HomeMy WebLinkAbout6713 HIGHLAND VIEW DR_BLD3501_2026 NOTICE
�
TO PERMITEE AND/OR OWNER
Cl PARTIAL APPROVAL ❑ CORRECTIONS REQUIRED
❑ DO NOT OCCUPY fJ APPROVED
PERMIT#: JL�O I -ANI- DATE: 1 C) X 121)
JOB ADDRESS: I I ) U-) LOT#:
PROJECT: `
TYPE OF INSPECTION: F
OTHER: Ida
❑ NO PERMIT-STOP WORK-OBTAIN PERMIT
❑ CONSTRUCTION IS NOT IN ACCORDANCE WITH APPROVED PLANS AND
PERMIT -STOP WORK
Cl 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
THE ACTIONS OR CORRECTIONS INDICATED AB E ARE REQUIRED WITHIN DAYS OR
PENALTIES IMPOSED BYLAW MAYAPPLY.
FOR INSPECTION CALL: 360-403-3417
INSPECTOR DALE
Y O,n
t
O PLANNING Cl CIVIL O BVLING CITY OF ARLINGTON
CITY OF ARLINGTON
18204 59th Avenue NE,Arlington,WA 98223
INSPECTIONS:360-403-3417'-Permit Center:360-403-3551
BUILDING PERIVII'1'
6713 HIGHLAND VIEW DR Permit#: 3501
Permit Expiration Date:04/19/2021
Parcel#: 00870600000200 Valuation: .00
OWNER APPLICANT CONTRACTOR
ERICKSON MARSHALL W&ELLYN Nordstrom Heating NORDSTROM HEATING&AIR INC
J
6713 HIGHLAND VIEW DR 1059 State Ave, Ste G 3930 88th Street NE
ARLINGTON,WA 98223 Marysville WA 98270 MARYSVILLE,WA 98270
360-386-9819 425-335-4029
LTC:NORDSHA884JW EXP:04/16/2022
MECHANICAL CONTRACTOR ; PLUMBING CONTRACTOR
Nordstrom Heating
1059 State Ave,Suite G
Marysville WA 99270
360-386-9819
LIC#:NORDSHA884JW EXP: 04/16/2022 LIC#: EXP:
JOB DESCRIPTION 'K' '
PERMIT TYPE: Residential Mechanical CODE YEAR: 2015
STORIES: CONST.TYPE:
DWELLING UNITS: 1 OCC GROUP:
BUILDINGS: 1 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 pen-nit 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.
he v aM Cc lt.(' :k 101 JL�� .4t� 1oi21�Zo2o
Si iature Print Nate Date Released By Date
CONDITIONS
Adhere to approved unit.Call for final inspection.
THIS PERMIT AUTHORIZES ONLY THE WORK NOTED.'PHIS PERMIT COVERS WORK TO BE DONE ON PRTVVATE
PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC DOMAIN(CURBS, SIDEWALKS,DRIVEWAYS,
MARQUEES,ETC.)WILL REQUIRE SEPARATE PERMISSION.
PERM It wFEN
Date Description Fee Amount
10/21/2020 Forced Air Heat $25.00
10121/2020 Processing/Technology Fee $25.00
10/21/2020 Inspection Fee $75.00
10/21/2020 Mechanical Base $25.00
Total Due: $150.00
Total Payment: $0.00
Balance Due: $150.00
CALL FOR INSPECTIONS
Call by 3:30 pm for next day inspection,allow 4$hours for Fire Inspections
When calling for an inspection please leave the following information:
Permit dumber,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:6713 Highland View Dr
Project Description:like in kind furnace replacement
Owner: Marshall Erickson
Address: 6713 Highland View Dr City: Arlington State WA Zip Code: 98223
Phone: 360-380-6178 Email:docfarfar@gmaii.com
Applicant: Nordstrom Heating & Air
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: 98270
License Number:nordsha884jw Expiration: 04/16/2022
Phone:360-386-9819 Email:office@nordstromheating.com
STAFF USE ONLY
Permit #: Accepted by: DAeceived
OCT 2 0 2020
6/16LP Page 1 of 2
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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 #R801CA0503147SA AFUE80%
❑ Heat Pump Model # AFUE HSPE
❑ AC Unit Model # SEER
❑ Freestanding Stove Cl� Fire Place Insert Outdoor BBQ
❑ Gas Piping ❑ Solid-Fuel Appliance Other
Gas Piping Information
Not Applicable: l?1i
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
", G &Wolr_
Applicant Signature: _ Date: 10/20/2020
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
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I III SALES FACT SHEET
R801C- SERIES Rheem Classic® Series
80% A.F.u.E.t Downflow Gas Furnace
Models with Input Rates of
75 to 12511 Features
[22 to 37 kW] ■ 80%residential Gas Furnace CSA certified
■ PlusOne—Diagnostics—7 Segment LED all units
■ PlusOne'"Ignition System—DSI for reliability and longevity
■ Heat exchanger is removable for improved serviceability.Aluminized
0 steel construction provides maximum corrosion resistance and thermal
fatigue reliability.
■ Low profile 34"cabinet ideal for space constrained installations
■ Integrated Control board features dip switches for easy system set up
■ OR code for quick access to product information from your smart phone
or tablet
■ Constant Torque electrically commutated motor
GENERAL TERMS OF LIMITED WARRANTY*
Rheem will furnish a replacement for any part of this product
which fails in normal use and service within the applicable period
stated,in accordance with the terms of the limited warranty.
Heat Exchanger .....................Twenty(20)Years
Conditional Parts
(Registration Required) ........ .........Ten(10)Years
tA,F.U.E,(Annual Fuel Utilization Efficiency)calculated in accordance with
Department of Energy test procedures.
*For complete details of the Limited and Conditional Warranties,
including applicable terms and conditions,contact your local contractor
or the Manufacturer for a copy of the product warranty certificate.
HEATING CFM Cam?.2" COOLING CFM @.5"
MODEL INPUT- HEATING CAPACITY [.049 kPa]W.C. [.124 kPa]W.C. WEIGHT.SHIPPING PRICE
BTU/HR[kW] BTUMR[kW] E.S.P.[L/s] E.S.P.[L/s] WEIGHT(LBS.)[kg]
R801CA075521Z*B 75,000[22] 62,000[18] 1563[738] 2000[944] 120[54]
R801CA100521Z*B 100,000[29] 80,000[24] 1786[843] 2000[944] 120[54]
11801CA125524Z*B 125,000[37] 100,000[29] 1767[834] 1 2000[944] 140[63]
[ ]Designates Metric Conversions
Registrar (f(
Achieving ExcellenreTagelher � 111\ �
Certified Company
Rheem Heating,Cooling and Water Heating FORM NO.Gil 1-559-SFS
5600 Old Greenwood Road,Fort Smith,AR 72908 PRINTED IN U.S.A. OG 6-19
I
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I
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" I SALES FACT SHEET
Description M No. Price
Filter Rack RXGF-CC
Combustible Floor Base for R801 CA100521,RB01 C075521 RXGC-B21
Combustible Floor Base for R801 C125 RXGC-824
Rheem Heating,Cooling and Water Heating FORM NO.G11-559-SFS
5600 Old Greenwood Road,Fort Smith,AR 72908 PRINTED IN U.S.A. OG 8-19
•,v +r
I
i
NOTICE
TO PERMITEE AND/OR OWNER
❑ PARTIAL APPROVAL ❑ CORRECTIONS REQUIRED
❑ DO NOT OCCUPY ,O APPROVED
PERMIT#: 22 II tt DIA`TE::, � �s'1
20
JOB ADDRESS: I J 4-I' l
PROJECT: 4_ L
TYPE OF INSPECTION: kA L—L
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
1 -\ ,I _l�
i n.
ell
1Lob 0
THE ACTIONS OR CORRECTIONS INDICATED ABOVEARE REQUIRED WITHIN DAYS OR
PENALTIES IMPOSED BY LAW MAYAPPLY.
FOR INSPECTION CALL: 360-403-3417
T AL4
INSPECTOR DA E
i-
s
O PLANNING 0 CIVIL 0 e01DING CITY OF ARLINGTON Y�:, �
CITY OF ARLINGTON
18204 59th Avenue NE,Arlington,WA 98223
INSPECTIONS: 360-403-3417-Permit Center: 360-403-3551
BUILDING PERMIT
6713 HIGHLAND VIEW DR Permit#: 3501
Permit Expiration Date:04/19/2021
Parcel#: 00870600000200 Valuation: .00
OWNER APPLICANT CONTRACTOR
ERICKSON MARSHALL W&ELLYN Nordstrom Heating NORDSTROM HEATING&AIR INC
J -
6713 HIGHLAND VIEW DR 1059 State Ave, Ste G 3930 88th Street NE
ARLINGTON,WA 98223 Marysville WA 98270 MARYSVILLE,WA 98270
360-386-9819 425-335-4029
LIC:NORDSHA884JW EXP:04/16/2022
MECHANICAL CONTRACTOR PLUMBING CONTRACTOR
Nordstrom Heating
1059 State Ave,Suite 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: 1 OCC GROUP:
BUILDINGS: 1 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. IBCl l0/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.
Y►ev W 6/,, dl° L `- o a eomew 10/21/2020
Siinature Print Nai e Date Released By Date
CONDITIONS
Adhere to approved unit. 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
10/21/2020 Forced Air Heat $25.00
10/21/2020 Processing/Technology Fee $25.00
10/21/2020 Inspection Fee $75.00
10/21/2020 Mechanical Base $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
6713 HIGHLAND VIEW DR Permit#:3501
Permit Expiration Date:04/19/2021
Parcel#: 00870600000200 Valuation: .00
OWNER APPLICANT JL CONTRACTOR
ERICKSON MARSHALL W&ELLYN Nordstrom Heating NORDSTROM HEATING&AIR INC
J
6713 HIGHLAND VIEW DR 1059 State Ave, Ste G 3930 88th Street NE
ARLINGTON,WA 98223 Marysville WA 98270 MARYSVILLE,WA 98270
360-386-9819 425-335-4029
LIC:NORDSHA884JW EXP:04/16/2022
MECHANICAL CONTRACTOR PLUMBING CONTRACTOR
Nordstrom Heating
1059 State Ave,Suite 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: 1 OCC GROUP:
BUILDINGS: 1 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.
o�" Jerez~ 10/21/2020
Signature Print Name Date Released By Date
_ CONDITIONS _
Adhere to approved unit. 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.
'Normor- ' PERMIT FEES
Date Description Fee Amount
10/21/2020 Forced Air Heat $25.00
10/21/2020 Processing/Technology Fee $25.00
10/21/2020 Inspection Fee $75.00
10/21/2020 Mechanical Base $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
1 111 SALES FACT SHEET
R801C- SERIES Rheem Classic® Series
80% A.F u.E.t Downflow Gas Furnace
Models with Input Rates of
75 to 125 kBTU Features
[22 to 37 kW] ■ 80%residential Gas Furnace CSA certified
■ PlusOneTm Diagnostics—7 Segment LED all units
■ PlusOneTM Ignition System—DSI for reliability and longevity
■ Heat exchanger is removable for improved serviceability.Aluminized
steel construction provides maximum corrosion resistance and thermal
fatigue reliability.
■ Low profile 34"cabinet ideal for space constrained installations
■ Integrated Control board features dip switches for easy system set up
■ OR code for quick access to product information from your smart phone
or tablet
■ Constant Torque electrically commutated motor
GENERAL TERMS OF LIMITED WARRANTY*
Rheem will furnish a replacement for any part of this product
which fails in normal use and service within the applicable period
stated,in accordance with the terms of the limited warranty.
Heat Exchanger . . . ..... . . . . . ..... . . .Twenty(20)Years
Conditional Parts
(Registration Required) . . . . . . ..... . . . . . .Ten(10)Years
tA.FU.E.(Annual Fuel Utilization Efficiency)calculated in accordance with
Department of Energy test procedures.
'For complete details of the Limited and Conditional Warranties,
including applicable terms and conditions,contact your local contractor
or the Manufacturer for a copy of the product warranty certificate.
INPUT- HEATING CAPACITY
HEATING CFM @.2" COOLING CFM @.5"
APPROX.SHIPPING
MODEL [.049 kPal W.C. [.124 kPal W.C. PRICE
BTU/HR[kW] BTU/HR[kW] E.S.P. [L/sl E.S.P.[L/s] WEIGHT(LBS.)[kg]
R801CA075521Z*B 75,000[22] 62,000[18] 1563[738] 2000[944] 120[54]
R801CA100521Z*B 100,000[29] 80,000[24] 1786[843] 2000[944] 120[54]
R801CA125524Z'B 1 125,000[37] 1 100,000[29] 1 1767[834] 12000[944] 1140[63]
[ ]Designates Metric Conversions
®(CERTIFISA
PerlormanceReviewInstilufe`Reg I stra rAchievingExcellence Togther
Rheem Heating,Cooling and Water Heating FORM NO.G11-559-SFS
5600 Old Greenwood Road,Fort Smith,AR 72908 PRINTED IN U.S.A. OG 8-19
SALES FACT SHEET
Description Part No. Price
Filter Rack RXGF-CC
Combustible Floor Base for R801 CA100521,R801 C075521 RXGC-B21
Combustible Floor Base for R801 C125 RXGC-B24
Rheem Heating,Cooling and Water Heating FORM NO.G11-559-SFS
5600 Old Greenwood Road,Fort Smith,AR 72908 PRINTED IN U.S.A. OG 8-19
�_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. 6713 Highland View Dr
Project Description:like in kind furnace replacement
Owner: Marshall Erickson
Address: 6713 Highland View Dr City: Arlington State.WA Zip Code: 98223
Phone: 360-380-6178 Email:docfarfar@gmail.com
Applicant: Nordstrom Heating & Air
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: 98270
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 # R801CA050314ZSA 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: 10/20/2020
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
Permit#: 3501
Permit Date: 10/21/20
Permit Type: RESIDENTIAL MECHANICAL
Project Name: Erickson
Applicant Name: Nordstrom Heating
Applicant Address: 1059 State Ave, Ste G
Applicant, City, State, Zip: Marysville WA 98270
Contact:
Phone: 360-386-9819
Email: office@nordstromheating.com
Scope of Work: Furnace Replacement
Valuation: 0.00
Square Feet: 0
Number of Stories: 0
Construction Type:
Occupancy Group:
ID Code:
Permit Issued:
Permit Expires: 04/19/2021
Form Permit Type:
Status: LASERFICHE
Assigned To:
Property
Parcel# Address Legal Description Owner Name Owner Phone Zoning
00870600000200 6713 HIGHLAND VIEW HIGHLAND VIEW ERICKSON MARSHALL W& 111 Single Family
DR ESTATES ELLYN J Residence-Detached
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
10/29/2020 R00.FURNACE 10/29/2020 10/29/2020 BUILDING Approved
FINAL
Fees
Fee Description Notes Amount
Forced Air Heat fee per Btu $25.00
Processing/Technology $25.00
Inspection $75.00
Mechanical Base Permit Fee $25.00
Credit Card Service $4.50
Total $154.50
Attached Letters
Date Letter Description
10/21/2020 Building Permit
Payments
Date Paid By Description Payment Type Accepted By Amount
10/21/2020 Daniel Nordstrom 82974198 $150.00
10/21/2020 Daniel Nordstrom 82974198 Launa Black $4.50
Outstanding Balance $0.00
Notes
Date Note Created By:
10/22/2020 Emailed the permit for signature. Kristin Foster
Uploaded Files
Date File Name
09/22/2021 9741403-3501 Inspection-Final.pdf
10/22/2020 7573543-3501 Issued Permit.pdf
10/21/2020 7567314-6713 Residential Mechanical Application.pdf
10/21/2020 7567315-6713 Erickson+Rheem.pdf