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17401 72nd Dr Ne_BLD3175_2026
RESIDENTIAL MECHANICAL � s 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:17401 72nd Dr NE Project Description:Replace 80% GF and add AC Owner: Chris M illess Address: 17401 72nd Dr NE City: Arlington State WA Zip Code: 98223 Phone: 3609256419 Email:milless-Chris@comcast.net 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:Everegreen State Sheet Metal Address: 2120 Pacific Ave City: Everett State WA Zip Code: 98201 License Number:EVERGSS0220T Expiration: 10/10/21 Phone:425-252-3114 Email:charisse@ essmwa.com Neceived STAFF USE ONLY OAY 9 2020 Permit#: l/k)6,3(Jc5 Accepted by: Date: 6/16LP Page 1 of 2 RESIDENTIAL MECHANICAL s � 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 �i Furnace (80+) Model #S81316060M3PSAA AFUF80% ❑j Heat Pump Model # AFUE HSPE AC Unit Model # 4i iKj03H1000N SEER 13 U1 Freestanding Stove CA Fire Place Insert L__�! Outdoor BBQ []� Gas Piping Solid-Fuel Appliance LIi Other Gas Piping Information Not Applicable: Pipe Material: Pipe Size: Distance from Meter to Furthest Appliance: Total BTU's of all Appliances • New gas piping requires a pressure test hooking to any appliance • Sediment traps (drips) are required on all gas lines • Gas lines are required to be supported/secured every 6 to 8 feet • Proper Combustion air and venting required for all appliances • A shut-off valve is required within 6 feet of all appliances Applicant Signature: Date: 05/19/2020 Applicant Printed Name: Charisse M 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 • MULTI-ZONE Job Name: System Reference: Date: GENERAL FEATURES • Variable speed INVERTER-driven compressor • Energy Star°certified' (non-ducted) • M-NET connection through outdoor unit • Quiet outdoor unit operation as low as 50 dB(A) • New Intelligent Power Module(IPM)for reduced power loss • Selectable thermal lockout/restart function • Optional base pan heater • High pressure switch for additional protection • Thermal differential of+/-1° F from setpoint Received MAY 19 2020 1ENERGY STAR products are third-party certified by an EPA-recognized Certification Body. Specifications are subject to change without notice. ©2018 Mitsubishi Electric US, Inc. i 1 SPECIFICATIONS: 1 Outdoor unit MXZ-2C20NA2 Model Ducted Maximum Capacity Btu/h 20,000 Rated Capacity Btu/h 18,000 l 19,000 20,000 Cooling*1 Minimum Capacity Btu/h 5,700 Maximum Power Input W 2,245 Rated Power Input W 1,417 1,709 2,000 Power Factor % 98.7 99.3 99.9 Maximum Capacity Btu/h 25,000 Rated Capacity Btu/h 22,000 Heating at 47° F*2 Minimum Capacity Btu/h 7,400 Maximum Power Input W 2,455 Rated Power Input W 1,641 1,706 1,771 Power Factor % 96.2 97.9 99.6 Maximum Capacity Btu/h 15,500 ` 15,000 14,500 Rated Capacity Btu/h 12,500 I 13,000 13,500 Heating at 17° F*3 Maximum Power Input W 1,750 1,780 1,810 Rated Power Input W 1,300 1,325 1,350 Heating at 5° F*4 Maximum Capacity Btu/h 11,100 11,000 10,900 Maximum Power Input W 1,600 1,625 1,650 SEER 20.00 18.00 16.00 EER*1 12.70 11.35 10.00 Efficiency HSPF (IV) 10.00 9.65 9.30 COP at 47' F*2 3.93 3.78 3.64 COP at 17' F *3 2.82 2.87 2.93 ENERGY STAR®Certified YES NO NO Electrical Voltage, Phase, Frequency 208/230V, 1-phase, 60 Hz Guaranteed Voltage Range V AC 187- 253 Voltage: Indoor- Outdoor, S1-S2 V AC 208V/230 Voltage: Indoor-Outdoor, S2-S3 V DC 12-24 Voltage: Indoor- Remote controller V DC 24 Recommended Fuse/Breaker Size A 20 Specifications are subject to change without notice. ©2018 Mitsubishi Electric US,Inc. SPECIFICATIONS: Outdoor unit MXZ-2C20NA2 ModelIndoor Ducted Recommended Wire Size AWG AWG14 (Indoor-Outdoor) MCA A 17.2 Fan Motor Full Load Amperage A 1.77 Fan Motor Output W 64 Airflow Rate CFM 1,342/ 1,458 Refrigerant Control Liner Expansion Valve Defrost Method Reverse Cycle Heat Exchanger Type Plate fin coil Sound Pressure Level, Cooling*1 dB(A) 50 Sound Pressure Level, Heating*2 dB(A) 54 Compressor Type Twin Rotary type Compressor Model SNB140FQUH2T Compressor Motor Output kW 1.5 Outdoor unit Compressor Rated Load Amps A 10.7 Compressor Locked Rotor Amps A 15.5 Compressor Oil Type//Charge oz. NEO22/20.3 External Finish Color Munsell 3.OY 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] 27-15/16 [710] W: In. [mm] 40 [1,010] Package Dimensions D: In. [mm] 18-1/2 [470] H: In. [mm] 33-1/2 [850] Unit Weight Lbs. [kg] 126 (57] Package Weight Lbs. [kg] 147 [67] Cooling Intake Air Temp °F 14 to 115 (Maximum /Minimum) Outdoor unit operating temperature range Heating Intake Air Temp °F 5 to 75 (Maximum /Minimum) Thermal Lock-out/Re-start Temperatures °F Cooling: 10.4/ 14 Heating: 1.5/5 Specifications are subject to change without notice. ©2018 Mitsubishi Electric US,Inc. SPECIFICATIONS: I Outdoor unit MXZ-2C20NA2 IndoorModel number Ducted R410A refrigerantType - Charge Lbs., Oz. 3, 15 Maximum Number of Connected IDU 2 Minimum Number of Connected IDU 2 Indoor unit connection - - Maximum connected capacity Btu/h 24,000 Minimum connected capacity Btu/h 12,000 Gas Pipe Size O.D. (Flared) In. [mm] 3/8 [9.52] Liquid Pipe Size O.D. (Flared) In. [mm] 1/4 [6.35] Total Piping Length Ft. [m] 164 [50] Maximum Height Difference, Piping ODU above IDU Ft. [m] 33 [10] Maximum Height Difference, Ft. [m] 49 [15] ODU below IDU Farthest Piping Length from ODU to IDU Ft. [m] 82 [25] Maximum Number of Bends 50 AHRI Rated *1 Cooling (Indoor//Outdoor) °F 80°F DB, 67°F WB//95°F DB, 75°F WB Conditions (Rated *2 Heating at 47°F (Indoor//Outdoor) °F 70°F DB, 60°F WB//47°F DB,43°F WB data is determined at a fixed *3 Heating at 17°F (Indoor//Outdoor) °F 70°F DB, 60°F WB// 17°F DB, 15°F WB compressor speed) Conditions *4 Heating at 5°F (Indoor//Outdoor) °F 70°F DB, 60°F WB//-4°F DB, -5°F WB For reference to connected capacity charts, please refer MXZ-2C20NA2-U1 Operational Performance. Notes: Specifications are subject to change without notice. ©2018 Mitsubishi Electric US,Inc. i 1 ACCESSORIES: Port Adapter size: 3/8"x 5/8" ❑ PAC-SG76RJ-E Port Adapter size: 1/4"x 3/8" ❑ PAC-493PI Joint Pipe Port Adapter size: 3/8"X 1/2" ❑ MAC-A454JP-E Port Adapter size: 1/2"X 3/8" ❑ MAC-A455JP-E Port Adapter size: 1/2"X 5/8" ❑ MAC-A456JP-E Air Discharge Guide ❑ MAC-856SG Base Pan Heater ❑ PAC-646BH-E Control Cable ❑ CW162S 3-pole Disconnect ❑TAZ-MS303 M-NET Adapter ❑ PAC-IF01 MNT-E Wall Mounting Bracket(Powder-coated Steel) ❑ QSWB200OM-1 Wall Mounting Bracket(316 Series Stainless Steel) ❑ QSWBSS Outdoor Unit Mounting Pad 24"x 42" x 3" ❑ ULTRILITE2 MiniSplit Mounting Stand-Dual Fan models- 12" ❑ QSMS1202M MiniSplit Mounting Stand-Dual Fan models- 18" ❑ QSMS1802M MiniSplit Mounting Stand-Dual Fan models-24" ❑ QSMS2402M 1/4 x 1/2 x 15'/ 1/2" Lineset(Twin-Tube Insulation) ❑ MLS141212T-15 1/4 x 1/2 x 30'/ 1/2" Lineset(Twin-Tube Insulation) ❑ MLS141212T 30 1/4 x 1/2 x 50'/ 1/2" Lineset(Twin-Tube Insulation) ❑ MLS141212T-50 1/4 x 1/2 x 65'/ 1/2" Lineset(Twin-Tube Insulation) ❑ MLS141212T-65 1/4 x 1/2 x 100' / 1/2" Lineset(Twin-Tube Insulation) ❑ MLS141212T-100 Diamondback Linesets'1 3/8 x 5/8 x 10'/ 1/2" Lineset( ) Li Insulation MPLS385812T-10 3/8 x 5/8 x 15'/ 1/2" Lineset(Twin-Tube Insulation) ❑ MPLS385812T-15 3/8 x 5/8 x 30'/ 1/2" Lineset(Twin-Tube Insulation) ❑ MPLS385812T-30 3/8 x 5/8 x 50'/ 1/2" Lineset(Twin-Tube Insulation) ❑ MPLS385812T-50 3/8 x 5/8 x 65'/ 1/2" Lineset(Twin-Tube Insulation) ❑ MPLS385812T-65 3/8 x 5/8 x 100'/ 1/2" Lineset(Twin-Tube Insulation) ❑ MPLS385812T-100 Linesets are indoor unit specific and will be listed in the IDU information -the Joint Pipe adaptors are used in this application Specifications are subject to change without notice. ©2018 Mitsubishi Electric US,Inc. r 1 • 1 Unit: inch (mm) 5.21p2' 19-11116° 23rS2' 29f1 r 24W7-1 � �71Ne1 Air Inlet 41 Air 10 3..(1.e11e•)Dram nde Oullel C +m•unsZo.±r�m. icwrelmn get naj 331tUr 1.3118' -- - 7-7 1-14 13' 1Q, n z•lenz' 711 A }11nhA J GRSI•e�:'lMl o y 1e 2B/3T 11-25132' 1.FREE SPACE b � 35110'ar mero b � R � 0 � a 13.29/R'a Waco 2.SERVICE SPACE b X a . . a d ItS'as•we MITSUBISHI SERVICE SPACE — I 'I H-25732'n eoro t}2y a r . ELECTRIC COOLING & HEATING 1340 Satellite Boulevard,Suwanee,GA 30024 Toll Free:800-433-4822 www.mehvac.com Eta r�; FORM#MXZ-2C20NA2-201805 Intertek Specifications are subject to change without notice. ©2018 Mitsubishi Electric US, Inc. L&I regional offices are closed to public visits until further notice. Offices can still help you by phone from 8 a.m.to 5 p.m. weekdays (except state holidays). Use the phone number for your closest regional office (htthslq„t_, gov agency/contact/#office•locahons), or you can call the Office of Information and Assistance at 360-902-5800. wa:n��ylo�srnie oewmm o' Labor&Industries�i (https://Ini.wa.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; Fucense 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. EVERGSS022OT 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 year period. Lawsuits against the bod or savings No lawsuit n s against the bond or savings acce nts 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.C heck 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 A Public Works Requirements Verify the contractor is eligible to perform work on public works projects. Required Training,Effective July 1,2019 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. �_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: 17401 72nd Dr NE Project Description:Replace 80% GF and add AC Owner: Chris Milless Address: 17401 72nd Dr NE City: Arlington State.WA Zip Code: 98223 Phone: 3609256419 Email:milless-chris@comcast.net 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:Everegreen State Sheet Metal Address: 2120 Pacific Ave City: Everett State WA Zip Code: 98201 License Number: EVERGSS0220T Expiration: 10/10/21 Phone- 425-252-3114 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 #S8131130601V13PSAA AFUE80% ❑ Heat Pump Model # AFUE HSPE ❑ AC Unit Model # 4TTR303H 1000N SEER 13 ❑ Freestanding Stove ❑ Fire Place Insert ❑ Outdoor BBQ ❑ Gas Piping ❑ Solid-Fuel Appliance ❑ Other Gas Piping Information Not Applicable: Pipe Material: Pipe Size: Distance from Meter to Furthest Appliance: Total BTU's of all Appliances: • New gas piping requires a pressure test hooking to any appliance • Sediment traps (drips) are required on all gas lines • Gas lines are required to be supported/secured every 6 to 8 feet • Proper Combustion air and venting required for all appliances • A shut-off valve is required within 6 feet of all appliances Applicant Signature: tl5a51c3bba4a9294ftlaeB�b41eb Date: 05/19/2020 Applicant Printed Name: Charisse M 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 NOTICE TO PERMITEE AND/OR OWNER ❑ PARTIAL APPROVAL ❑ CORRECTIONS REQUIRED ❑ DO NOT OCCUPY APPROVED PERMIT#: (AM;PM DATE: 2 2� JOB ADDRESS: 1 ��. i L 1L LOT#: PROJECT: 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 LA t THEACTIONS OR CORRECTIONS INDICATED ABOVEARE REQUIRED WITHIN DAYS OR PENALTIES IMPOSED BYLAW MAYAPPLY- FOR INSPECTION CALL: 360-403-3417 4 1 /3� A 2;19 INSPECTOR DATE Cl PLANNING M CIVIL BUILDING CITY OF ARLINGTON • • CITY OF ARLINGTON ` 18204 59th Avenue NE,Arlington,WA 98223 INSPECTIONS: 360-403-3417-Permit Center: 360-403-3551 - — BUILDING PERMIT 17401 72nd Dr NE Permit#:3175 Permit Expiration Date: 11/17/2020 Parcel#: 01030500006100 Valuation: .00 OWNER APPLICANT CONTRACTOR MILLESS CHRISTOPHER J& Evergreen State Heat&AC EVERGREEN STATE HEAT&A/C ELIZABETH A 17401 72ND DR NE 2120 Pacific Ave 2120 Pacific Ave ARLINGTON,WA 98223-8184 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. 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. ,d- 5/21/2020 Signature Print Name Date d(eleased4qy Date IR 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.Approved job copy shall be onsite for inspections;if applicable. 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. MEOW PERMIT FEES rw Date Description Fee Amount 05/21/2020 Inspection Fee $75.00 05/21/2020 Air Cond. Unit $15.00 05/21/2020 Forced Air Heat $15.00 05/21/2020 Mechanical Base $25.00 05/21/2020 Processing/Technology Fee $25.00 Total Due: $155.00 Total Payment: $0.00 Balance Due: $155.00 _ CALL FOR INSPECTIONS W 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 Job Name: System Reference: Date: 11 _: �alllllllllllllllllllllllllll��. iiilillllllllllllllllllllllllllllllllllil ummmmuuunumnmiwuur 'IIIIIII�;iiillllllllllliiiilllllllll'' GENERAL FEATURES • Variable speed INVERTER-driven compressor • Energy Star°certified' (non-ducted) • M-NET connection through outdoor unit • Quiet outdoor unit operation as low as 50 dB(A) • New Intelligent Power Module (IPM)for reduced power loss • Selectable thermal lockout/restart function • Optional base pan heater • High pressure switch for additional protection • Thermal differential of+/-1° F from setpoint 'ENERGY STAR products are third-party certified by an EPA-recognized Certification Body. Specifications are subject to change without notice. ©2018 Mitsubishi Electric US, Inc. DuctedSPECIFICATIONS: MXZ-2C20NA2 Outdoor unit MXZ-2C20NA2 Model number Indoor unit type Non- Mix Ducted Maximum Capacity Btu/h 20,000 Rated Capacity Btu/h 18,000 19,000 20,000 Cooling*1 Minimum Capacity Btu/h 5,700 Maximum Power Input W 2,245 Rated Power Input W 1,417 1,709 2,000 Power Factor % 98.7 99.3 99.9 Maximum Capacity Btu/h 25,000 Rated Capacity Btu/h 22,000 Minimum Capacity Btu/h 7,400 Heating at 47° F*2 Maximum Power Input W 2,455 Rated Power Input W 1,641 1,706 1,771 Power Factor % 96.2 97.9 99.6 Maximum Capacity Btu/h 15,500 15,000 14,500 Heating at 17° F *3 Rated Capacity Btu/h 12,500 13,000 13,500 Maximum Power Input W 1,750 1,780 1,810 Rated Power Input W 1,300 1,325 1,350 Maximum Capacity Btu/h 11,100 11,000 10,900 Heating at 5° F *4 Maximum Power Input W 1,600 1,625 1,650 SEER 20.00 18.00 16.00 EER*1 12.70 11.35 10.00 HSPF (IV) 10.00 9.65 9.30 Efficiency COP at 47° F *2 3.93 3.78 3.64 COP at 17° F *3 2.82 2.87 2.93 ENERGY STAR®Certified YES NO NO Voltage, Phase, Frequency 208/230V, 1-phase, 60 Hz Electrical Guaranteed Voltage Range V AC 187-253 Voltage: Indoor-Outdoor, S1-S2 V AC 208V/230 Voltage: Indoor-Outdoor, S2-S3 V DC 12-24 Voltage: Indoor- Remote controller V DC 24 Recommended Fuse/Breaker Size A 20 Specifications are subject to change without notice. ©2018 Mitsubishi Electric US, Inc. SPECIFICATIONS: MXZ-2C20NA2 Outdoor unit MXZ-2C20NA2 DuctedModel number Indoor unit type Non- Mix Ducted Recommended Wire Size AWG AWG14 (Indoor- Outdoor) MCA A 17.2 Fan Motor Full Load Amperage A 1.77 Fan Motor Output W 64 Airflow Rate CFM 1,342/ 1,458 Refrigerant Control Liner Expansion Valve Defrost Method Reverse Cycle Heat Exchanger Type Plate fin coil Sound Pressure Level, Cooling*1 dB(A) 50 Sound Pressure Level, Heating*2 dB(A) 54 Compressor Type Twin Rotary type Compressor Model SN13140FQUH2T Compressor Motor Output kW 1.5 Outdoor unit Compressor Rated Load Amps A 10.7 Compressor Locked Rotor Amps A 15.5 Compressor Oil Type//Charge oz. NEO22/20.3 External Finish Color Munsell 3.OY 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] 27-15/16 [710] W: In. [mm] 40 [1,010] Package Dimensions D: In. [mm] 18-1/2 [470] H: In. [mm] 33-1/2 [850] Unit Weight Lbs. [kg] 126 [57] Package Weight Lbs. [kg] 147 [67] Cooling Intake Air Temp OF 14 to 115 (Maximum/ Minimum) Outdoor unit operating Heating Intake Air Temp OF 5 to 75 temperature range (Maximum/ Minimum) Thermal Lock-out/ Re-start Temperatures OF Cooling: 10.4/ 14 Heating: 1.5/5 Specifications are subject to change without notice. ©2018 Mitsubishi Electric US, Inc. SPECIFICATIONS: MXZ-2C20NA2 Outdoor unit MXZ-2C20NA2 Model • Indoor • Non- Mix Ducted Ducted Type R410A Refrigerant L�l Charge Lbs., Oz. 3, 15 Maximum Number of Connected IDU 2 Minimum Number of Connected IDU 2 Indoor unit connection Maximum connected capacity Btu/h 24,000 Minimum connected capacity Btu/h 12,000 Gas Pipe Size O.D. (Flared) In. [mm] 3/8 [9.52] Liquid Pipe Size O.D. (Flared) In. [mm] 1/4 [6.35] Total Piping Length Ft. [m] 164 [50] Maximum Height Difference, Piping ODU above IDU Ft. [m] 33 [10] Maximum Height Difference, Ft. [m] 49 [15] ODU below IDU Farthest Piping Length from ODU to IDU Ft. [m] 82 [25] Maximum Number of Bends 50 AHRI Rated *1 Cooling (Indoor//Outdoor) OF 80OF DB, 670F WB//950F DB, 75°F WB Conditions (Rated *2 Heating at 470F (Indoor//Outdoor) OF 70OF DB, 60OF WB//470F DB, 430F WB data is determined at a fixed *3 Heating at 17°F (Indoor//Outdoor) OF 70OF DB, 60°F WB// 17°F DB, 15°F WB compressor speed) Conditions *4 Heating at 5°F (Indoor// Outdoor) OF 70°F DB, 60°F WB//-4°F DB, -5°F WB For reference to connected capacity charts, please refer MXZ-2C20NA2-U1 Operational Performance. Notes: Specifications are subject to change without notice. ©2018 Mitsubishi Electric US, Inc. ACCESSORIES: ' 1 Port Adapter size: 3/8"x 5/8" ❑ PAC-SG76RJ-E Port Adapter size: 1/4"x 3/8" ❑ PAC-493PI Joint Pipe Port Adapter size: 3/8"X 1/2" ❑ MAC-A454JP-E Port Adapter size: 1/2"X 3/8" ❑ MAC-A455JP-E Port Adapter size: 1/2" X 5/8" ❑ MAC-A456JP-E Air Discharge Guide ❑ MAC-856SG Base Pan Heater ❑ PAC-646BH-E Control Cable ❑ CW162S 3-pole Disconnect ❑ TAZ-MS303 M-NET Adapter ❑ PAC-IF01 MNT-E Wall Mounting Bracket(Powder-coated Steel) ❑ QSWB2000M-1 Wall Mounting Bracket(316 Series Stainless Steel) ❑ QSWBSS Outdoor Unit Mounting Pad 24"x 42"x 3" ❑ ULTRILITE2 MiniSplit Mounting Stand-Dual Fan models- 12" ❑ QSMS1202M MiniSplit Mounting Stand-Dual Fan models- 18" ❑ QSMS1802M MiniSplit Mounting Stand-Dual Fan models-24" ❑ QSMS2402M 1/4 x 1/2 x 15'/ 1/2" Lineset(Twin-Tube Insulation) ❑ MLS141212T-15 1/4 x 1/2 x 30'/ 1/2" Lineset (Twin-Tube Insulation) ❑ MLS141212T-30 1/4 x 1/2 x 50'/ 1/2" Lineset(Twin-Tube Insulation) ❑ MLS141212T-50 1/4 x 1/2 x 65'/ 1/2" Lineset(Twin-Tube Insulation) ❑ MLS141212T-65 1/4 x 1/2 x 100'/ 1/2" Lineset(Twin-Tube Insulation) ❑ MLS141212T-100 Diamondback Linesets`1 3/8 x 5/8 x 10'/ 1/2" Lineset( )Twin-Tube Insulation ❑ MPLS385812T-10 3/8 x 5/8 x 15'/ 1/2" Lineset(Twin-Tube Insulation) ❑ MPLS385812T-15 3/8 x 5/8 x 30'/ 1/2" Lineset(Twin-Tube Insulation) ❑ MPLS385812T-30 3/8 x 5/8 x 50'/ 1/2" Lineset(Twin-Tube Insulation) ❑ MPLS385812T-50 3/8 x 5/8 x 65'/ 1/2" Lineset(Twin-Tube Insulation) ❑ MPLS385812T-65 3/8 x 5/8 x 100'/ 1/2" Lineset(Twin-Tube Insulation) ❑ MPLS385812T-100 "1 Linesets are indoor unit specific and will be listed in the IDU information -the Joint Pipe adaptors are used in this application Specifications are subject to change without notice. ©2018 Mitsubishi Electric US, Inc. DIMENSIONS: 1 Unit: inch (mm) 6-21/32" 19-11/16" 6-23/32" iv 2-9116' 8-/32" 12-3/8" to \ V Inllet ` N M Air Inlet 65 r" ��LL c� 3-e(1-6/16')Drain Wei V Outlet 4-(13/32"x13/i6")Oval Hole (Foundation Bolt M8) Handle 33-1116" 1-3116" 1-1/32" 13" 1/2" 00 r° 0 0 � 2-19/32" 00 � o_o_ � m n�e�lalne (V p0 N cn o0 i oo M uo} ® oo _ G45 UntlB LIo t (ou.35)FLARE 00 --- �LIG GAa 3la'(e9.531FLARE p oo }UntlA 29/32" 11-25/32" "? 1.FREE SPACE E E E 3-15/16' or more rz a 6 8 3-15/16" or more 13-25/32'or more 2.SERVICE SPACE ® - Gmundln9 terminal FM �du" MITSUBISHI 3-15/16-or mor2 SERVICE SPACE 13-25/32' or more 13-25/32" or more � a k at �nne ar ELECTRIC COOLING & HEATING 1340 Satellite Boulevard, Suwanee,GA 30024 Toll Free:800-433-4822 www.mehvac.com ETA �s FORM#MXZ-2C2CNA2-201805 Intertek Specifications are subject to change without notice. ©2018 Mitsubishi Electric US, Inc. Permit#: 3175 Permit Date: 05/21/20 Permit Type: RESIDENTIAL MECHANICAL Project Name: Milless Applicant Name: Evergreen State Heat&AC Applicant Address: 2120 Pacific Ave Applicant, City, State, Zip: Everett Contact: Charisse Phone: 4252523114 Email: charisse@essmwa.com Scope of Work: Replace gas furnace/Install A/C Valuation: 0.00 Square Feet: 0 Number of Stories: 0 Construction Type: Occupancy Group: ID Code: Permit Issued: Permit Expires: 11/17/2020 Form Permit Type: Status: COMPLETE Assigned To: Raelynn Jones Property Parcel# Address Legal Description Owner Name Owner Phone Zoning MILLESS 01030500006100 17401 72ND DR NE CHRISTOPHER J& Residence Single Family -Detached ELIZABETH A 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 Inspections Date Inspection Type Description Scheduled Date Completed Date Inspector Status 06/03/2020 R00.HEAT PUMP/ 06/03/2020 06/03/2020 BUILDING Completed AC UNIT FINAL 06/03/2020 R00.FURNACE 06/03/2020 06/03/2020 BUILDING Completed FINAL Fees Fee Description Notes Amount Inspection $75.00 Air Cond.Unit Btu/h<100>; $15.00 Btu/hp>500 Forced Air Heat fee per Btu $15.00 Mechanical Base Permit Fee $25.00 Processing/Technology $25.00 Credit Card Service $4.65 Total $159.65 Attached Letters Date Letter Description 05/21/2020 Building Permit Payments Date Paid By Description Payment Type Accepted By Amount 05/26/2020 darlene salo 80454686 $155.00 05/26/2020 80454686 Raelynn Jones $4.65 Outstanding Balance $0.00 Uploaded Files Date File Name 10/11/2021 9866846-3175 IC 6.3.2020.pdf 05/21/2020 6700682-3175 Application.pdf 05/21/2020 6700683-3175 Specs 8120SUBMITTAL DATA MXZ-2C20NA2.pdf