heating designs are certified to ANSI Z21.47/CSA Motor HP—RPM 3300/2600 2.3—latest edition. (c) Based on U.S.government standard tests. Volts/Ph/Hz 120/1/60 (d) Refer to the Installer's Guide. FLA 1.39 a) The above wiring specifications are in accordance with National Electrical Code;however,installations must comply with local codes. FILTER—Furnished? No S8X2A040M3-SUB-1 B-EN 3 Airflow table Furnace Airflow(CFM)Vs.External Static Pressure(in.W.C.) Model Tap 0.1 0.3 0.5 0.7 0.9 1 580 34 — — — 2 716 471 226 — — 3 743 533 323 113 — 4 929 742 556 370 163 SBX2AO4OM3PSAB 5 988 831 675 518 361 6 1112 975 839 702 566 7 1174 1046 917 788 659 8 1280 1164 1049 933 817 9 1558 1475 1392 1309 1226 4 S8X2A040M3-SUB-1 B-EN i General Features NATURAL GAS MODELS valve,flame control and includes self diagnostics for Central Heating furnace designs are certified by Intertek ease of service. for both natural and L.P.gas. Limit setting and rating ENERGY EFFICIENT OPERATION data were established and approved under standard Air-TiteTI cabinet design is certified to<1%air leakage rating conditions using American National Standards per ASHRAE 193 "Method of Test for Determining the Institute standards. Airtightness of HVAC Equipment." SAFE OPERATION AIR DELIVERY The Integrated System Control is a solid state device The 9 speed constant torque blower motor has which continuously monitors for presence of flame sufficient airflow for most heating and cooling when the system is in the heating mode of operation. requirements and will switch from heating to cooling Dual solenoid combination gas valve and regulator speeds on demand from room thermostat. provide additional safety. QUICK HEATING STYLING Heavy gauge steel and"wrap-around"cabinet Durable,cycle tested,heavy gauge tubular aluminized construction is used in the cabinet with baked-on steel heat exchanger quickly transfers heat to provide enamel finish for strength and beauty.Every warm conditioned air to the structure. Low energy orientation has at least two venting options.There are power vent blower,to increase efficiency and provide no knockouts on cabinet. a discharge of gas fumes to the outside. BURNERS FEATURES AND GENERAL OPERATION The S-Series furnace utilizes a Silicon Nitride Hot Multiport,Inshot burners will give years of quiet and Surface Ignition system,which eliminates the waste of efficient service.All models can be converted to L.P. a constant burning pilot.The integrated system control gas with LP conversion kit. lights the main burners upon a demand for heat from INTEGRATED SYSTEM CONTROL the room thermostat.Complete front service access. Exclusively designed operational program provides a. Low energy power venter total control of furnace limit sensors,blowers,gas b.Vent proving pressure switches. S8MA040W-SUB-1 B-EN 5 Features and Benefits 80%AFUE on S8X1 and S8X2 FURNACE MODELS Depth remains approximately 28" Lowers utility bills Cabinet is compatible with industry standard coils,as ELECTRICALLY EFFICIENT well as,other accessories Efficient airflow design reduces electrical energy use INTEGRATED FURNACE CONTROL 34 INCH TALL Setup/Status/Diagnostics/Digital Display Lighter,easier to move and fit into tight spaces like No dip switches short basements or tight closets Last six errors stored Works great with larger,high-efficiency coils Dry contact EAC and HUM connections No knockouts All Molex connections;no spade terminals 4—WAY MULTI-POISE Low voltage labeled above and below S8X1—9 SKU's— Upflow/Downf low/Horizontal Left/ Rain shield over IFC keeps condensate off the control Horizontal Right TUBULAR ALUMINIZED STEEL HEAT EXCHANGER S8X2—7 SKU's— Upflow/Downflow/Horizontal Left/ VORTICA II BLOWER,DESIGNED EXCLUSIVELY Horizontal Right FOR THE S-SERIES FURNACE Added application flexibility and reduction in Improved airflow efficiency specification errors Durable,easy to clean,housing AIRFLOW At least 400 CFM/ton at 0.5 in. H2O external static Single piece belly band/motor arm assembly pressure Blower deck has full-length rails for easy removal and REGULATORY replacement,regardless of poise FOUR—WAY MULTI-POISE(UPFLOW,DOWNFLOW, All models are air tight;1%or less air leakage as per HORIZONTAL LEFT AND RIGHT) ASHRAE 193 Open vestibule design provides a full 34" high open Easier to specify vestibule for ease of installation and service Shipped ready to install (no conversion kits required) DIMENSIONS Every model has at least two venting options Widths are industry standard: 14.5",17.5",21",and 24.5" 6 S8X2A040M3-SUB-1 B-EN About Trane and American Standard Heating and Air Conditioning Trane and American Standard create comfortable,energy efficient indoor environments for residential applications. For more information,please visit www.trane.com or www.americanstandardair.com. ON us Intertek The manufacturer has a policy of continuous data improvement and it reserves the right to change design and specifications without notice.We are committed to using environmentally conscious print practices. S8X2A040M3-SUB-IB-EN oe May202o Supersedes S8X2A040M3-SUB-IA-EN (October2018) ©2020 i I i L&I Tax debts No L&I tax debts are recorded for this contractor license during the previous 6 year period,but some dents may be recorded by other agencies. License Violations No license violations during the previous 6 year period. Certifications & Endorsements OMWBE Certifications No active certifications exist for this business. Apprentice Training Agent No active Washington registered apprentices exist for this business.Washington allows the use of apprentices registered with Oregon or Montana.Contact the Oregon Bureau of Labor&Industries or Montana Department of Labor &Industry to verify if this business has apprentices. Workers' Comp Do you know if the business has employees?If so,verify the business is up-to-date on workers'comp premiums. L&I Account ID Account is current. 099,363-00 Doing business as NORDSTROM HEATING&AIR INC Estimated workers reported Quarter 3 of Year 2020"7 to 10 Workers" L&I account contact T3 I LAURIE BROWN(360)902-4679-Email:BRLB235@lni.wa.gov Public Works Requirements Verify the contractor is eligible to perform work on public works projects. Required Training—Effective July 1,2019 Needs to complete training. 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 & Health Check for any past safety and health violations found on jobsites this business was responsible for. No inspections during the previous 6 year period. Q Some online services are currently unavailable. See a list of service Outage-$.(bLttps6/ilni.wa.gov/agency.LsYIIQM:EtaW). O Some online services will be unavailable due to maintenance. See a list of service notifications. (httns://Ini.wa,gov/ag encyLsKstem-status) Local offices are closed to the public. Please call your nearest L&I office for local assistance (htte I, ,, gov/agency/contact/#office-location ).between 8-5 Pacific Time weekdays,or dial 360-902-5800. Wan Sia Ug LaborsM1iglon&Industriesle ahmm[of_(httos:/IInima.gov). NORDSTROM HEATING &AIR INC Owner or tradesperson 4717 87TH AVE NE Principals MARYSVILLE,WA 98270 NORDSTROM,DANIEL JASON,PRESIDENT 425-335-4029 SNOHOMISH County AHLERS&CRESSMAN PLLC,AGENT Doing business as NORDSTROM HEATING&AIR INC WA JBI No Business type 602 279 145 Corporation License Verify the contractor's active registration I license I certification(depending on trade)and any past violations. Construction Contractor Active Meets current requirements. License specialties GENERAL License no NORDSHA884JW Effective—expiration 04116/2012—04/16/2022 Bond Developers Surety&Indem Co $12,000.00 Bond account no. 256304C Received by L&I Effective date 04/16/2012 04/12/2012 Expiration date Until Canceled Insurance Federated Mutual Ins Co $1,000,000.00 Policy no. 9869472 Received by L&I Effective date 03/13/2020 05/07/2019 Expiration date 05/07/2021 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. NOTICE V TO PERMITEE AND/OR OWNER Cl PARTIAL APPROVAL Cl CORRECTIONS REQUIRED ❑ DO NOT OCCUPY 2fAPPROVED PERMIT#: ` `r AM M DATE: Z 1-10 OB ADDRESS I` �'' tiL LOT#• PROJECT: k E_: TYPE OF INSPECTION: OTHER: ❑ NO PERMIT-STOP WORK-OBTAIN PERMIT ❑ CONSTRUCTION IS NOT IN ACCORDANCE WITH APPROVED PLANS AND PERMIT -STOP WORK ❑ 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 THEACTIONS OR CORRECTIONS INDICATED ABOVE ARE REQUIRED WITHIN DAYS OR PENALTIES IMPOSED BYLAW MAYAPPLY. FOR INSPECTION CALL: 360-403-3417 INSPECTOR DATE O PLANNING O CIVIL /BUILDING CITY OF ARLINGTON c. CITY OF ARLINGTON 18204 59th Avenue NE,Arlington,WA 98223 INSPECTIONS: 360-403-3417-Permit Center: 360-403-3551 BUILDING PERMIT 19205 45TH DR NE Permit#:3576 Permit Expiration Date: 05/24/2021 Parcel#: 00928200003900 Valuation: .00 OWNER APPLICANT CONTRACTOR JACOBSEN LYNDA Nordstrom Heating&Air NORDSTROM HEATING&AIR INC 19205 45TH DR NE 1059 State Ave. Ste.G 1059 State Ave. Ste.G ARLINGTON,WA 98223-4764 Marysville,WA 98270 MARYSVILLE,WA 98270 360-386-9819 425-335-4029 LIC:NORDSHA884JW EXP:04/16/2022 MECHANICAL CONTRACTOR PLUMBING CONTRACTOR Nordstrom Heating&Air Inc. 1059 State Ave Ste. G Marysville,WA 98270 360-386-9819 LIC#:NORDSHA884JW EXP: 04/16/2022 LIC#: EXP: JOB DESCRIPTION PERMIT TYPE: Residential Mechanical CODE YEAR: 2015 STORIES: CONST.TYPE: DWELLING UNITS: OCC GROUP: BUILDINGS: OCC LOAD: PERMIT APPROVAL The issuance or granting of this permit shall not be construed to be a permit for,or approval of,any violation of this Code or any other ordinance or order of the City,of any state or federal law,or of any order,proclamation,guidance advice or decision of the Governor of this State.To the extent the issuance or granting of this permit is interpreted to allow construction activity during any period of time when such construction is prohibited or restricted by any state or federal law,or order,proclamation,guidance advice or decision of the Governor of this State,this permit shall not authorize such work and shall not be valid.The building official is authorized to prevent occupancy or use of a structure where in violation of this Code,any other City ordinances of this jurisdiction or any other ordinance or executive order of the City,or of any state or federal law,or of any order,proclamation, guidance advice or decision of the Governor.The building official is authorized to suspend or revoke this permit if it is determined to be issued in error or on the basis of incorrect,inaccurate or incomplete information,or in violation of any City ordinance,regulation or order, state or federal law,or any order,proclamation,guidance or decision of the Governor. 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 110/IRC110. SALES TAX NOTICE: Sales tax relating to construction and construction materials in the City of Arlington must be reported on your sales tax return form and coded City of Arlington#3101. —Z lr-� l Y/1 rt2� 11/25/2020 Signa re Print Name a Date elease y Date CONDITIONS Adhere to approved appliance.Approved permit shall be onsite for inspections.Call for final inspection. THIS PERMIT AUTHORIZES 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 11/25/2020 Inspection Fee $75.00 11/25/2020 Forced Air Heat $15.00 11/25/2020 Mechanical Base $25.00 11/25/2020 Processing/Technology Fee $25.00 Total Due: $140.00 Total Payment: $0.00 Balance Due: $140.00 CALL FOR INSPECTIONS Call by 3:30 pm for next day inspection,allow 48 hours for Fire Inspections When calling for an inspection please leave the following information: Permit Number,Type of Inspection being requested,and whether you prefer morning or afternoon CITY OF ARLINGTON Dw 18204 59th Avenue NE,Arlington,WA 98223 INSPECTIONS: 360-403-3417-Permit Center: 360-403-3551 - -BUILDING PERMIT 19205 45TH DR NE Permit#:3576 Permit Expiration Date:05/24/2021 Parcel#: 00928200003900 Valuation: .00 OWNER APPLICANT CONTRACTOR JACOBSEN LYNDA Nordstrom Heating&Air NORDSTROM HEATING&AIR INC 19205 45TH DR NE 1059 State Ave. Ste. G 1059 State Ave. Ste.G ARLINGTON,WA 98223-4764 Marysville,WA 98270 MARYSVILLE,WA 98270 360-386-9819 425-335-4029 LIC:NORDSHA884JW EXP:04/16/2022 MECHANICAL CONTRACTOR PLUMBING CONTRACTOR Nordstrom Heating&Air Inc. 1059 State Ave Ste. G Marysville,WA 98270 360-386-9819 LIC#:NORDSHA884JW EXP: 04/16/2022 LIC#: EXP: JOB DESCRIPTION IL PERMIT TYPE: Residential Mechanical CODE YEAR: 2015 STORIES: CONST.TYPE: DWELLING UNITS: OCC GROUP: BUILDINGS: OCC LOAD: RERMIT APPROVAL The issuance or granting of this permit shall not be construed to be a permit for,or approval of,any violation of this Code or any other ordinance or order of the City,of any state or federal law,or of any order,proclamation,guidance advice or decision of the Governor of this State.To the extent the issuance or granting of this permit is interpreted to allow construction activity during any period of time when such construction is prohibited or restricted by any state or federal law,or order,proclamation,guidance advice or decision of the Governor of this State,this permit shall not authorize such work and shall not be valid.The building official is authorized to prevent occupancy or use of a structure where in violation of this Code,any other City ordinances of this jurisdiction or any other ordinance or executive order of the City,or of any state or federal law,or of any order,proclamation, guidance advice or decision of the Governor.The building official is authorized to suspend or revoke this permit if it is determined to be issued in error or on the basis of incorrect,inaccurate or incomplete information,or in violation of any City ordinance,regulation or order,state or federal law,or any order,proclamation,guidance or decision of the Governor. 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 Arlington must be reported on your sales tax return form and coded City of Arlington#3101. 11/25/2020 Signature Print Name Date elease y Date . CONDITIONS Adhere to approved appliance.Approved permit shall be onsite for inspections.Call for final inspection. THIS PERMIT AUTHORIZES 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 11/25/2020 Inspection Fee $75.00 11/25/2020 Forced Air Heat $15.00 11/25/2020 Mechanical Base $25.00 11/25/2020 Processing/Technology Fee $25.00 Total Due: $140.00 Total Payment: $0.00 Balance Due: $140.00 CALL FOR INSPECTIONS Call by 3:30 pm for next day inspection,allow 48 hours for Fire Inspections When calling for an inspection please leave the following information: Permit Number,Type of Inspection being requested,and whether you prefer morning or afternoon Submittal Upf low / Downf low / Horizontal Left/Right Two Stage Non-condensing Gas Fired Furnace 40,000 BTUH S8X2A040M3PSAB O o� 0 Note:Models may have a "T"in the 12th digit designating they meet California less than 40 ng/J(NOx)emissions requirements. Note:Graphics in this document are for representation only.Actual model may differ in appearance. May2020 S8X2A040M3-SUB-1 B-EN Outline Drawings Table 1. 14.5"Width Cabinet I j I j I � j I j ` �00 02no i = - o 2 S8X2A040M3-SUB-1 B-EN Product Specifications MODEL S8X2AO4OM3PSAB MODEL S8X2AO4OM3PSAB TYPE Upflow/Horizontal/ Type recommended High Velocity Downflow RATINGS(a) High Vel.(No.-Size-Thk.) 1—14x25—1 in. 1st Stage Input BTUH 26,000 VdENT PIPE DIAMETER—Min(in.) 4 Round 1st Stage Capacity BTUH(ICS) 20,900 HEAT EXCHANGER—Type Aluminized Steel 2nd Stage Input BTUH 40,000 Gauge(Fired) 20 2nd Stage Capacity BTUH(ICS)(b)(C) 31,800 ORIFICES—Main 1st Stage Temp.Rise(Min.-Max.) 20—50 Nat.Gas Qty.—Drill Size 2-45 2nd Stage Temp.Rise(Min.-Max.) 30—60 GAS VALVE Redundant-Two Stage AFUE(%)(c) 80 PILOT SAFETY DEVICE TYPE 120 V SiNi Igniter Return Air Temp.(Min.-Max.) 550F-80OF BURNERS—Qty 2 BLOWER DRIVE DIRECT POWER CONN.—V/Ph/Hz(e) 120/1/60 Diameter—Width(In.) 11 X 8 Ampacity(Amps) 9.6 No.Used 1 Max.Overcurrent Protection(Amps) 15 Speeds(No.) 9 PIPE CONN.SIZE(in.) 1/2 CFM vs.in.w.g. See Fan Performance DIMENSIONS Table Motor HP 1/2 Uncrated(In.) 34 x 14.5 x 28.75 RPM 1075 Crated(In.) 35.5 x 16.5 x 30.87 Volts/Ph/Hz 120/1/60 WEIGHT FLA 6.4 Shipping(Lbs.)/Net(Lbs.) 102/94 COMBUSTION FAN—Type Centrifugal (a) For U.S.applications,above input ratings(BTUH)are up to 2,000 feet,derate 4%per 1,000 feet for elevations above 2,000 feet above Drive—No.Speeds Direct-2 sea level. (b) Central Furnace heating designs are certified to ANSI Z21.47/CSA Motor HP—RPM 3300/2600 2.3—latest edition. (_) Based on U.S.government standard tests. Volts/Ph/Hz 120/1/60 (d) Refer to the Installer's Guide. FLA 1.39 (e) The above wiring specifications are in accordance with National Electrical Code;however,installations must comply with local codes. FILTER—Furnished? No S8X2A040M3-SUB-1 B-EN 3 Airflow table Furnace Airflow(CFM)Vs.External Static Pressure(in.W.C.) Model Tap 0.1 0.3 0.5 0.7 0.9 1 580 34 — — — 2 716 471 226 — — 3 743 533 323 113 — 4 929 742 556 370 183 S8X2A040 M3PSAB 5 988 831 675 518 361 6 1112 975 839 702 566 7 1174 1046 917 788 659 8 1280 1164 1049 933 817 9 1558 1475 1392 1309 1226 4 S8X2A040M3-SUB-1 B-EN General Features NATURAL GAS MODELS valve,flame control and includes self diagnostics for Central Heating furnace designs are certified by Intertek ease of service. for both natural and L.P.gas. Limit setting and rating ENERGY EFFICIENT OPERATION data were established and approved under standard Air-TiteTI cabinet design is certified to<1%air leakage rating conditions using American National Standards per ASHRAE 193 "Method of Test for Determining the Institute standards. Airtightness of HVAC Equipment." SAFE OPERATION AIR DELIVERY The Integrated System Control is a solid state device The 9 speed constant torque blower motor has which continuously monitors for presence of flame sufficient airflow for most heating and cooling when the system is in the heating mode of operation. requirements and will switch from heating to cooling Dual solenoid combination gas valve and regulator speeds on demand from room thermostat. provide additional safety. STYLING QUICK HEATING Heavy gauge steel and "wrap-around"cabinet Durable,cycle tested, heavy gauge tubular aluminized construction is used in the cabinet with baked-on steel heat exchanger quickly transfers heat to provide enamel finish for strength and beauty. Every warm conditioned air to the structure. Low energy orientation has at least two venting options.There are power vent blower,to increase efficiency and provide no knockouts on cabinet. a discharge of gas fumes to the outside. FEATURES AND GENERAL OPERATION BURNERS The S-Series furnace utilizes a Silicon Nitride Hot Multiport,Inshot burners will give years of quiet and Surface Ignition system,which eliminates the waste of efficient service.All models can be converted to L.P. a constant burning pilot.The integrated system control gas with LP conversion kit. lights the main burners upon a demand for heat from INTEGRATED SYSTEM CONTROL the room thermostat. Complete front service access. Exclusively designed operational program provides a. Low energy power venter total control of furnace limit sensors,blowers,gas b.Vent proving pressure switches. S8X2A040M3-SUB-1 B-EN 5 Features and Benefits 80%AFUE on S8X1 and S8X2 FURNACE MODELS Depth remains approximately 28" Lowers utility bills Cabinet is compatible with industry standard coils,as ELECTRICALLY EFFICIENT well as,other accessories Efficient airflow design reduces electrical energy use INTEGRATED FURNACE CONTROL 34 INCH TALL Setup/Status/Diagnostics/Digital Display Lighter,easier to move and fit into tight spaces like No dip switches short basements or tight closets Last six errors stored Works great with larger,high-efficiency coils Dry contact EAC and HUM connections No knockouts All Molex connections; no spade terminals 4—WAY MULTI-POISE Low voltage labeled above and below S8X1 —9 SKU's — Upflow/Downflow/Horizontal Left/ Rain shield over IFC keeps condensate off the control Horizontal Right TUBULAR ALUMINIZED STEEL HEAT EXCHANGER S8X2—7 SKU's — Upflow/Downflow/Horizontal Left/ VORTICA II BLOWER, DESIGNED EXCLUSIVELY Horizontal Right FOR THE S-SERIES FURNACE Added application flexibility and reduction in Improved airflow efficiency specification errors Durable,easy to clean, housing AIRFLOW At least 400 CFM/ton at 0.5 in. H2O external static Single piece belly band/motor arm assembly pressure Blower deck has full-length rails for easy removal and REGULATORY replacement, regardless of poise All models are air tight; 1%or less air leakage as per FOUR—WAY MULTI-POISE (UPFLOW, DOWNFLOW,HORIZONTAL LEFT AND RIGHT) ASHRAE 193 Open vestibule design provides a full 34" high open Easier to specify vestibule for ease of installation and service Shipped ready to install (no conversion kits required) DIMENSIONS Every model has at least two venting options Widths are industry standard: 14.5", 17.5",21",and 24.5" 6 S8X2A040M3-SUB-1 B-EN About Trane and American Standard Heating and Air Conditioning Trane and American Standard create comfortable,energy efficient indoor environments for residential applications. For more information, please visit www.trane.com or www.americanstandardair.com. M 0%� -s 113MIM Mi., Intertek The manufacturer has a policy of continuous data improvement and it reserves the right to change design and specifications without notice.We are committed to using environmentally conscious print practices. S8X2A040M3-SUB-1 B-EN 08 May 2020 Supersedes S8X2A040M3-SUB-1A-EN (October2018) ©2020 Permit#: 3576 Permit Date: 11/25/20 Permit Type: RESIDENTIAL MECHANICAL Project Name: Jacobsen Applicant Name: Nordstrom Heating &Air Applicant Address: 1059 State Ave. Ste. G Applicant, City, State, Zip: Marysville,WA 98270 Contact: Debbie Elgin Phone: 360-386-9819 Email: office@nordstromheating.com Scope of Work: Like in kind furnace replacement Valuation: 0.00 Square Feet: 0 Number of Stories: 0 Construction Type: Occupancy Group: ID Code: Permit Issued: 11/25/2020 Permit Expires: 05/24/2021 Form Permit Type: Status: LASERFICHE Assigned To: Raelynn Jones Property Parcel# Address Legal Description Owner Name Owner Phone Zoning 120 SINGLE 00928200003900 19205 45TH DR NE JACOBSEN LYNDA FAMILY RESIDENCE Contractors Contractor Primary Contact Phone Address Contractor Type License License# NORDSTROM 1059 State Ave. CONSTRUCTION HEATING&AIR INC 425-335-4029 Ste.G CONTRACTOR COA 601764617 NORDSTROM 1059 State Ave. CONSTRUCTION Labor&NORDSHA772L2 HEATING&AIR INC 425-335-4029 Ste.G CONTRACTOR Industries Inspections Date Inspection Type Description Scheduled Date Completed Date Inspector Status 12/03/2020 R00.FURNACE Complete 12/03/2020 12/03/2020 BUILDING Approved FINAL Fees Fee Description Notes Amount Inspection $75.00 Forced Air Heat fee per Btu $15.00 Mechanical Base Permit Fee $25.00 Processing/Technology $25.00 Credit Card Service $4.20 Total $144.20 Attached Letters Date Letter Description 11/25/2020 Building Permit Payments Date Paid By Description Payment Type Accepted By Amount 11/25/2020 Daniel Nordstrom 83591816 $140.00 11/25/2020 83591816 Raelynn Jones $4.20 Outstanding Balance $0.00 Uploaded Files Date File Name 09/30/2021 9797943-3576 IC 12.2.2020.pdf 11/25/2020 7752926-Residential Mechanical DdTmMVb640beHO.pdf 11/25/2020 7752927-CO15031000017664944 5gH 1mMTeSp69s4jTo2 Lynda+Jacobsen+submittal.pdf �-Y Q. 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: 19205 45th Dr NE Project Description:like in kind furnace replacement Owner: Lynda Jacobsen Address: 19205 45th Dr NE City: Arlington State.WA Zip Code: 98223 Phone: 425-359-5117 Email:dalyn435@yahoo.com Applicant: Nordstrom Heating & Air Inc. Address. 1059 State Ave Suite G City. Marysville StateYVA Zip Code: 98270 Phone. 360-386-9819 Email. office@nordstromheating.com CONTRACTOR INFORMATION Contractor Name:Nordstrom Heating & Air Address: 1059 State Ave Suite G City: Marysville State WA Zip Code: 982870 License Number:nordsha884jw Expiration: 04/16/2022 Phone: 360-386-9819 Email:office@ nordstromheating.com STAFF USE ONLY Permit #: Accepted by: Date: 6/16LP Page 1 of 2 RESIDENTIAL MECHANICAL PERMIT APPLICATION Department of Community& Economic Development City of Arlington • 18204 59th Ave NE• Arlington, WA 98223• Phone(360) 403-3551 SELECT ALL PROPOSED APPLIANCES Furnace (80+) Model #S8X2A040M3PSAA 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 Liz) Applicant Signature: tl5a51c3bba4a9294ftla Date: 11/24/2020 Applicant Printed Name: Debbie Elgin I hereby certify that the above information is correct and that the construction, installation for the above mentioned property will be in accordance with the applicable laws of the City of Arlington and the State of Washington. 6/16LP Page 2 of 2