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HomeMy WebLinkAbout17321 73RD DR NE_BLD3505_2026 RESIDENTIAL MECHANICAL f 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:17321 73rd dr ne Project Description:heat pump Owner: megan gottwald Address: 17321 73rd dr ne City: arlington Statewa Zip Code: 98223 Phone: 425-923-6587 Email:gottwa@gmail.com Applicant: jeremy brockman Address: 5122 220th St NW City: Stanwood StateYVA Zip Code: 98292 Phone: 3608623653 Email: jbrockmanheating@gmail.com CONTRACTOR INFORMATION Contractor Name:l brockman heating & cooling Address:5122 220th St NW City: Stanwood State WA Zip Code: 98292 License Number:jbrocbh859b3 Expiration: 1-23-21 Phone:3608623653 Email:jbrockmanheating@gmaii.com STAFF USE ONL Permit#: &5 Accepted by: Date: 6/16LP Page 1 of 2 RESIDENTIAL MECHANICAL r� 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 f�( Furnace (80+) Model #tm8y060a12 AFUE 80 Heat Pump Model #th4b3021s AFUE HSPE ❑ AC Unit Model # SEER []; Freestanding Stove UJ Fire Place Insert ❑ Outdoor BBO ❑ Gas Piping L li Solid-Fuel Appliance Q .1 Other Gas Piping Information Not Applicable: 14 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 r,%-9rr,r.J��oa�istrces Applicant Signature: „r....,. Date: 10/22/2020 Applicant Printed Name: Jeremy Brockman I hereby certify that the above information is correct and that the construction, installation for the above mentioned property will be in accordance with the applicable laws of the City of Arlington and the State of Washington. 6/16LP Page 2 of 2 SUBMITTAL DATA SHEET LX SERIES SPLIT SYSTEM HEAT PUMPS 13 SEER- R-410A- 1 PHASE - 1.5 THRU 5 NOMINAL TONS MODELS: TH41318 THRU 60 JOB NAME: LOCATION: PURCHASER: ORDER NO: ENGINEER: SUBMITTED TO: FOR: REF: APPROVAL: CONSTRUCTION: SUBMITTED BY: DATE: UNIT DESIGNATION: SCHEDULE NO. MODEL NO. PRODUCT DATA DIMENSIONS - INCHES Cooling Performance Total Capacity MBH C Outdoor Design Temp °F Heating Performance Total Capacity MBH Outdoor Design Temp °F Sal ��QQOQ Op�� Electrical Data A SLZ0� 00�� Power Supply Compressor Ampacity AMPS �r 00H� Total Unit Ampacity AMPsOp�� Power Input Req KW Minimum Wire Size AWG B Maximum Overcurrent Device A0339-001 ❑ Fuses ❑ Circuit Breaker Unit Weight Dimensions Refrigerant Connection Unit (Inches) Service Valve Size Unit Weight LBS Model A B C Liquid Vapor TH4131821S 33-1/4 29-1/4 29-1/4 TH4132421 S 36-1/4 29-1/4 29-1/4 M TH4B3021S 39-1/2 35-1/4 31-3/4 3/4 ® TH4133521S 39-1/2 35-1/4 31-3/4 icp TH4133621H 39-1/2 35-1/4 31-3/4 3/8 CU$ TH4134221H 39-1/2 35-1/4 31-3/4 7/8 ® TH4134821S 39-1/2 38 31-3/4 TH4136021S 42-3/4 38 34-1/4 7/8* AMERICAN �_ $Adapter fitting must be field installed for the required 1-1/8"line set. QUALITY �" ti�l�`Iww\` All dimensions are in inches and are subject to change without notice. DESIGNED,ENGINEERED& ISO 9001 Overall height is from bottom of base pan to top of fan guard. ASSEMBLED IN THE USA Certified Quality Overall length and width include screw heads. Management System 5006082-BSD-A-0216 FEATURE.j WARRANTY SUMMARY* • Easier Installation - Independent panels provide quick Standard 5-year limited parts warranty. access for unit setup. Installation time is reduced by easy Standard 10-year limited compressor warranty. power and control wiring access. Options are provided for Extended 10-Years limited parts warranty when product is indoor piston or TXV.The factory installed filter-drier and fac- tory charge for a 15-Ft lineset means less time spent brazing registered online within 90 days of purchase for replacement and charging the system. The small base dimension and or closing for new home construction. reduced unit size make for easier retrofits. Does not apply to R-22 models,3-Phase models,or internet sales. • Accessible Information - QR code on unit provides quick See Limited Warranty certificate in User's Information Manual for details. access to technical documents and warranty information. • Durable Finish - The coated steel wire fan guard, coated CLEARANCES external fasteners, and pre-treated G90-equivalent galva- nized steel chassis components resist corrosion and rust The minimum clearances shown below must be maintained creep. Titanium colored powdercoat paint further protects should any patio or yard improvements be done around the out- external panels. door unit. • Rugged Coil Protection-Coils are protected from mechan- 10"Clearance Coil Area ical damage by a proven stamped steel coil guard design. 60"Overhead Clearance • Qiiality Coils - Fnhanrad aliimimim fins ara marhnnirally • 18" Minimum Service Panel Access bonded to copper tubing. 24"Minimum Unit to Unit Distance • Protected Compressor- Compressors are protected inter- nally by a high pressure relief valve and a temperature sen- MATCHING AIR SIDE EQUIPMENT sor, and externally by the system high and low pressure switches.The liquid line filter-drier is factory installed to pro- Model No. tect the compressor against moisture and debris. • Reliable Operation - Ball bearing fan motors provide supe- Submittal Form No. F1 rior performance in extreme temperatures. Factory installed accumulator ensures proper functioning across a wide range of conditions. FIELD INSTALLED ACCESSORIES • Environmentally Friendly - CFC-free R-410A refrigerant delivers environmentally friendly performance with zero Off Cycle Time Delay(S1-2TD08700124) ozone depletion. Standard Low Ambient Control(S1-2LA06700424) • Top Discharge - Air is blown up, away from the structure Advanced Low Ambient Control(S1-2LA04701024) and any landscaping and allows compact location on multi- High Ambient Condenser Fan Motor(S1-FHM HT) unit applications. Outdoor Communicating Board Kit(S1-33102952310) • Low Operating Sound Levels - Developed using CFD and Compressor Start Assist(S1-2SA067 )` FEA tools, the sturdy cabinet and top design provides sound Compressor Crankcase Heater(S1-025 )* performance of 76 dBA or lower. Compatible accessories for Indoor Blower-Off Delay Kit(S1-2FD06700224) further sound reduction are also available. Low Temperature Cutoff(S 1-2LT067224) • Better Service Access - Diagonal base valves with open Support Feet(S1-HPRKIT- ?` access for low-loss fittings,single panel access to the electri- Anchor Bracket Kit(S1-1 HK0401) cal controls, full corner access, and removable fan guard allow easy access for unit maintenance. Indoor TXV Kit(S1 ACB } • Agency Listed-Safety certified by CSA to UL 1995/CSA Wall Mount Kit(S1 CB }" 22.2. Performance certified to ANSI/AHRI Standard 210/240 Winter Cover Kit(S1-CCVRE ) in accordance with the Unitary Small Equipment certification Cold Weather Charging Tent(S1-CHGTENT01) program. Touch-up Paint(S1-5130153 ) Compressor Sound Blanket(S1-010076 )" See price pages for accessory information. Refer to Technical Guide for detailed specifications on the unit and its accessories. Verify the actual ratings for each specific matchup in the online AHRI directory at www.ahridirector-oro at the time of bid or sale. It is also recommended to print the rating certificate, if needed, at the time of bid or sale. Subject to change without notice. Published in U.S.A. 5006082-BSD-A-0216 Copyright�0,2016 by Johnson Controls, Inc.All rights reserved. Supersedes: Nothing York International Corp. 5005 York Drive Norman, OK 73069 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 gov/agenc icontacti#office.-iocatiorit.),,or you can call the Office of Information and Assistance at 360-902-5800. waWm g.Su Npan V l,ALabor&Industries(ittns'/Ani.wa.gov). J BROCKMAN HEATING &COOLING Owner or tradesperson BROCKMAN,JEREMY 5122 220TH ST NW LEE STANWOOD,WA 98292 Principals 360-862-3653 BROCKMAN,JEREMY LEE,OWNER SNOHOMISH County WA UBI No Business type 603 460 498 Individual 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. JBROCBH859B3 Effective—expiration 01/23/2015—01/2312021 Bond Contractors Bonding&Insurance Co $12,000.00 Bond account no. SK3168 Received by L&I Effective date 01/23/2015 01/23/2015 Expiration date Until Canceled Insurance Mid-Century Ins Co $1,000,000.00 Policy no. 605889745 Received by L&I Effective date 12/10/2019 01/23/2015 Expiration date 01/23/2021 Savings No savings accounts during the previous 6 year period. Lawsuits against the bond or savings No lawsuits against the bond or savings accounts during the previous 6 year period. L&I Tax debts No L&I tax debts are recorded for this contractor license during the previous 6 year period,but some debts may be recorded by other agencies. License Violations No license violations during the previous 6 year period. Certifications & Endorsements OMWBE Certifications No active certifications exist for this business. Apprentice Training Agent No active Washington registered apprentices exist for this business.Washington allows the use of apprentices registered with Oregon or Montana.Contact the Oregon Bureau of Labor&Industries or Montana Department of Labor &Industry to verify if this business has apprentices. Workers' Comp No active workers'comp accounts during the previous 6 year period. Public Works Requirements Verify the contractor Is eligible to perform work on public works projects. Required_Training—Effective July 1,,2019 (raining. .. ...........eeds to complete Contractor Strikes No strikes have been issued against this contractor. Contractors nat allowed to bid No debarments heve be"e"n"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: 17321 73rd dr ne Project Description:heat pump Owner: megan gottwald Address: 17321 73rd dr ne City: arlington Statewa Zip Code: 98223 Phone: 425-923-6587 Email:gottwa@gmail.com Applicant: Jeremy brockman Address. 5122 220th St NW City. Stanwood StateYVA Zip Code: 98292 Phone. 3608623653 Email. jbrockmanheating@gmail.com CONTRACTOR INFORMATION Contractor Name:j brockman heating & cooling Address: 5122 220th St NW City. Stanwood State WA Zip Code: 98292 License Number-jbrocbh859b3 Expiration: 1-23-21 Phone: 3608623653 Email:jbrockmanheating@gmail.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 #tm8y060a12 AFUE80 Heat Pump Model #th4b3021s 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 Applicant Signature: tl5a51c3bba4a9294ftlaeB�b41eb Date: 10/22/2020 Applicant Printed Name: Jeremy Brockman I hereby certify that the above information is correct and that the construction, installation for the above mentioned property will be in accordance with the applicable laws of the City of Arlington and the State of Washington. 6/16LP Page 2 of 2 SUBMITTAL DATA SHEET LX SERIES SPLIT SYSTEM HEAT PUMPS 13 SEER - R-410A- 1 PHASE - 1.5 THRU 5 NOMINAL TONS MODELS: TH41318 THRU 60 JOB NAME: LOCATION: PURCHASER: ORDER NO: ENGINEER: SUBMITTED TO: FOR: REF: APPROVAL: CONSTRUCTION: SUBMITTED BY: DATE: UNIT DESIGNATION: SCHEDULE NO. MODEL NO. PRODUCT DATA DIMENSIONS - INCHES Cooling Performance Total Capacity MBH C Outdoor Design Temp OF — Heating Performance Total Capacity MBH Outdoor Design Temp OF Electrical Data Power Supply Compressor Ampacity AMPs Total Unit Ampacity AMPs 0P Power Input Req KW Minimum Wire Size AWG B Maximum Overcurrent Device \. / r A0339-001 ❑ Fuses ❑ Circuit Breaker Unit Weight Dimensions Refrigerant Connection Unit (Inches) Service Valve Size Unit Weight LBS Model A B C Liquid Vapor TH4B1821 S 33-1/4 29-1/4 29-1/4 TH4B2421S 36-1/4 29-1/4 29-1/4 A Moll J.0 Rai CERTIFIED- TH4133021S 39-1/2 35-1/4 31-3/4 3/4 ® U itary Small AC TH4133521S 39-1/2 35-1/4 31-3/4 3/8 TH4133621H 39-1/2 35-1/4 31-3/4 CIEP us TH4B4221H 39-1/2 35-1/4 31-3/4 7/8 _ TH4B4821S 39-1/2 38 31-3/4 TH4B6021S 42-3/4 38 34-1/4 7/8$ AM ERICAN $Adapter fitting must be field installed for the required 1-1/8"line set. QUALITY /S��9000 kraitily-N%— All dimensions are in inches and are subject to change without notice. DESIGNED,ENGINEERED& IS0 9001 Overall height is from bottom of base pan to top of fan guard. ASSEMBLED IN THE USA Certified Quality Overall length and width include screw heads. Management System 5006082-BSD-A-0216 FEATURES WARRANTY SUMMARY* • Easier Installation - Independent panels provide quick Standard 5-year limited parts warranty. access for unit setup. Installation time is reduced by easy Standard 10-year limited compressor warranty. power and control wiring access. Options are provided for indoor piston or TXV.The factory installed filter-drier and fac- tory charge for a 15-Ft lineset means less time spent brazing registered online within 90 days of purchase for replacement and charging the system. The small base dimension and or closing for new home construction. reduced unit size make for easier retrofits. *Does not apply to R-22 models,3-Phase models,or internet sales. • Accessible Information - QR code on unit provides quick See Limited Warranty certificate in User's Information Manual for details. access to technical documents and warranty information. • Durable Finish - The coated steel wire fan guard, coated CLEARANCES external fasteners, and pre-treated G90-equivalent galva- nized steel chassis components resist corrosion and rust The minimum clearances shown below must be maintained creep. Titanium colored powdercoat paint further protects should any patio or yard improvements be done around the out- external panels. door unit. • Rugged Coil Protection -Coils are protected from mechan- • 10"Clearance Coil Area ical damage by a proven stamped steel coil guard design. • 60"Overhead Clearance • Quality Coils - Enhanced aluminum fins are mechanically • 18" Minimum Service Panel Access bonded to copper tubing. • 24" Minimum Unit to Unit Distance • Protected Compressor - Compressors are protected inter- nally by a high pressure relief valve and a temperature sen- MATCHING AIR SIDE EQUIPMENT sor, and externally by the system high and low pressure switches. The liquid line filter-drier is factory installed to pro- Model No. ❑ tect the compressor against moisture and debris. • Reliable Operation - Ball bearing fan motors provide supe- Submittal Form No. ❑ rior performance in extreme temperatures. Factory installed accumulator ensures proper functioning across a wide range of conditions. FIELD INSTALLED ACCESSORIES • Environmentally Friendly - CFC-free R-410A refrigerant delivers environmentally friendly performance with zero Off Cycle Time Delay(S1-2TD08700124) ozone depletion. Standard Low Ambient Control (S1-2LA06700424) • Top Discharge - Air is blown up, away from the structure Advanced Low Ambient Control (S1-2LA04701024) and any landscaping and allows compact location on multi- High Ambient Condenser Fan Motor(S1-FHM HT) unit applications. Outdoor Communicating Board Kit(S1-33102952310) • Low Operating Sound Levels - Developed using CFD and Compressor Start Assist(S1-2SA067 ) FEA tools, the sturdy cabinet and top design provides sound Compressor Crankcase Heater(S1-025 ) performance of 76 dBA or lower. Compatible accessories for Indoor Blower-Off Delay Kit(S1-2FD06700224) further sound reduction are also available. Low Temperature Cutoff(S 1-2LT067224) • Better Service Access - Diagonal base valves with open Support Feet(S1-HPRKIT- )* access for low-loss fittings, single panel access to the electri- Anchor Bracket Kit(S1-1 HK0401) cal controls, full corner access, and removable fan guard allow easy access for unit maintenance. Indoor TXV Kit(S 1-ACB- M ) • Agency Listed -Safety certified by CSA to UL 1995/CSA Wall Mount Kit(S -ACB )* 22.2. Performance certified to ANSI/AHRI Standard 210/240 Winter Cover Kit(S1-CCVRE ) in accordance with the Unitary Small Equipment certification Cold Weather Charging Tent(S1-CHGTENT01) program. Touch-up Paint(S1-5130153 ) Compressor Sound Blanket(S1-010076 )* *See price pages for accessory information. Refer to Technical Guide for detailed specifications on the unit and its accessories. Verify the actual ratings for each specific matchup in the online AHRI directory at www.ahridirectory.orq at the time of bid or sale. It is also recommended to print the rating certificate, if needed, at the time of bid or sale. Subject to change without notice.Published in U.S.A. 5006082-BSD-A-0216 Copyright©2016 by Johnson Controls, Inc.All rights reserved. Supersedes: Nothing York International Corp. 5005 York Drive Norman,OK 73069 .. WARMTH THAT ENDURES Residential Gas Furnace Warranties: MYORK" HEATING AND AIR CONDITIONING / * * * ® We design, engineer and assemble YORKO residential products in the AMERICAN United States, where we can closely monitor and improve processes QUALITY that directly affect quality. It's this commitment to excellence that *Lifetime heat exchanger,10-year parts and t ASSEMBLED IN THE USA 1-year labor limited warranties require online allows us to offer outstanding warranties, meet the highest industry registration within 90 days of installation. standards and deliver energy-saving comfort that lasts a lifetime. That's why, Otherwise,warranties revert to the standard when it comes to home comfort, your confidence is our commitment. 20-year heat exchanger and 5-year partslimited warranties. LX Series Gas Furnaces •. . • 1 Lifetime heat Two-stage operation, 40-120 MBH 96% exchanger,10-year Complete Assurance- variable-speed blower input parts,1-year Limited Warranty Pledge: — labor** Lifetime heat If the heat exchanger fails within 5 years K Two-stage operation with 40-120 MBH ° exchanger,10-year of installation,we provide optional high-efficiency blower input 96/0 parts,1-year furnace replacement in lieu of heat labor** exchanger replacement. Lifetime heat Single-stage operation, 40-120 MBH ° exchanger,10-year fi high-efficiency blower input 95/° parts,1-year labor** Single-stage operation, 20-year heat ultra-low NOx furnace 60-100 MBH with high-efficiency input 95°/D exchanger, year blower parts,1-year labor Lifetime heat Two-stage operation, 60-120 MBH ° exchanger,10-year r variable-speed blower input 80% parts,1-year labor** Lifetime heat Two-stage operation with 60-120 MBH D exchanger,10-year high-efficiency blower input 80% parts,1-year , labor** Lifetime heat ° Single-stage operation, 40-130 MBH 80% exchanger,10-year high-efficiency blower input parts,1-year , labor** Single-stage operation, �! 20-year heat ultra-low NOx furnace 60-100 MBH ° with high-efficiency input 80% exchanger,10-year blower parts,1-year labor **Lifetime heat exchanger,10-year parts and 1-year labor limited warranties require online registration within 90 days of installation.Otherwise,warranties revert to the standard 20-year heat exchanger and 5-year parts limited warranties. A WARNING:*These heating products do not meet the California Rule 1111 air district 14 ng/l NOx emission limit, • are subject to mitigation fees of up to$450 and are not eligible for the Clean Air Furnace Rebate Program: www.CleonAirFumoceRebate.com. �oou YORK"residential products carry the HOAKEEDING Good Housekeeping Seal of Approval. GAS FURNACES Hwy,..*..,. P g PP ® 8 o AFUE r, Models TM9V, TM9Y, TL9E and TM9E ® 00000 111S:I1�fSE��1 meet ENERGY STAR'requirements. TO 97% A F U E MODELS" Ii1LiY�JCIIWI we FNATEnneE CERTIFICATION MYOW The YORK brand of Johnson Controls,Inc.©2019 Johnson Controls,Inc.5005 York Drive,Norman,OK 73069 , HEATING AND AIR CONDITIONING www.YORK.com.Subject to change without notice.PUBL-7465-E-1119.Supersedes PUBL-7465-D-1018.All rights reserved. jciy7645-01LXGasFurnBr-D22j.indd 4-1 11/14/19 2:19 PM it f t - t - e I I• f f i f at f 1 i N� gap- µ; WHAT QUALITY FEELS LIKE . COMFORT. ON EVERY LEVEL. When winter comes, it's comforting to know your family will be kept warm inside, all season long. That's the We take pride in knowing YORK° home comfort systems are keeping our friends and neighbors comfortable in homes power of a YORK° LX Series gas furnace and the reassurance that over 140 years of heating and cooling innovation across the country. But we know comfort is more than just heating or cooling the air, so here are a few reasons can bring. Because when it comes to providing for your family, we know comfort is more than a temperature. you can be confident a YORK° heating system will provide your family with comfort and energy savings that last. YORK@ LX SERIES GAS FURNACES Advanced efficiency. Hassle-free installation. World-class quality. 0 YORK° LX Series gas furnaces A wide range of YORK° LX 0-1-- Designed, engineered and • Reduced consumption. Efficient performance. Precision construction. meet U.S. EPA energy efficiency Series gas furnaces ensures the right assembled in the United States, Models with ECM fan motors Advanced, tubular aluminized Reinforced cabinets and gasketed standards, with select models fit for every home, and every budget. YORK° LX Series gas furnaces are improve system performance steel primary heat exchanger doors help ensure warm air qualifying as ENERGY STAR' Compact, 33-inch tall cabinets fit in crafted using state-of-the-art quality and reduce electricity use. Our allows for high heat transfer goes where it's needed, quietly products, and up to a 97%Annual tight spaces, allowing for installations control and assembly processes models with variable-speed and outstanding efficiency. and efficiently. Fuel Utilization Efficiency (AFUE) in basements, attics, recreation gleaned from Johnson Controls' ECM motors include ClimaTrok"'' rating on our most efficient models. rooms, garages, alcoves and even advanced manufacturing expertise to technology that can be fine-tuned • Intelligent engineering. Year-round value. Hot-surface ignition and 100% For even greater flexibility, a closets. And since all LX Series gas provide world-class quality at to your specific climate needs. furnaces come pre-assembled, wired competitive prices. shutoff valve technology saves YORKo split-system cooling 0 Prestigious endorsements. • Personalized comfort. on fuel costs while increasing coil can be added to handle O YORK° LX Series gas furnaces and tested from the factory, setup is Two-stage gas furnaces can shift dependability and reliability. summer weather. bear the Good Housekeeping Seal of quicker than ever. their level of performance to track Approval. It's just another reminder temperatures more accurately of the quality that comes standard in and provide greater comfort. every product we make. jciy7645-01LXGasFurnBr-D22j.indd 2-3 11/14/19 2:19 PM Permit#: 3505 Permit Date: 10/23/20 Permit Type: RESIDENTIAL MECHANICAL Project Name: Gottwald Applicant Name: J Brockman Heating& Cooling Applicant Address: 5122 220th St NW Applicant, City, State, Zip: Stanwood, WA 98292 Contact: Jeremy Brockman Phone: 360-862-3653 Email:jbrockmanheating@gmail.com Scope of Work: Install HP Valuation: 0.00 Square Feet: 0 Number of Stories: 0 Construction Type: Occupancy Group: ID Code: Permit Issued: Permit Expires: 04/21/2021 Form Permit Type: Status: LASERFICHE Assigned To: Raelynn Jones Property Parcel# Address Legal Description Owner Name Owner Phone Zoning SCRIMGEOUR 120 SINGLE 01030500002500 17321 73RD DR NE DARRELL TODD& FAMILY HEIDE L RESIDENCE Contractors Contractor Primary Contact Phone Address Contractor Type License License# J Brockman Heating& 5122 220th St CONSTRUCTION Cooling Jeremy Brockman 360-862-3653 NW CONTRACTOR L&I JBROCBH859B3 Fees Fee Description Notes Amount Inspection $75.00 Forced Air Heat fee per Btu $15.00 Heat Pump/Heat Exchangers $25.00 Mechanical Base Permit Fee $25.00 Processing/Technology $25.00 Total $165.00 Notes Date Note Created By: 04/26/2021 Payment Link was not sent.Permit was not issued. Jennifer Pittman Uploaded Files Date File Name 10/23/2020 7583719-3505 yorklxgasfurn-bro.pdf 10/23/2020 7583715-3505 Application.pdf 10/23/2020 7583716-3505 Gottwald specs.pdf