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HomeMy WebLinkAbout19924 51ST DR NE_BLD3300_2026 �_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. P roject Add ress: 19924 51st D r N E Project Description:Add Single Zone Ductless Owner: Susan Campbell Address: 19924 51st Dr NE City: Arlington State.WA Zip Code: 98223 Phone: 4252108774 Email:uenchanted@aol.com Applicant: Charisse Gunnels Address. 2120 Pacific Ave City. Everett StateYVA Zip Code: 98201 Phone. 425-252-3114 Email. charisse@essmwa.com CONTRACTOR INFORMATION Contractor Name:Evergreen State Sheet Metal Address: 2120 pacific ave City: everett Statewa Zip Code: 98201 License Number: EVERGSS0220T Expiration: 10/10/21 Phone- 4252523114 Email:charisse@essmwa.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 # AFUE Heat Pump Model # MUZ FH18NA2 AFUE93 HSPE12 ❑ 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 Le Applicant Signature: tl5a51c3bba4a91�'ll a ,, ,e8 Date: 07/09/2020 Applicant Printed Name: Charisse Gunnels 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 111WALL-MOUNTED HEAT PUMP SYSTEM ArIk ELECTRIC Job Name: System Reference: Date: Indoor Unit: Outdoor Unit: Wireless Remote Controller MSZ-FH 18NA2 MUZ-FH 18NA2 Aff GENERAL FEATURES • Slim wall-mounted indoor units provide zone comfort control. • The outdoor unit powers the indoor unit,and should a power outage occur,the system is automatically restarted when power returns. • INVERTER-driven compressor and LEV provide high efficiency and comfort while using only the energy needed to maintain maximum performance • H2i®-Hyper Heat Performance offers 100% heating capacity at 5°F and 70%-81%heating capacity at-13°F • Multiple fan speed options:Quiet, Low, Medium, High,Super-high,Auto • 3D i-see SensorTM enables advance features: Indirect or Direct Airflow for personalized comfort Absence Detection for energy-saving mode • Double Vane features: Separates airflow to deliver air across a large area Simultaneously deliver air to two people in different locations Generates more comfortable natural airflow pattern • Multiple control options available: Hand-held Remote Controller(provided with unit) kumo cloud®smart device app for remote access Third-party interface options Wired or wireless controllers • Triple-action Filtration: Nano Platinum Filter, Deodorizing Filter,&Electrostatic Anti-Allergy Enzyme Filter • Hot-Start Technology: no cold air rush at equipment startup or when restarting after Defrost Cycle • Quiet operation • Blue Fin anti-corrosion treatment applied to the outdoor unit heat exchanger for increased coil protection and longer life Specifications are subject to change without notice. ©2019 Mitsubishi Electric Trane HVAC US LLC.All rights reserved. • • • • Maximum Capacity Btu/h 21,000 Rated Capacity Btu/h 17,200 Minimum Capacity Btu/h 6,450 Cooling Maximum Power Input W 2,220 Rated Power Input W 1,375 Moisture Removal Pints/h 4.8 Sensible Heat Factor 0.69 Power Factor % 93/93 Maximum Capacity Btu/h 30,000 Rated Capacity Btu/h 20,300 Heating at 47°F2 Minimum Capacity Btu/h 5,150 Maximum Power Input W 3,390 Rated Power Input W 1,720 Power Factor % 96/96 Maximum Capacity Btu/h 20,300 Heating at 17°F3 Rated Capacity Btu/h 13,700 Maximum Power Input W 2,800 Rated Power Input W 1,320 Heating at 5°F4 Maximum Capacity Btu/h 20,300 Maximum Power Input W 2,960 Heating at-4°F5 Maximum Capacity Btu/h 17,250 Heating at-13°F6 Maximum Capacity Btu/h 14,210 SEER 21.0 EERY 12.5 HSPF(IV) 12.0 Efficiency COP at 47°F2 3.46 COP at 17°F in Maximum Capacity3 2.12 COP at 5°F in Maximum Capacity4 2.01 ENERGY STAR®Certified(ENERGY STAR products are third-party certified by YES an EPA-recognized Certification Body.) Voltage, Phase, Frequency 208/230V, 1 phase,60Hz Guaranteed Voltage Range V AC 187-253 Voltage: Indoor-Outdoor,S1-S2 V AC 208/230 Electrical Voltage: Indoor-Outdoor,S2-S3 V DC 24 Voltage: Indoor-Remote Controller Wireless Type Recommended Fuse/Breaker Size A 20 Recommended Wire Size(Indoor-Outdoor) AWG 14 MCA A 1 MOCP A 20 Indoor Unit Blower Motor Full Load Amperage A 0.67 Blower Motor Output W 30 Specifications are subject to change without notice. ©2019 Mitsubishi Electric Trane HVAC US LLC.All rights reserved. • • • • Airflow Rate at Cooling,Dry CFM 459-355-304-262-225 Airflow Rate at Cooling,Wet CFM 395-305-261-225-194 Airflow Rate at Heating,Dry CFM 514-394-317-254-201 Sound Pressure Level(Cooling) dB(A) 47-39-35-31-27 Sound Pressure Level(Heating) dB(A) 46-39-34-29-25 Drain Pipe Size In.(mm) 5/8(15.88) Heat Exchanger Type Plate fin coil External Finish Color Munsell 1.0Y 9.2/0.2 W:In.(mm) 36-7/16[925] Unit Dimensions D: In.(mm) 9-3/16[234] H: In.(mm) 12[+11/16](305[+17]) W:In.(mm) 39(990) Package Dimensions D: In.(mm) 12-1/4(310) H: In.(mm) 12-3/16(310) Unit Weight Lbs.(kg) 29(13.5) Package Weight Lbs.(kg) 34(15.4) Indoor Unit Operating Cooling Intake Air Temp(Maximum/Minimum)* °F 90 DB,73 WB/67 DB,57 WB Temperature Range Heating Intake Air Temp(Maximum/Minimum) °F 80 DB/70 DB MCA A 16 MOCP A 20 Fan Motor Full Load Amperage A 0.93 Fan Motor Output W 77 Airflow Rate CFM 1,692/1,634 Refrigerant Control LEV Defrost Method Reverse cycle Heat Exchanger Type Plate fin coil Sound Pressure Level,Coolingi dB(A) 52 Sound Pressure Level,Heating2 dB(A) 55 Compressor Type DC INVERTER-driven Outdoor Unit Compressor Model SNB172FQKMT Compressor Rated Load Amps A 12.0 Compressor Locked Rotor Amps A 15.0 Compressor Oil Type//Charge oz. FV50S//13.5 External Finish Color Munsell 3Y 7.8/1/1 Base Pan Heater Optional W:In.(mm) 33-1/16(840) Unit Dimensions D: In.(mm) 13(330) H: In.(mm) 34-5/8[880] W:In.(mm) 38-9/16(980) Package Dimensions D: In.(mm) 16-9/16(420) H: In.(mm) 39(990) Specifications are subject to change without notice. ©2019 Mitsubishi Electric Trane HVAC US LLC.All rights reserved. • • • • Unit Weight Lbs.(kg) 124(56) Package Weight Lbs.(kg) 143(65) Cooling Air Temp(Maximum/Minimum)" °F 115/14 Outdoor Unit Operating Cooling Thermal Lock-out/Re-start Temperatures" °F -4/0 Temperature Range Heating Air Temp(Maximum/Minimum) °F 75/-13 Heating Thermal Lock-out/Re-start Temperatures— °F -18/-14 Type R410A Refrigerant Charge Lbs,oz 3,7 Gas Pipe Size O.D.(Flared) In.(mm) 1/2(12.7) Liquid Pipe Size O.D.(Flared) In.(mm) 1/4(6.35) Piping Maximum Piping Length Ft.(m) 100(30) Maximum Height Difference Ft.(m) 50(15) Maximum Number of Bends 10 Notes AHRI Rated Conditions Cooling(Indoor//Outdoor) °F 80 DB,67 WB//95 DB,75 WB (Rated data is 2Heating at 47°F(Indoor//Outdoor) °F 70 DB,60 WB//47 DB,43 WB determined at a fixed compressor speed) 3Heating at 17°F(Indoor//Outdoor) °F 70 DB,60 WB//17 DB, 15 WB 4Heating at 5°F(Indoor//Outdoor) °F 70 DB,60 WB//5 DB,4 WB Conditions 5Heating at-4°F(Indoor//Outdoor) °F 70 DB,60 WB H-4 DB,-5 WB 6Heating at-1 YF(Indoor//Outdoor) °F 70 DB,60 WB//-13 DB,-14 WB `Applications should be restricted to comfort cooling only;equipment cooling applications are not recommended for low ambient temperature conditions. "System cuts out in heating mode to avoid thermistor error and automatically restarts at these temperatures. Specifications are subject to change without notice. ©2019 Mitsubishi Electric Trane HVAC US LLC.All rights reserved. ACCESSORIES: • 1 Deodorizing Filter ❑MAC-3000FT-E Electrostatic Anti-allergy Enzyme Filter ❑MAC-2330FT-E Backlit,Wall-mounted,Wireless Controller ❑MHK1 Portable Central Controller ❑MCCH1 Wired MA Controller) ❑PAR-33MAA Simple MA Controller) ❑PAC-YT53CRAU Touch MA Controller) ❑PAR-CT01 MAU-SB Wired Remote Sensor ❑M21-EAA-307 Wireless Temperature and Humidity Sensor ❑PAC-USWHS003-TH-1 Outside Air Sensor for MHK1 ❑MOS1 System Control Interface2 ❑MAC-3331F-E Wireless Interface ❑PAC-USWHS002-WF-1 Thermostat Interface ❑PAC-US444CN-1 kumo station® ❑PAC-WHS01 HC-E USNAP Interface ❑PAC-WHS01 UP-E IT Extender ❑PAC-WHS011E-E BACnet®and MODBUS®Interface ❑PAC-UKPRC001-CN-1 External Fan/Heater Control Relay Adapter ❑CN24RELAY-KIT-CM3 Lockdown Bracket for Hand-held Remote Controllers ❑RCMKPI CB Blue Diamond Sensor Extension Cable—15 Ft. ❑C13-103 Blue Diamond Alarm Extension Cable—6.5 Ft. ❑C13-192 Blue Diamond MultiTank—collection tank for use with multiple pumps ❑C21-014 Blue Diamond Rubber Foot Pads ❑F10-010 Mini Condensate Pump—230 volt application ❑S130-230 MegaBlue Advanced Blue Diamond Condensate Pump w/Reservoir&Sensor ❑X87-835-110 to 250V MaxiBlue Advanced Blue Diamond Mini Condensate Pump w/Reservoir&Sensor(110V)up to 48,000 Btu/h ❑X87-711 -110V [recommended] Advanced Blue Diamond Mini Condensate Pump w/Reservoir&Sensor(208/230V)[recommended] ❑X87-721 -208/230V MicroBlue Blue Diamond Mini Condensate Pump(110/208/230V)up to 18,000 Btu/h ❑X85-003 Fascia Kit for MicroBlue Pump—mounts the MicroBlue and sensor directly beneath the indoor unit ❑T18-016 Drain Pan Level Sensor ❑DPLS2 (30A/600V/UL)[fits 2"X 4"utility box]-Black ❑TAZ-MS303 (30A/600V/UL)[fits 2"X 4"utility box]-White ❑TAZ-MS303W Requires MAC-3331F-E 2 Allows indoor units to connect to an MA Controller Specifications are subject to change without notice. ©2019 Mitsubishi Electric Trane HVAC US LLC.All rights reserved. ACCESSORIES: Air Outlet Guide ❑MAC-886SG-E Drain Socket ❑MAC-860DS Optional Defrost Heater ❑MAC-642BH-U1 Hail Guard ❑HG-A7 Outdoor Unit 3-1/4 inch Mounting Base(Pair)-Plastic ❑DSD-400P Condensing Unit Mounting Pad 16"x 36"x 3" ❑ULTRILITE1 Outdoor Unit Stand—12"High ❑QSMS1201 M Outdoor Unit Stand—18"High ❑QSMS1801 M Outdoor Unit Stand—24"High ❑QSMS2401M Heavy Duty Wall Mounting Bracket—Coated Steel ❑QSWB2000M-1 Heavy Duty Wall Mounting Bracket—316 Series Stainless Steel ❑QSWBSS 15'x 1/4"x 15'/1/2"Lineset(Twin-Tube Insulation) ❑MLS141212T-15 30'x 1/4"x 30'/1/2"Lineset(Twin-Tube Insulation) ❑MLS141212T-30 50'x 1/4"x 50'/1/2"Lineset(Twin-Tube Insulation) ❑MLS141212T-50 65'x 1/4"x 65'/1/2"Lineset(Twin-Tube Insulation) ❑MLS141212T-65 100'x 1/4"x 100'/1/2"Lineset(Twin-Tube Insulation) ❑MLS141212T-100 Specifications are subject to change without notice. ©2019 Mitsubishi Electric Trane HVAC US LLC.All rights reserved. DIMENSIONS: Unit: inch 7/16 X 1-1/16 Oblong hole 7/16 X 13/16 Oblong hole Installation late 4-1/16 8-7/8 8-7/8 4� °D RR 36-7/16 °O M N i N V r 35-5/8 3/8 C6 d) � ao 8-1/8 -3/4 co r` r Indoor unit T 2-5/8 15-9/16 14-11/16 3-9/16 9 3/16 Air in Wall hole fr73 3/16 V Installation plate ao w Piping N M to � cD lfl 7 ■ 7A )IL 2 1 1-9/16 2 `O Drain hose 2-3/8 27-11/16 6-5/16 4 N 2-3/ � 11 1/1 6 Air out 4-5/8 '' _ II 5-3/16 N N 00 _ t` 2-5/8 2-11/16 (Capacities in kBtu/h:06,09,12) (Capacities in kBtu/h: 15,18) o Insulation 01-7/160.D Insulation 01-7/160.D Liquid line 01/4 1911/16(Flared connection 01/4) Liquid line 01/4 1911/16(Flared connection 01/4) Gas line 03/8 16-15/16(Flared connection 03/8) Gas line 03/8 16-15/16(Flared connection 01/2) Drain hose Insulation 01-1/8 Connected part 05/8 O.D Drain hose Insulation 01-1/8 Connected part 05/8 O.D Specifications are subject to change without notice. ©2019 Mitsubishi Electric Trane HVAC US LLC.All rights reserved. DIMENSIONS: Unit: inch REQUIRED SPACE *1 20 in. or more when front L and sides of the unit are clear U 16-7/16 Drain hole 01-5/8 Air in 1-9/16 °Oe Rim4 N'0-o or N C° more M M tM I I Air out y 2-holes 13/32 X 13/16 ofe2 " 74� 6-7/8 19-11/16 20\t� ;5 n orb ore 0 33-1/16 3-3/16 *2 When any 2 sides of left, right and rear of the unit are clear 4-5/1 Service panel El- —077-35 Liquid refrigerant pipe joint Refrigerant pipe(flared)01/4 in v a Cl) N M W N �o N M N e Gas refrigerant pipe joint M Refrigerant pipe(flared)o 1/2 7-11/16 AAMITSUBISHI W ELECTRIC COOLING & HEATING 1340 Satellite Boulevard,Suwanee,GA 30024 Toll Free:800-433-4822 www.mehvac.com RN. Aff FORM#MSZ-FH18NA2/MUZ-FH18NA2-201903 01 milli MIntertek Specifications are subject to change without notice. ©2019 Mitsubishi Electric Trane HVAC US LLC.All rights reserved. CITY OF ARLINGTON a 18204 59th Avenue NE,Arlington,WA 98223 INSPECTIONS:360-403-3417-Permit Center:360-403-3551 BUILDING PERMIT 19924 51st Dr NE Permit#:3300 Permit Expiration Date:01/05/2021 Parcel#:00426400002100 Valuation:.00 OWNER APPLICANT CONTRACTOR CAMPBELL DANIEL G&SUSAN P Evergreen State Heat&AC EVERGREEN STATE HEAT&A/C 19924 51 ST DR NE 2120 Pacific Ave 2120 Pacific Ave ARLINGTON,WA 98223-7771 Everett Everett,WA 98201 4252523114 425-252-3114 LIC:EVERGSS0220T EXP: 10/10/2021 MECHANICAL CONTRACTOR PLUMBING CONTRACTOR Evergreen State Heat&AC 2120 Pacific Ave Everett,WA 98201 425-252-3114 LIC#:EVERGSS0220T EXP: 10/10/2021 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. IBCI10/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. 1� r�l �� �61V1� / i�`�t Sul 1tt5 BIZ r rto� 7/9/2020 �.. Signature Print Name Date 1Rcicas By Date CONDITIONS 3"concrete pad with seismic bracing attached.Provide electrical disconnect.Lines shall be insulated;use of adhesive tapes are prohibited.Adhere to approved appliance.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 07/09/2020 Inspection Fee $75.00 07/09/2020 Heat Pump/Heat Exchangers $25.00 07/09/2020 Mechanical Base $25.00 07/09/2020 Process inglrechnology Fee $25.00 Total Due: $150.00 Total Payment: $0.00 Balance Due: $150.00 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 �. 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:19924 51st Dr NE Project Description:Add Single Zone Ductless Owner: Susan Campbell Address: 19924 51st Dr NE City: Arlington State WA Zip Code: 98223 Phone: 4252108774 Email:uenchanted@ aol.com Applicant: Charisse Gunnels Address: 2120 Pacific Ave City: Everett StateYVA Zip Code: 98201 Phone: 425-252-3114 Email: charisse@essmwa.com CONTRACTOR INFORMATION Contractor Name:Evergreen State Sheet Metal Address: 2120 pacific ave City: everett Statewa Zip Code: 98201 License Number:EVERGSS0220T Expiration: 10/10/21 Phone:4252523114 Email:charisse@essmwa.com STAFF USE ONLY Received Permit #: v/�) _IWO Accepted by: DataJUL 0 9 2020 6/16LP Page 1 of 2 RESIDENTIAL MECHANICAL f ' ? PERMIT APPLICATION O 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 #MUZ FH18NA2 AFUE93 HSPE12 L j AC Unit Model # SEER ❑ Freestanding Stove (] Fire Place Insert Ia Outdoor BBQ Gas Piping Solid-Fuel Appliance Other f Gas l'lping lnforrnatlo I 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: � Date: 07/09/2020 Applicant Printed Name: Charisse Gunnels 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 18,000 BTU/H WALL-MOUNTED HEAT PUMP SYSTEM AFVL ELECTRIC Job Name: System Reference: Date: Indoor Unit: Outdoor Unit: Wireless Remote Controller MSZ-FH18NA2 MUZ-FH18NA2 GENERAL FEATURES • Slim wall-mounted indoor units provide zone comfort control. • The outdoor unit powers the indoor unit,and should a power outage occur,the system is automatically restarted when power returns. • INVERTER-driven compressor and LEV provide high efficiency and comfort while using only the energy needed to maintain maximum performance • H2i®-Hyper Heat Performance offers 100% heating capacity at 5°F and 70%-81%heating capacity at-13°F • Multiple fan speed options:Quiet,Low,Medium,High,Super-high,Auto • 3D i-see SensorTM enables advance features: -Indirect or Direct Airflow for personalized comfort -Absence Detection for energy-saving mode • Double Vane features: -Separates airflow to deliver air across a large area -Simultaneously deliver air to two people in different locations -Generates more comfortable natural airflow pattern • Multiple control options available: -Hand-held Remote Controller(provided with unit) -kumo cloud®smart device app for remote access -Third-party interface options -Wired or wireless controllers • Triple-action Filtration:Nano Platinum Filter,Deodorizing Filter,&Electrostatic Anti-Allergy Enzyme Filter • Hot-Start Technology:no cold air rush at equipment startup or when restarting after Defrost Cycle • Quiet operation • Blue Fin anti-corrosion treatment applied to the outdoor unit heat exchanger for increased coil protection and longer life Received JUL 0 9 2020 M - ��OD Specifications are subject to change without notice. ©2019 Mitsubishi Electric Trane HVAC US LLC.All rights reserved. � t ;� s� i Maximum Capacity I Btu/h 21,000 Rated Capacity Btu/h 17,200 Minimum Capacity Btu/h 6,450 Cooling Maximum Power Input W 2,220 Rated Power Input W 1,375 Moisture Removal Pints/h 4.8 Sensible Heat Factor 0.69 Power Factor % 93/93 Maximum Capacity Btu/h 30,000 Rated Capacity Btu/h 20,300 Heating at47°Fz Minimum Capacity Btu/h 5,150 Maximum Power Input W 3,390 Rated Power Input W 1,720 Power Factor % 96/96 Maximum Capacity Btu/h 20,300 Heating at 17°F3 Rated Capacity Btu/h 13,700 Maximum Power Input W 2,800 Rated Power Input W 1,320 Heating at 5°F4 Maximum Capacity Btu/h 20,300 Maximum Power Input W 2,960 Heating at-4°F5 Maximum Capacity Btu/h 17,250 Heating at-13°F6 Maximum Capacity Btu/h 14,210 SEER 21.0 EER1 12.5 HSPF(IV) 12.0 Efficiency COP at 47°Fz 3.46 COP at 17°F in Maximum Capacity3 2.12 COP at 5°F in Maximum Capacity° 2.01 ENERGY STAR°Certified(ENERGY STAR products are third-party certified by YES an EPA-recognized Certification Body.) Voltage,Phase,Frequency 208/230V, 1 phase,60Hz Guaranteed Voltage Range V AC 187-253 Voltage:Indoor-Outdoor,S1-S2 V AC 208/230 Electrical Voltage:Indoor-Outdoor,S2-S3 V DC 24 Voltage:Indoor-Remote Controller Wireless Type Recommended Fuse/Breaker Size A 20 Recommended Wire Size(Indoor-Outdoor) AWG 14 MCA A 1 MOCP A 20 Indoor Unit Blower Motor Full Load Amperage A 0.67 Blower Motor Output W 30 Specifications are subject to change without notice. ©2019 Mitsubishi Electric Trane HVAC US LLC.All rights reserved. � f t 1 Airflow Rate at Cooling,Dry CFM 459-355-304-262-225 Airflow Rate at Cooling,Wet CFM 395-305-261-225-194 Airflow Rate at Heating,Dry CFM 514-394-317-254-201 Sound Pressure Level(Cooling) dB(A) 47-39-35-31-27 Sound Pressure Level(Heating) dB(A) 46-39-34-29-25 Drain Pipe Size In.(mm) 5/8(15.88) Heat Exchanger Type Plate fin coil External Finish Color Munsell 1.OY 9.2/0.2 W:In.(mm) 36-7/16[925] Unit Dimensions D:In.(mm) 9-3/16[234] H:In.(mm) 12[+11/16](305[+171) W:In.(mm) 39(990) Package Dimensions D:In.(mm) 12-1/4(310) H:In.(mm) 12-3/16(310) Unit Weight Lbs.(kg) 29(13.5) Package Weight Lbs.(kg) 34(15.4) Indoor Unit Operating Cooling Intake Air Temp(Maximum/Minimum)' °F 90 DB,73 WB/67 DB,57 WB Temperature Range Heating Intake Air Temp(Maximum/Minimum) °F 80 DB/70 DB MCA A 16 MOCP A 20 Fan Motor Full Load Amperage A 0.93 Fan Motor Output W 77 Airflow Rate CFM 1,692/1,634 Refrigerant Control LEV Defrost Method Reverse cycle f i Heat Exchanger Type Plate fin coil Sound Pressure Level,Coolingi dB(A) 52 Sound Pressure Level,Heatingz dB(A) 55 Compressor Type DC INVERTER-driven Outdoor Unit Compressor Model SNB172FQKMT Compressor Rated Load Amps A 12.0 Compressor Locked Rotor Amps A 15.0 Compressor Oil Type//Charge oz. FV50S//13.5 External Finish Color Munsell 3Y 7.8/1/1 Base Pan Heater Optional W:In.(mm) 33-1/16(840) Unit Dimensions D:In.(mm) 13(330) H:In.(mm) 34-5/8[880] W:In.(mm) 38-9/16(980) Package Dimensions D:In.(mm) 16-9/16(420) H:In.(mm) 39(990) Specifications are subject to change without notice. ©2019 Mitsubishi Electric Trane HVAC US LLC.All rights reserved. ■ • • • • Unit Weight Lbs.(kg) 124(56) Package Weight Lbs.(kg) 143(65) Cooling Air Temp(Maximum/Minimum)* °F 115/14 Outdoor Unit Operating Cooling Thermal Lock-out/Re-start Temperatures** °F -4/0 Temperature Range Heating Air Temp(Maximum/Minimum) °F 75/-13 Heating Thermal Lock-out/Re-start Temperatures— °F -18/-14 Type R410A Refrigerant Charge Lbs,oz 3,7 Gas Pipe Size O.D.(Flared) In.(mm) 1/2(12.7) Liquid Pipe Size O.D.(Flared) In.(mm) 1/4(6.35) Piping Maximum Piping Length Ft.(m) 100(30) Maximum Height Difference Ft.(m) 50(15) Maximum Number of Bends 10 Notes AHRI Rated Conditions lCooling(Indoor//Outdoor) 'F I 80 DB,67 WB//95 DB,75 WB (Rated data is 2Heating at 47°F(Indoor//Outdoor) 'F 70 DB,60 WB//47 DB,43 WB determined at a fixed compressor speed) 3Heating at 17°F(Indoor//Outdoor) °F 70 DB,60 WB//17 DB, 15 WB 41-leating at 5°F(Indoor//Outdoor) °F 70 DB,60 WB//5 DB,4 WB Conditions 5Heating at-4°F(Indoor H Outdoor) °F 70 DB,60 WB//-4 DB,-5 WB 6Heating at-13°F(Indoor//Outdoor) °F 70 DB,60 WB//-13 DB,-14 WB *Applications should be restricted to comfort cooling only;equipment cooling applications are not recommended for low ambient temperature conditions. **System cuts out in heating mode to avoid thermistor error and automatically restarts at these temperatures. Specifications are subject to change without notice. ©2019 Mitsubishi Electric Trane HVAC US LLC.All rights reserved. ACCESSORIES: Deodorizing Filter ❑MAC-3000FT-E Electrostatic Anti-allergy Enzyme Filter ❑MAC-2330FT-E Backlit,Wall-mounted,Wireless Controller ❑MHK1 Portable Central Controller ❑MCCH1 Wired MA Controller) ❑PAR-33MAA Simple MA Controller) ❑PAC-YT53CRAU Touch MA Controller) ❑PAR-CT01 MAU-SB Wired Remote Sensor ❑M21-EAA-307 Wireless Temperature and Humidity Sensor ❑PAC-USWHS003-TH-1 Outside Air Sensor for MHK1 ❑MOS1 System Control Interface ❑MAC-3331F-E Wireless Interface ❑PAC-USWHS002-WF-1 Thermostat Interface ❑PAC-US444CN-1 kumo station® ❑PAC-WHS01HC-E USNAP Interface ❑PAC-WHS01UP-E IT Extender ❑PAC-WHS011E-E BACnet®and MODBUSO Interface ❑PAC-UKPRC001-CN-1 External Fan/Heater Control Relay Adapter ❑CN24RELAY-KIT-CM3 Lockdown Bracket for Hand-held Remote Controllers ❑RCMKP1 CB Blue Diamond Sensor Extension Cable—15 Ft. ❑C13-103 Blue Diamond Alarm Extension Cable-6.5 Ft. ❑C13-192 Blue Diamond MultiTank—collection tank for use with multiple pumps ❑C21-014 Blue Diamond Rubber Foot Pads ❑F10-010 Mini Condensate Pump—230 volt application ❑S130-230 MegaBlue Advanced Blue Diamond Condensate Pump w/Reservoir&Sensor ❑X87-835-110 to 250V MaxiBlue Advanced Blue Diamond Mini Condensate Pump w/Reservoir&Sensor(110V)up to 48,000 Btu/h ❑X87-711 -110V [recommended] Advanced Blue Diamond Mini Condensate Pump w/Reservoir&Sensor(208/23OV)[recommended] ❑X87-721 -208/230V MicroBlue Blue Diamond Mini Condensate Pump(110/208/230V)up to 18,000 Btu/h ❑X85-003 Fascia Kit for MicroBlue Pump—mounts the MicroBlue and sensor directly beneath the indoor unit ❑T18-016 Drain Pan Level Sensor ❑DPLS2 (30A/600V/UL)[fits 2"X 4"utility box]-Black ❑TAZ-MS303 (30A/600V/UL)[fits 2"X 4"utility box]-White ❑TAZ-MS303W Requires MAC-3331F-E 2 Allows indoor units to connect to an MA Controller Specifications are subject to change without notice. ©2019 Mitsubishi Electric Trane HVAC US LLC.All rights reserved. �� 1 t_ � �. I ACCESSORIES Air Outlet Guide ❑MAC-886SG-E Drain Socket ❑MAC-860DS Optional Defrost Heater ❑MAC-642BH-U1 Hail Guard ❑HG-A7 Outdoor Unit 3-1/4 inch Mounting Base(Pair)-Plastic ❑DSD-400P Condensing Unit Mounting Pad 16"x 36"x 3" ❑ULTRILITE1 Outdoor Unit Stand—12"High ❑QSMS1201 M Outdoor Unit Stand—18"High ❑QSMS1801M Outdoor Unit Stand—24"High ❑QSMS2401M Heavy Duty Wall Mounting Bracket—Coated Steel ❑QSWB2000M-1 Heavy Duty Wall Mounting Bracket—316 Series Stainless Steel ❑QSWBSS 15'x 1/4"x 15'/1/2"Lineset(Twin-Tube Insulation) ❑MLS141212T-15 30'x 1/4"x 30'/1/2"Lineset(Twin-Tube Insulation) ❑MLS141212T-30 50'x 1/4"x 50'/1/2"Lineset(Twin-Tube Insulation) ❑MLS141212T-50 65'x 1/4"x 65'/1/2"Lineset(Twin-Tube Insulation) ❑MLS141212T-65 100'x 1/4"x 100'/1/2"Lineset(Twin-Tube Insulation) 1❑MLS141212T-100 Specifications are subject to change without notice. ©2019 Mitsubishi Electric Trane HVAC US LLC.All rights reserved. DIMENSIONS: MSZ-FH18NA2 Unit: inch 7/16 x 1-1/16 Oblong hole 7/16 x 13116 Oblong hole Installation plate 4-1116 8.7/8 8-7/8 4-1/16 n 36.7/16 rZ 3 ob de 35 5/8 /8 O1 co — 2-5/8 15-9/16 14-11/18 3-9/i6 9-3116 Air in Wall hole 3/16 V Installation plate A N Pi i1. N O573 r Ch V • _ 2 1 1-9/16 2 `O Drain hose 2-3/8 27-11/16 6.5116 /� 4 N 2-3/8 _, ,_ 11/16 Air out 4-5/8 -3/16 f` 2-5/8 2-11r16 _ ;Capacities in kBtu/h:06,09,12 (Capacities in kBtu/h: 15,18) o Insulation 101-7/160.D o Insulation 01-7I160.D d- Li uid line 1/4 19-11/16 Flared connection 01/4 Li uid line 1/4 19-11/16 Flared connection 0114 Gas line 0318 16-15/16 Flared connection 03/8 Gas line 03/8 16-15/16 Flared connection 0112 Drain hose I Insulation 01-1/8 Connected art 05/8 O.D Drain hose Insulation 01-1/8 Connected pan 0518 0Z Specifications are subject to change without notice. ©2019 Mitsubishi Electric Trane HVAC US LLC.All rights reserved. � 1. I I 1 • : Unit: inch REQUIRED SPACE *1 20 in. or more when front and sides of the unit are clear U 16-7/16 Drain hole 01-5/8 Air in 1-9/16 o1 4/n Q.\�. ot- N 1110r19 M co M K u� i I Air out Y 2-holes 13/32 X 13/16 �o�e�2 74 6-7/8 19-11116 Zp 0ore 33-1/16 3-3/16 *2 When any 2 sides of left, right 4-5/1 and rear of the unit are clear Service panel Liquid refrigerant pipe joint Refrigerant pipe(flared)a 1/4 0 u� Cl) N M N V�o Qo N N as N aI Gas refrigerant pipe joint Al Refrigerant pipe(flared]ra 1/2 7-11/16 XtMITSUBISHI ELECTRIC COOLING & HEATING 1340 Satellite Boulevard,Suwanee,GA 30024 Toll Free:800-433-4822 www.mehvac.com F FORM#MSZ-FH18NA2/MUZ-FH18NA2-201903 c�mcrtNt- Aff Specifications are subject to change without notice. ©2019 Mitsubishi Electric Trane HVAC US LLC.All rights reserved. \ 1 Some L&I regional offices are now open on a limited basis by appointment only, for services that cannot be provided over the phone or online. Masks are required for in-person appointments. Call the office near you .(https://Ini a gov/agencyLc-o-i-iLa-ct-Ltt-cLff-ice-lacahon;).for assistance,or call 360-902-5800 from 8 a.m.to 5 p.m. weekdays (except state holidays). /► ,va,h9a.me���o� Labor&Industries(htt s//lnima.gov) EVERGREEN STATE SHEET MTL INC Owner or tradesperson 2120 PACIFIC AVE Principals EVERETT,WA 98201 KIMBALL,RUSSELL Dron,PRESIDENT 425-252-3114 SNOHOMISH County ■ KIMBALL,PAM,VICE PRESIDENT (End:09/27/2013) Doing business as EVERGREEN STATE SHEET MTL INC WA UBI No. Business type 601 724 357 Corporation Governing persons RUSSELL KIMBALL PAM KIMBALL; 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. EVERGSS0220T Effective—expiration 09/30/1998-10/10/2021 Bond RLI Ins Co $12,000 00 Bond account no. LSM0782384 Received by L&I Effective date 11/24/2015 11/25/2015 Expiration date Until Canceled Bond history Insurance Ohio Cas Ins Co $1,000,000.00 Policy no. BKS57111316 Received by L&I Effective date 08/14/2019 09/30/2016 Expiration date 09/30/2020 Insurance history Savings No savings accounts during the previous 6 period. Lawsuits against the bond or savings No lawsuits against the bond or savings accounts during the previous 6 year period. L&I Tax debts No L&I tax debts are recorded for this contractor license during the previous 6 year period,but some debts may be recorded by other agencies. License Violations No license violations during the previous 6 year period. Certifications & Endorsements OMWBE Certifications No active certifications exist for this business. Apprentice Training Agent Registered training agent.Check their eligible programs and occupations. Workers' Comp Do you know if the business has employees?If so,verify the business is up-to-date on workers'comp premiums. This company has multiple workers'comp accounts. Active accounts Account no. Account is current. 959,941.00 Doing business as EVERGREEN STATE SHEETMETAL Certificate of Workers'Comp Coverage Track this contractor Account no. Account is current. 959,941-01 Doing business as EVERGREEN STATE SHEET METAL Certificate of Workers'Comp Coverage Track this contractor Public Works Requirements Verify the contractor is eligible to perform work on public works projects. Required Training=Effective_July1 2019 Exempt from this requirement. 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. uITY OF ARLINGTON ® 18204 59th Avenue NE,Arlington,WA 98223 INSPECTIONS:360-403-3417-Permit Center: 360-403-3551 BUILDING PERMIT 19924 51st Dr NE Permit#:3300 Permit Expiration Date: 01/05/2021 Parcel#:00426400002100 Valuation: .00 OWNER APPLICANT CONTRACTOR CAMPBELL DANIEL G&SUSAN P Evergreen State Heat&AC EVERGREEN STATE HEAT&A/C 19924 51 ST DR NE 2120 Pacific Ave 2120 Pacific Ave ARLINGTON,WA 98223-7771 Everett Everett,WA 98201 4252523114 425-252-3114 LIC:EVERGSS0220T EXP: 10/10/2021 MECHANICAL CONTRACTOR PLUMBING CONTRACTOR Evergreen State Heat&AC 2120 Pacific Ave Everett,WA 98201 425-252-3114 LIC#:EVERGSS0220T EXP: 10/10/2021 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. 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. ' G'e ;, ` , �`` � 9-441k-r.� 7/9/2020 Signature Print Name Date 6/ReleaseffBy Date CONDITIONS 3"concrete pad with seismic bracing attached.Provide electrical disconnect.Lines shall be insulated;use of adhesive tapes are prohibited.Adhere to approved appliance.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. ERMIT FEES Date Description Fee Amount 07/09/2020 Inspection Fee $75.00 07/09/2020 Heat Pump/Heat Exchangers $25.00 07/09/2020 Mechanical Base $25.00 07/09/2020 Processing/Technology Fee $25.00 Total Due: $150.00 Total Payment: $0.00 Balance Due: $150.00 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 19924 Slst Dr NE Permit#:3300 Permit Expiration Date:01/05/2021 Parcel#: 00426400002100 Valuation: .00 OWNER APPLICANT CONTRACTOR CAMPBELL DANIEL G&SUSAN P Evergreen State Heat&AC EVERGREEN STATE HEAT&A/C 19924 51 ST DR NE 2120 Pacific Ave 2120 Pacific Ave ARLINGTON,WA 98223-7771 Everett Everett,WA 98201 4252523114 425-252-3114 LIC:EVFRGSS0220T EXP: 10/10/2021 MECHANICAL CONTRACTOR PLUMBING CONTRACTOR Evergreen State Heat&AC 2120 Pacific Ave Everett,WA 98201 425-252-3114 LIC#:EVERGSS0220T EXP: 10/10/2021 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. 7/9/2020 Signature Print Name Date Rcicas By Date . CONDITIONS 3"concrete pad with seismic bracing attached.Provide electrical disconnect.Lines shall be insulated;use of adhesive tapes are prohibited.Adhere to approved appliance.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. ERMIT FEES Date Description Fee Amount 07/09/2020 Inspection Fee $75.00 07/09/2020 Heat Pump/Heat Exchangers $25.00 07/09/2020 Mechanical Base $25.00 07/09/2020 Processing/Technology Fee $25.00 Total Due: $150.00 Total Payment: $0.00 Balance Due: $150.00 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 Permit#: 3300 Permit Date: 07/09/20 Permit Type: RESIDENTIAL MECHANICAL Project Name: Campbell Applicant Name: Evergreen State Heat&AC Applicant Address: 2120 Pacific Ave Applicant, City, State, Zip: Everett Contact: Charisse Gunnels Phone: 4252523114 Email: charisse@essmwa.com Scope of Work: Add ductless HP Valuation: 0.00 Square Feet: 0 Number of Stories: 0 Construction Type: Occupancy Group: ID Code: Permit Issued: Permit Expires: 01/09/2021 Form Permit Type: Status: LASERFICHE Assigned To: Raelynn Jones Property Parcel# Address Legal Description Owner Name Owner Phone Zoning CAMPBELL 00426400002100 19924 51 ST DR NE DANIEL G& Residence Single Family -Detached SUSAN P Contractors Contractor Primary Contact Phone Address Contractor Type License License# EVERGREEN STATE Mark Payne 425-252-3114 2120 Pacific Ave CONSTRUCTION COA 601-724-357 HEAT&A/C CONTRACTOR EVERGREEN STATE Mark Payne 425-252-3114 2120 Pacific Ave CONSTRUCTION Labor&EVERGSS0220T HEAT&A/C CONTRACTOR Industries Fees Fee Description Notes Amount Inspection $75.00 Heat Pump/Heat Exchangers $25.00 Mechanical Base Permit Fee $25.00 Processing/Technology $25.00 Credit Card Service $4.50 Total $154.50 Attached Letters Date Letter Description 07/09/2020 Building Permit Payments Date Paid By Description Payment Type Accepted By Amount 07/10/2020 Darlene Salo 81237770 $150.00 07/10/2020 Darlene Salo CC Surcharge Transaction $4.50 81237770 Outstanding Balance $0.00 Notes Date Note Created By: 07/13/2020 Emailed the permit for signature. Kristin Foster Uploaded Files Date File Name 07/13/2020 6963478-3300 Issued Permit.pdf 07/09/2020 6954516-19924 SUBMITTAL DATA MSZ-FH18NA2&MUZ-FH18NA2.pdf 07/09/2020 6954517-19924 Residential Mechanical DZ008cOiMz7n4P.pdf