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HomeMy WebLinkAbout19121 45th Dr NE_BLD3840_2026 CITY OF ARLINGTON 18204 59th Avenue NE,Arlington,WA 98223 40 INSPECTIONS: 360-403-3417-Permit Center:360-403-3551 BUILDING PERMIT Permit#:3840 19121 45TH DR NE PERMIT EXPIRES 180 DAYS AFTER DATE OF ISSUANCE. Parcel#: 00952200000100 Valuation: .00 OWNER APPLICANT CONTRACTOR GIBSON DENNY M&MONICA X CM Heating CM Heating Inc 19121 45TH DR NE 1415 Broadway 1415 Broadway ARLINGTON,WA 98223-4784 Everett,WA 98201 Everett,WA 98201 425-259-0550 425-259-0550 LIC:CMHEAI*095R4 EXP:05/03/2021 MECHANICAL CONTRACTOR PLUMBING CONTRACTOR CM Heating Inc 1415 Broadway Everett,WA 98201 425-259-0550 LIC#: CMHEAI*095R4 EXP: 05/03/2021 LIC#: EXP: JOB DESCRIPTION PERMIT TYPE: Residential Mechanical CODE YEAR: 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 I0/IRCI10. SALES TAX NOTICE: Sales tax relating to construction and construction materials in the City of Arlington must be reported on your sales tax return form and coded City of Arlington#3101. WO/tl)W KAILANA MONIZ 04/26/21 �� 04/26/2021 Signature `/ Print Name Date kleased By Date CONDITIONS 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 04/23/2021 Inspection Fee $75.00 04/23/2021 Mechanical Base $25.00 04/23/2021 Water Heater-LPG $25.00 04/23/2021 Processing/Technology Fee $25.00 04/23/2021 Credit Card Surcharge $4.50, Total Due: $154.50 Total Payment: $154.50 Balance Due: $0.00 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#: 3 840 Permit Date: 04/23/21 Project Name: Gibson Company/Applicant Name: CM Heating Company/Applicant Address: 1415 Broadway City, State, Zip: Everett, WA 98201 Contact: Kailana Phone: 425-259-0550 Email: Kailana@cmheating.com Permit Type: Residential Mechanical Valuation: 0.00 Square Feet: 0 Number of Stories: 0 Type of Construction: Occupancy Type: Scope of Work: installation 50 gal HWT MIC/Opportunity Zone: Permit Issued: Permit Expires: 10/20/2021 DNU: Status: IN PROCESS Assigned To: Jennifer Pittman Property Parcel# Address Legal Description Owner Name Owner Phone Zoning GIBSON DENNY M 100 SINGLE 00952200000100 19121 45TH DR NE FAMILY &MONICA X RESIDENCE Contractors Contractor Primary Contact Phone Address Contractor Type License License# CM Heating Inc 425-259-0550 1415 Broadway CONTRACTOR Labor&Industries CMHEAI*095R4 Fees Fee Description Notes Amount Inspection Fee $75.00 Mechanical Base Permit Fee $25.00 Water Heater-LPG Gas Fired $25.00 Processing/Technology Fee $25.00 Total $150.00 Uploaded Files Date File Name 04/23/2021 8661066-3840 Specs.pdf 04/23/2021 8661068-3840 Applicalion.pdf y ate. 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:19121 45TH DR NE Project Description:50 GALLON GAS HWTREPLACEMENT Owner: DENNY GIBSON Address; 19121 45TH DR NE City: ARLINGTON State WA Zip Code: 98223 Phone: 360-474-0979 Email:dmfgibson3@earthlink.net Applicant: KAILANA MONIZ- CM HEATING Address: 1415 BROADWAY City: EVERETT State WA Zip Code: 98201 Phone: 4252590550 Email: KAILANA@CMHEATING.COM CONTRACTOR INFORMATION Contractor Name-CM HEATING INC Address: 1415 BROADWAY City: EVERETF State WA Zip Code: 98201 License Number:CMHEAI*095R4 Expiration: 05/03/21 Phone:4252590550 Email:KAILANA@ C M H EATIN G.0 OM KeceIVkeU 2 ' ( STAFF USE ONLY APR 2 3 2021 Permit#: `J J�`'lD Accepted by: Date: 6/16LP Page 1 of 2 i 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 f� Furnace (80+) Model # AFUE ❑ Heat Pump Model # AFUE HSPE ❑ AC Unit Model # SEER ❑ Freestanding Stove [_l Fire Place Insert ❑ Outdoor BBQ GAS WATER ❑ Gas Piping ❑ Solid-Fuel Appliance ��, Other H EATE R Gas Piping Informatlon 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: 04/22/2021 Applicant Printed Name: KAILANA MONIZ 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 RADE LateCOMMERCIAL- G WATER HEATERS RESIDENTIAL GAS Nominal Rated First Hour BTU Input BTU Input Recovery Dimensions in Inches Approx. Model Number Gallon Storage Rating UEF Natural Propane alto Rise A B C 0 E F •G *H Draft Shipping Capacity Volume (Gallons) Gas Gas Gallon Per Hour Hood Weight0bs) Tall Models ra JiMmim tGS6 30 ORBT 30 29 69 0.61 35,500 1 32,000 37 61-1/2 58 16 12-1/4 8 51-3/4 N/A N/A 3 or 4 123 GS6 30 OCT 30 29 69 0.60 35,500 32,000 37 61-1/2 58 18 12-1/4 8 51-3/4 N/A N/A 3 or4 132 #GS6 40 OCT 40 38 65 0.61 35,500 N/A 38 61-3/4 58-1/4 20 12-1/4 8 52 N/A N/A 3 or4 138 tGS6 40 BRBT 40 38 78 0.65 40,000 36,000 42 61-3/4 58-1/4 18 12-1/4 8 52 N/A N/A 3 or4 130 GS6 40 BCT* 40 38 80 0.66 40,000 36,000 42 61-3/4 58-1/4 20 12-1/4 8 52 14-1/4 51-3/4 3 or4 138 GS6 50 BRT* 50 48 81 1 0.62 40,000 37,000 41 1 60-3/4 57-1/4 21 12-1/4 8 50 112 14-1/4 1 50-1/2 3 or4 1 148 GS6 50 BCT* 50 48 84 1 0.62 40,000 37,000 43 60-3/4 57-1/4 22 12-1/4 8 50-1/2 14-1/4 50-1/2 3 or4 65 GS6 50 RCT* 50 48 89 0.61 50,000 45,000 54 60-3/4 57-1/4 22 12-114 8 50-1/2 14-1/4 50-1/2 4 165 tGSfi 50 XCT* 50 49 99 0.61 60,000 54,000 65 65-1/2 61 22 13 1/2 8 54-1/4 14-1/4 54-1/4 4 182 GS6 55 XCT* 55 55 83 0.62 60,000 54,000 65 59-3/4 55-1/4 24 13-112 8 48 14-1/4 48 4 185 Short Models TGS6 30 ORBS 30 28 68 0.58 35,500 32,000 37 50 46-1/2 18 12 B 40 N/A N/A 3 or4 110 GS6 30 OCS 30 28 66 0.59 35,500 32,000 36 50 46-1/2 20 12 8 40 N/A N/A 3 or4 118 tGS6 40 BRBS 40 38 68 0.57 40,000 36,000 41 51-1/2 48 20 12 8 41-1/4 N/A N/A 3 or4 134 GS6 40 BCS 40 38 67 0.59 40,000 36,000 41 51-1/2 48 22 12 8 41-1/4 N/A N/A 3 or4 135 GS6 50 BCS 50 50 81 0.62 40,000 40,000 43 53-1/4 49-3/4 24 13-1/4 8 41-3/8 N/A N/A 3 or4 111 Waterconnection-3/4"an all models. *Optional side-mounted recirculating taps,add"L"to the suffix in the model number(GS6 50 BRTL). tModels ship with supplied insulation blanket. For 10-year tank and 10-year parts limited warranty,change"6"to"X"in the model number(example:GSX 30 OCT). All models approved for installation from sea level to 10.100 ft.elevation. t LP models not available on GS6 40 OCT. Dimensions and specifications subject to change without notice in accordance with our policy of continuous product improvement. FLAMMABLE VAPOR IGNITION RESISTANT (FVIR) WATER HEATERS State FVIR design meets the American National Standards Institute i standards(ANSI Z21.10.1 CSA 4.1)that deal with the accidental or unintended ignition of flammable vapors,such as those emitted by gasoline. It features a sealed combustion chamber with air intake filter and a flame arrestor built into the water heater base. In addition,a T&P VALVE thermal cutoff(TCO)device, is designed to shut off gas flow to the burner and pilot if poor combustion is detected. F C B A 1/2" GAS H ANODE ROD CONNECTION - (OPTIONAL T&P LOCATION) ® 4HOT t t CONNECTION o D G ANOE OUTLET ON(TOP T&P MODELS) +� O �� Tr ! COLD CONNECTION Maximum Hydrostatic Working Pressure: 150 PSI h E FOR r INFORMATION r ii TENNESSEE WALTZ PARKWAY,ASHLAND CITY,TN 37015 ;ir it r i ©June 2017 State Water Heaters.All rights reserved Page 2 of 2 www.statewaterheaters.com 1 800-365-0024 Toll-Free USA SRGSS00115 4DstateCOMM ERCIAL- GRAD E WATER HEATERS RESIDENTIAL GAS ► ► • PROLINE°ATMOSPHERIC VENT INTELLIGENT CONTROL LOGIC ENHANCED-FLOW BRASS DRAIN • The internal microprocessor provides enhanced VALVE operating parameters and tighter differentials • Our residential water heaters have a solid brass, for precise sensing and faster heating response tamper resistant,enhanced-flow,ball type, to optimize performance. drain valve. • Uses a thermopile to generate the power needed • Uses a standard female hose fitting that allows to operate the electronic gas control without for fast and easy draining during maintenance. requiring an external power source. w • Designed for easy operation,this valve includes I status indicator that moniturs system uperatiuii turn(open/close)radius,which not only permits • The electronic gas control incorporates an LED an integral screwdriver slot that features a 1/4 i and service diagnostics. full straight-through water flow but also a quick and positive shut off. ' • *Not available on 60,000 BTU input models " (GS6 50 XCT and GS6 55 XCT). CODE COMPLIANCE GREEN CHOICE® GAS BURNER • Meets UBC,CEC and HUD National Codes. • Patented eco-friendly burner design reduces • Meets the thermal efficiency and standby loss NOx emissions by up to 33%and complies with requirements of the U.S.Department of Energy Low-NOx emission requirements of Icss than d `edition of ASH 9n 1 _ q" aii �iiircnic iiluii0i i iw u,. 40 ng/1. • Complies with the Federal Energy Conservation SELF CLEANING DIP TUBE Standards effective April 16,2015,in • Reduces lime and sediment buildup and accordance with the Energy Policy and maximizes hot water output.Made from long- Conservation Act,(EPCA),as amended. lasting PEX cross-linked polymer. HIGH UNIFORM ENERGY FACTOR(UEF) COREGARD'M ANODE ROD Eco-Friendly non-CFC foam insulation,external • Our anode rods have a stainless steel core heat traps and specially designed combustion that extends the life of the anode rod allowing chamber combine to produce a high UEF for superior tank protection far longer than maximum savings on operating costs. standard anode rods. CSA CERTIFIED AND ASME RATED PUSH-BUTTON PIEZO IGNITOR T&P RELIEF VALVE • Makes lighting the pilot fast and easy with one- MAXIMUM HYDROSTATIC WORKING hand push-button spark ignition. PRESSURE 150 PSI o HEAT TRAP NIPPLES DESIGN-CERTIFIED BY CSA INTERNATIONAL _- , • Factory-installed for faster installation. Certified at 300 psi test pressure and 150 psi _ BLUE DIAMOND® GLASS COATING working pressure.Listed according to ANSI Z21.10.1-CSA 4.1 standards governing storage • Provides superior corrosion resistance compared tank-type water heaters. to industry standard glass lining. . 6-YEAR LIMITED TANK AND PARTS WARRANTY • For complete information,consult written warranty or State Water Heaters. C o FLAMMABLE VAPOR IGNITION RESISTANT COMPLIANT DESIGN G1e`"o SOLID . STATE . ©June 2017 State Water Heaters.All rights reserved Page 1 of 2 www.statewaterheaters.com 1 800-365-0024 Toll-Free USA I State Water Heaters 1 500 Tennessee Waltz Parkway I Ashland City,TN 37015 SRGSS00115 �_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: 19121 45TH DR NE Project Description:50 GALLON GAS HWTREPLACEMENT Owner: DENNY GIBSON Address: 19121 45TH DR NE City: ARLINGTON State WA Zip Code: 98223 Phone: 360-474-0979 Email:dmfgibson3@ earthlink.net Applicant: KAILANA MONIZ- CM HEALING Address: 1415 BROADWAY City: EVERETT State WA Zip Code: 98201 Phone: 4252590550 Email: KAILANA@CMHEALING.COM CONTRACTOR INFORMATION Contractor Name:CM HEALING INC Address: 1415 BROADWAY City: EVERETT State WA Zip Code: 98201 License Number:CMHEAI*095R4 Expiration. 05/03/21 Phone. 4252590550 Email:KAI LANA@ C M H EALI N G.0 OM 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 # AFUE HSPE ❑ AC Unit Model # SEER ❑ Freestanding Stove ❑ Fire Place Insert ❑ Outdoor BBQ GAS WATER ❑ Gas Piping ❑ Solid-Fuel Appliance Other H EATE R 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�e Date: 04/22/2021 Applicant Printed Name: KAILANA MONIZ 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 CITY OF ARLINGTON ` 18204 59th Avenue NE,Arlington,WA 98223 INSPECTIONS: 360-403-3417-Permit Center: 360-403-3551 BUILDING PERMIT Permit#:3840 19121 45TH DR NE PERMIT EXPIRES 180 DAYS AFTER DATE OF ISSUANCE. Parcel#: 00952200000100 Valuation: .00 OWNER APPLICANT CONTRACTOR GIBSON DENNY M&MONICA X CM Heating CM Heating Inc 19121 45TH DR NE 1415 Broadway 1415 Broadway ARLINGTON,WA 98223-4784 Everett,WA 98201 Everett,WA 98201 425-259-0550 425-259-0550 LIC:CMIIEAI*095R4 ENR 05/03/2021 MECHANICAL CONTRACTOR PLUMBING CONTRACTOR CM Heating Inc 1415 Broadway Everett,WA 98201 425-259-0550 LIC#: CMHEAI*095R4 EXP: 05/03/2021 LIC#: EXP: JOB DESCRIPTION PERMIT TYPE: Residential Mechanical CODE YEAR: 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. KAILANA MONIZ 04/26/21 04/26/2021 Signature Print Name Date eleased By Date CONDITIONS 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 04/23/2021 Inspection Fee $75.00 04/23/2021 Mechanical Base $25.00 04/23/2021 Water Heater-LPG $25.00 04/23/2021 Processing/Technology Fee $25.00 04/23/2021 Credit Card Surcharge $4.50 Total Due: $154.50 Total Payment: $154.50 Balance Due: $0.00 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 Permit#:3840 19121 45TH DR NE PERMIT EXPIRES 180 DAYS AFTER DATE OF ISSUANCE. Parcel#: 00952200000100 Valuation: .00 OWNER APPLICANT CONTRACTOR GIBSON DENNY M&MONICA X CM Heating CM Heating Inc 19121 45TH DR NE 1415 Broadway 1415 Broadway ARLINGTON,WA 98223-4784 Everett,WA 98201 Everett,WA 98201 425-259-0550 425-259-0550 LIC:CMHEAI*095R4 EXP:05/03/2021 MECHANICAL CONTRACTOR PLUMBING CONTRACTOR CM Heating Inc 1415 Broadway Everett,WA 98201 425-259-0550 LIC#: CMHEAI*095R4 EXP: 05/03/2021 LIC#: EXP: JOB DESCRIPTION PERMIT TYPE: Residential Mechanical CODE YEAR: 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/IRC 110. 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. Signature Print Name Date Released By Date CONDITIONS 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 04/23/2021 Inspection Fee $75.00 04/23/2021 Mechanical Base $25.00 04/23/2021 Water Heater-LPG $25.00 04/23/2021 Processing/Technology Fee $25.00 04/23/2021 Credit Card Surcharge $4.50 Total Due: $154.50 Total Payment: $154.50 Balance Due: $0.00 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 state COMM ERCIAL- GRADE WATER HEATERSRESIDENTIAL GAS ► HEATERS PROLINFATMOSPHERIC VENT INTELLIGENT CONTROL LOGIC ENHANCED-FLOW BRASS DRAIN • The internal microprocessor provides enhanced VALVE operating parameters and tighter differentials • Our residential water heaters have a solid brass, for precise sensing and faster heating response tamper resistant,enhanced-flow,ball type, to optimize performance. drain valve. • Uses a thermopile to generate the power needed • Uses a standard female hose fitting that allows k to operate the electronic gas control without for fast and easy draining during maintenance. requiring an external power source. ® e • Designed for easy operation,this valve includes • The electronic gas control incorporates an LED an integral screwdriver slot that features a 1/4 status indicator that monitors system operation turn(open/close)radius,which not only permits and service diagnostics. full straight-through water flow but also a quick and positive shut off. • *Not available on 60,000 BTU input models (GS6 50 XCT and GS6 55 XCT). CODE COMPLIANCE GREEN CHOICE® GAS BURNER • Meets UBC,CEC and HUD National Codes. • Patented eco-friendly burner design reduces • Meets the thermal efficiency and standby loss NOx emissions by up to 33%and complies with requirements of the U.S.Department of Energy Low-NOx emission requirements of less than and current edition of ASHRAE/IES 90.1 40 ng/J. • Complies with the Federal Energy Conservation SELF CLEANING DIP TUBE Standards effective April 16,2015,in • Reduces lime and sediment buildup and accordance with the Energy Policy and maximizes hot water output.Made from long- Conservation Act,(EPCA),as amended. lasting PEX cross-linked polymer. HIGH UNIFORM ENERGY FACTOR(UEF) 1 COREGARDTm ANODE ROD • Eco-Friendly non-CFC foam insulation,external • Our anode rods have a stainless steel core heat traps and specially designed combustion that extends the life of the anode rod allowing chamber combine to produce a high UEF for superior tank protection far longer than maximum savings on operating costs. standard anode rods. CSA CERTIFIED AND ASME RATED PUSH-BUTTON PIEZO IGNITOR T&P RELIEF VALVE • Makes lighting the pilot fast and easy with one- MAXIMUM HYDROSTATIC WORKING hand push-button spark ignition. PRESSURE 150 PSI HEAT TRAP NIPPLES DESIGN-CERTIFIED BY CSA INTERNATIONAL ■ • Factory-installed for faster installation. . Certified at 300 psi test pressure and 150 psi BLUE DIAMOND® GLASS COATING working pressure.Listed according to ANSI Z21.10.1-CSA 4.1 standards governing storage • Provides superior corrosion resistance compared tank-type water heaters. to industry standard glass lining. 6-YEAR LIMITED TANK AND PARTS WARRANTY • For complete information,consult written warranty or State Water Heaters. C"FLAMMABLE VAPOR IGNITION RESISTANT COMPLIANT DESIGN c� Green nice, FRTIF�� SOLID . STATE . low lean comam e.ea eo�oer ©June 2017 State Water Heaters.All rights reserved Page 1 of 2 www.statewaterheaters.com 1 800-365-0024 Toll-Free USA I State Water Heaters 1 500 Tennessee Waltz Parkway I Ashland City,TN 37015 SRGSS00115 (Dstate COMMERCIAL- GRADE WATERHEATERS r RESIDENTIAL GAS WATER HEATERS Nominal Rated First Hour BTU Input BTU Input Recovery Dimensions in Inches IApprox. Model Number Gallon Storage Rating UEF Natural Propane 90°F Rise Shipping Gallon Per A g I C I D E F *G *H I Draft Capacity Volume (Gallons) Gas Gas Hour Hood weight(Ibs) Tall Models fGS6 30 ORBT 30 29 69 0.61 35,500 32,000 37 61-1/2 58 16 12-114 8 51-3/4 N/A N/A 3 or 123 GS6 30 OCT 30 29 69 0.60 35,500 32,000 37 61-1/2 58 18 12-1/4 8 51-3/4 N/A N/A 3 or 132 TGS6 40 OCT 40 38 65 0.61 35,500 N/A 38 61-3/4 58-1/4 20 12-1/4 8 52 N/A N/A 3 or 138 tGS6 40 BRBT I 40 38 78 0.65 40,000 36,000 42 61-3/4 58-1/4 18 12-1/4 8 52 N/A N/A 3 or 130 GS6 40 BCT" 40 38 1 80 1 0.66 40,000 1 36,000 42 1 61-3/4 58-1/4 1 20 12-1/4 8 52 14-1/4 1 51-3/4 3 or 138 GS6 50 BRT* 50 48 81 0.62 40,000 37,000 41 60-3/4 57-1/4 21 12-1/4 8 50 1/2 14-1/4 50-1/2 3 or 4_ 148 GS6 50 BCT* 50 48 84 0.62 40,000 37,000 43 60-3/4 57-1/4 22 12-1/4 8 50-1/2 14-1/4 50-1/2 3 or 165 GS6 50 RCT* 50 48 89 0.61 50,000 45,000 54 60-3/4 57-1/4 22 12-1/4 8 50-1/2 14-1/4 50-1/2 4 165 tGS6 50 XCT* 50 49 99 0.61 60,000 54,000 65 65-1/2 61 22 13-1/2 8 54-1/4 14-1/4 54-1/4 4 182 GS6 55 XCT* 55 55 83 0.62 1 60,000 54,000 65 59-3/4 55-1/4 24 13-1/2 8 48 14-1/4 48 1 4 185 Short Models fGS6 30 ORBS 30 28 68 0.58 35,500 32,000 37 50 46-1/2 18 12 8 40 N/A N/A 3 or 110 GS6 30 OCS I 30 28 66 0.59 35,500 32,000 36 50 46-1/2 20 12 8t41-1/4 40 N/A N/A 3 or 118 tGS6 40 BRBS 40 38 68 0.57 40,000 36,000 41 51-1/2 48 20 12 8 N/A N/A 3 or4 134 GS6 40 BCS 40 38 67 0.59 40,000 36,000 41 51-1/2 48 22 12 8 -1/4 N/A N/A 3 or 135 GS6 50 BCS 50 50 81 0.62 40,000 40,000 43 53-1/4 49-3/4 24 13-1/4 8 -3/8 N/A WA 3 or4 177 Water connection-3/4"on all models. *Optional side-mounted recirculating taps,add"L"to the suffix in the model number(GS6 50 BRTL). tModels ship with supplied insulation blanket. For 10-year tank and 10-year parts limited warranty,change"6"to"X"in the model number(example:GSX 30 OCT). All models approved for installation from sea level to 10,100 ft.elevation. *LP models not available on GS6 40 OCT. Dimensions and specifications subject to change without notice in accordance with our policy of continuous product improvement. FLAMMABLE VAPOR IGNITION RESISTANT (FVIR) WATER HEATERS State FVIR design meets the American National Standards Institute standards(ANSI Z21.10.1 CSA 4.1)that deal with the accidental or unintended ignition of flammable vapors,such as those emitted by �® gasoline. It features a sealed combustion chamber with air intake filter and a flame arrestor built into the water heater base.In addition,a T&P VALVE thermal cutoff(TCO)device, is designed to shut off gas flow to the burner and pilot if poor combustion is detected. F C B A 1/2" GAS H ANODE ROD CONNECTION (OPTIONAL T&P LOCATION) HOT C CONNECTION LTDG (ANODE OUTLET ON o O o TOP T&P MODELS) COLD CONNECTION Maximum Hydrostatic Working Pressure: 150 PSI E FOR r INFORMATION i ii TENNESSEE WALTZ PARKWAY,ASHLAND CITY,TH 37015 ;ii iiTOLL-FREE ©June 2017 State Water Heaters.All rights reserved Page 2 of 2 www.statewaterheaters.com 1 800-365-0024 Toll-Free USA SRGSS00115 Permit#: 3840 Permit Date: 04/23/21 Permit Type: RESIDENTIAL MECHANICAL Project Name: Gibson Applicant Name: CM Heating Applicant Address: 1415 Broadway Applicant, City, State, Zip: Everett,WA 98201 Contact: Kailana Phone: 425-259-0550 Email: Kailana@cmheating.com Scope of Work: installation 50 gal HWT Valuation: 0.00 Square Feet: 0 Number of Stories: 0 Construction Type: Occupancy Group: ID Code: Permit Issued: 04/26/2021 Permit Expires: 10/20/2021 Form Permit Type: Status: COMPLETE Assigned To: Property Parcel# Address Legal Description Owner Name Owner Phone Zoning GIBSON DENNY M 100 SINGLE 00952200000100 19121 45TH DR NE FAMILY &MONICA X RESIDENCE Contractors Contractor Primary Contact Phone Address Contractor Type License License# CM HEATING INC 425-259-0550 1500 INDUSTRY CONSTRUCTION Plumbing CMHEAHL750LP ST STE 200 CONTRACTOR Contractor CM HEATING INC 425-259-0550 1500 INDUSTRY CONSTRUCTION Construction CMHEAHL751W ST STE 200 CONTRACTOR Contractor CM HEATING INC 425-259-0550 1500 INDUSTRY CONSTRUCTION UBI 605890285 ST STE 200 CONTRACTOR Inspections Date Inspection Type Description Scheduled Date Completed Date Inspector Status 04/30/2021 R00.WATER After 2:00 360-474-0979 05/03/2021 05/03/2021 BUILDING Completed HEATER FINAL Danny Gibson Fees Fee Description Notes Amount Inspection $75.00 Mechanical Base Permit Fee $25.00 Water Heater-LPG Gas Fired $25.00 Processing/Technology $25.00 Credit Card Service $4.50 Total $154.50 Attached Letters Date Letter Description 04/23/2021 Building Permit Payments Date Paid By Description Payment Type Accepted By Amount 04/23/2021 DEBBIE BAUERS 86193271 $150.00 04/23/2021 Debbie Bauers 86193271 Jennifer Pittman $4.50 Outstanding Balance $0.00 Uploaded Files Date File Name 04/27/2021 8683009-3840 Issued Permit.pdf 04/23/2021 8661066-3840 Specs.pdf 04/23/2021 8661068-3840 Application.pdf