Loading...
HomeMy WebLinkAbout3318 177TH PL NE_BLD1559_2026 RESIDENTIAL MECHANICAL PERMIT APPLICATION t�N 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.3318 177TH PL NE Project Description:INSTALL DUCTLESS HEAT PUMP Owner: EUGENE PIERSON Address. 3318 177TH PL NE City. ARLINGTON State.WA Zip Code: 98223 Phone. 360-661-7084 Email:AMYLYNNHOBBS@COMCAST.NET Applicant: C.M. HEATING INC Address: 1415 BROADWAY City. EVERETT State.WA Zip Code: 98201 Phone. 425-259-0550 Email: DEBBIE@CMHEATING.COM CONTRACTOR INFORMATION Contractor Name:C.M. HEATING INC Address: 1415 BROADWAY City. EVERETT State.WA Zip Code: 98201 License Number:CMHEAI*095R4 Expiration: 05/19 Phone: 425-259-0550 Email:DEBBIE@CMHEATING.COM STAFF USE ONLY Permit #: Accepted by: Date: 6/16LP Page 1 of 2 Y. RESIDENTIAL MECHANICAL PERMIT APPLICATION SING 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 #4MXS36NMVJU AFUE HSPE ❑ AC Unit Model # SEER ❑ Freestanding Stove ❑ Fire Place Insert ❑ Outdoor BBQ ❑ Gas Piping ❑ Solid-Fuel Appliance ❑ Other Gas Piping Information Not Applicable: [El 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 I Z�eGo�alza�ac.�iY� Applicant Signature: Date: 07/18/2017 Applicant Printed Name: Deborah Bauers 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 238 N. OLYMPIC AVE-ARLINGTON, WA. 98223 ` PHONE; (360)403-3551 BUILDING PERMIT Address:3318 177th Place NE Permit#:1559 Parcel#:00621300009600 Valuation:0.00 OWNER APPLICANT CONTRACTOR Name:HOBBS PAUL R Name:CM Heating Name:CM Heating Inc Address:3318 177TH PL NE Address:1415 Broadway Address: 1415 Broadway City,State Zip:ARLINGTON,WA 98223-8774 City,State Zip:Everett,WA 98201 City,State Zip:Everett,WA 98201 Phone: Phone:425-259-0550 Phone:425-259-0550 MECHANICAL CONTRACTOR PLUMBING CONTRACTOR Name:CM Heating Inc Name: Address: 1415 Broadway Address: City,State,Zip:Everett,WA 98201 City,State,Zip: Phone:425-259-0550 Phone: LIC#: EXP: LIC#: EXP: JOB DESCRIPTION PERMIT TYPE: Residential Mechanical CODE YEAR: 2017 STORIES: CONST.TYPE: DWELLING UNITS: I OCC GROUP: BUILDINGS: OCC LOAD: PERMIT APPROVAL 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. IBC1l0/IRCI 10. SALES TAX NOTICE:Sales tax relating to construction and construction materials in the City o.Irlitilown," on your sales tax return form and co cd City of Arlington#3101. 7.20•l7 Z,v� Signature Print Name Date Released Iiy Date CONDITIONS Approved as submitted. Requirements for installation: provide a 3" concrete pad with seismic bracing attached to pad,provide electrical disconnect, lines shall be insulated -the use of adhesive tape is not permitted. THIS PERMIT AUTHORIZS 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 7/18/2017 Heat Pump $25.00 7/18/2017 Mechanical Permit Base Fee $25.00 7/18/2017 Processing/Technology Fee $25.00 Total Due: $75.00 Total Payment: $0.00 Balance Due: $75.00 CALL FOR INSPECTIONS BUILDING(360)403-3417 When calling for an inspection please leave the following information: - ' CITY OF ARLINGTON 238 N. OLYMPIC AVE -ARLINGTON, WA. 98223 PHONE; (360)403-3551 BUILDING PERMIT Address:3318 177th Place NE Permit#:1559 Parcel#:00621300009600 Valuation:0.00 OWNER APPLICANT CONTRACTOR Name:HOBBS PAUL R Name:CM Heating Name:CM Heating Inc Address:3318 177TH PL NE Address:1415 Broadway Address: 1415 Broadway City,State Zip:ARLINGTON,WA 98223-8774 City,State Zip:Everett,WA 98201 City,State Zip:Everett,WA 98201 Phone: Phone:425-259-0550 Phone:425-259-0550 MECHANICAL CONTRACTOR PLUMBING CONTRACTOR Name:CM Heating Inc Name: Address: 1415 Broadway Address: City,State,Zip:Everett,WA 98201 City,State,Zip: Phone:425-259-0550 Phone: LIC#: EXP: LIC#: EXP: JOB DESCRIPTION PERMIT TYPE: Residential Mechanical CODE YEAR: 2017 STORIES: CONST.TYPE: DWELLING UNITS: 1 OCC GROUP: BUILDINGS: OCC LOAD: PERMIT APPROVAL 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 o lip gto be repo on your sales tax return form and coded City of Arlington#3101. Signature Print Name Date Released By Date CONDITIONS Approved as submitted. Requirements for installation: provide a 3" concrete pad with seismic bracing attached to pad,provide electrical disconnect, lines shall be insulated -the use of adhesive tape is not permitted. THIS PERMIT AUTHORIZS 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 7/18/2017 Heat Pump $25.00 7/18/2017 Mechanical Permit Base Fee $25.00 7/18/2017 Processing/Technology Fee $25.00 Total Due: $75.00 Total Payment: $0 00 Balance Due: $75.00 CALL FOR INSPECTIONS BUILDING(360)403-3417 When calling for an inspection please leave the following information: Permit Number,Type of Inspection being requested,and whether you prefer morning or afternoon Community and Economic Development , Building Division INSPECTION RECORD SHALL REMAIN AT JOB Building construction shall not commence until permit SITE holder or agent has posted this Inspection Record Card in a conspicuous place on the premises. OWNER: Paul Hobbs CONTRACTOR: CM Heating, Inc. JOBADDRESS:3318 177th Place NE OWNERADDRESS: 3318 177th Place NE USE of BUILDING: SFR PLAT NAME: Description of Work: Mechanical LOT# PERMIT NO: 1559 Sprinklered:NO CONDITIONS: See Permit DATE ISSUED:7.18.2017 TYPE GROUP DEPARTMENT INSPECTION DATE DATE PASS FAIL INITIALS FOOTING BUILDING FOUNDATION INSPECTION LINE UNDERFLOOR (360)403-3417 SHEARWALL PLUMBING (groundwork) GAS PIPING(groundwork) ROUGH PLUMBING ROUGH GAS PIPING ROUGH HEATING&VENTILATION FRAMING INSULATION WALLBOARD(SHEAR/RATING) ROOF DRAINAGE DEVELOPMENT STORM INFILTRATION SERVICES GRADING INSPECTION LINE CURB GUTTER&SIDEWALK (360)403-3417 LANDSCAPE DRIVEWAY UTILITIES SIDE SEWER INSPECTION LINE SEWER CLEANOUT/FINAL (360)403-3508 WATER SERVICE INSPECTION WATER SERVICE FINAL CROSS CONNECTION FINAL (360)403-3417 FINAL INSPECTION All sections must be signed off prior to final inspection Electrical must be signed off prior to final inspection COMMENTS: F"DAIKIN Submittal Data Sheet 4 PORT HP, DUCTLESS OD 3 TON 4MXS36NMVJU FEATURES • Up to 18.9 SEER/Up to 12.7 EER/Up to 12.5 HSPF • High-efficiency inverter driven swing compressor • Low ambient cooling to 5°F/-4°F with optional drain pan heater • Specialized drain pan design for improved cold climate drainage BENEFITS - va,KIiv • 12 Year limited parts warranty with online registration • 5 Year limited parts warranty for commercial applications • High efficiency cooling and heating operation provides utility bill savings • Multiple indoor unit style options: wall mounted,floor standing,ceiling cassette,slim duct --- _ • May qualify for regional utility rebates and incentives • Compatible with optional Daikin ENVi Wi-Fi capable Smart Control Daikin North America LLC,5151 San Felipe,Suite 500,Houston,TX,77056 Daikin City Generated Submittal Data www.daikinac.com www.daikincomfort.com (Daikin's products are subject to continuous improvements.Daikin reserves the right to modify product design,specifications and information in this data sheet without notice and without incurring any obligations) Page 1 of 3 F"DAIKIN Submittal Data Sheet 4 PORT HP, DUCTLESS OD 3 TON 4MXS36NMVJU PERFORMANCE Outdoor Unit Model No. 4MXS36NMVJU Outdoor Unit Name: 4 PORT HP,DUCTLESS OD 3 TON Type: Heat Pump Rated Coaling Conditions: Indoor(°F DB/DB):80/67 Ambient(°F DB/WB):/ Rated Cooling Capacity(Btu/hr): 36,000 Rated Heating Conditions: Indoor(°F DB/WB):/ Ambient(°F DB/WB):/ Max/Min Cooling Capacity(Btu/hr): 38,000/ Rated Piping Length(ft): 25 Cooling Input Power(kW): Rated Height Difference(ft): 49.00 Rated Heating Capacity(Btu/hr): 36,000 SEER(Non-Ducted/Ducted): 17.70/14.00 Max/Min Heating Capacity(Btu/hr): 43,000/ HSPF(Non-Ducted/Ducted): 12.2/8.2 Heating Input Power(kW): Heating COP(Non-Ducted/Ducted): 4.5/3.5 OUTDOOR UNIT DETAILS Power Supply(V/Hz/Ph): 208-230/60/1 Compressor Type: Inverter Power Supply Connections: L1,L2,Ground Capacity Control Range(%): Min.Circuit Amps MCA(A): 19.75 Airflow Rate(H)(CFM): 2,613 Max Overcurrent Protection(MOP)(A): 20.00 Gas Pipe Connection(inch): 1/2 Max Starting Current MSC(A): 17.50 Liquid Pipe Connection(inch): 1/4 Rated Load Amps RLA(A): 17.5 Sound Pressure(H)(dBA): 54 Dimensions(HxWxD)(in): 29 x 34-1/4 x 12-5/8 Sound Power Level(dBA): Net Weight(lb): 139 Daikin North America LLC,5151 San Felipe,Suite 500,Houston,TX,77056 Daikin City Generated Submittal Data www.daikinac.com www.daikincomfort.com (Daikin's products are subject to continuous improvements.Daikin reserves the right to modify product design,specifications and information in this data sheet without notice and without incurring any obligations) Page 2 of 3 F"DAIKIN Submittal Data Sheet 4 PORT HP, DUCTLESS OD 3 TON 4MXS36NMVJU SYSTEM DETAILS 'um Refrigerant Type: R-41 OA Cooling Operation Range ff DB): 14-115 Holding Refrigerant Charge(lbs): 6.2 Heating Operation Range(°F WB): 5-72 Additional Charge(lb/ft): 0.01 Max.Pipe Length(Vertical)(ft): Pre-charge Piping(Length)(ft): Cooling Range w/Baffle(°F DB): - Max.Pipe Length(Total)(ft): 230 Heating Range w/Baffle(°F WB): Max Height Separation(Ind to Ind ft): 49 DIMENSIONAL DRAWING HANDLE 9/16(14) 34-1/4(970) 3-9116(90) WIRING 1/4(7) 12-WO(320) 1� INTERCONNECTING PIPING OUTDOOR AIR THERMISTOR BRAND NAME PLATE 0 MANUFACTURER'S m o ro N e N N 4-HOLES FOR FOUNDATION BOLTS M80R M70 23-5 8(600)• _ 4-15/16(125) 14-1/2(368) a 31i16(78) m a <ROOM A> ma m O GAS PIPE MINIMUM SPACE FOR Al PASSAGE (03/8(09-5)SINGLE UNION) a a n 0 LIQUID PIPE WALL HEIGHT ON AIR OUTLET SIDE=I ESS THAN 1200 J (0114(06.4)SINGLE UNION) 0000 0 <ROOM B> L GAS e 20-71/18(525) (01/2(oil 7)SINGLE UNION) 4 LIQUID PIPE g m m DRAIN OUTLET (01/4(06.4)SINGLE UNION) (LD05/8(015.9)HOSE FOR CONNECTION <ROOM C> a WITH DRAIN JOINT) 0A/2(01112 7)SINGLE UNION) 1_15A6(50) n 1-15/18(50) ' 5-GROUND TERMINALS LIQUID0 (064)SINGLE UNION) 00 GAS PIPE (05/8(015.9)SINGLE UNION) LIQUID PIPE (01/4(06.4)SINGLE UNION) o a m o A ro uoulol a—:a1 2-s/1st65i A m g' >; 4 �' a 0318 3-11/16(93) N m $ �` ?✓ = 1-15/18(50) GAS 01/2(0127) 3-5/16(84) cal e a a 0518(015.9) 3-1/8(80) � • SERVICE PORT LIQUID STOP VALVE - GAS STOP VALVE C:3D093199 IN CASE OF REMOVING STOP VALVE 1-11/16(43) 11/16(18) COVER AND TERMINAL STRIP COVER Daikin North America LLC,5151 San Felipe,Suite 500,Houston,TX,77056 Daikin City Generated Submittal Data www.daikinac.com www.daikincomfort.com (Daikin's products are subject to continuous improvements.Daikin reserves the right to modify product design,specifications and information in this data sheet without notice and without incurring any obligations) Page 3 of 3 CITY OF ARLINGTON 238 N. OLYMPIC AVE-ARLINGTON, WA.98223 PHONE; (360)403-3551 BUILDING PERMIT Address:3318 177th Place NE Permit#-.1559 Parcel#:00621300009600 Valuation:0.00 OWNER APPLICANT CONTRACTOR Name:HOBBS PAUL R Name:CM Heating Name:CM Heating Inc Address:3318 177TH PL NE Address:1415 Broadway Address:1415 Broadway City,State Zip:ARLINGTON,WA 98223-8774 City,Slate Zip:Everett,WA 98201 City,State Zip:Everett,WA 98201 Phone: Phone:425-259-0550 Phone:425-259-0550 MECHANICAL CONTRACTOR PLUMBING CONTRACTOR Name:CM Heating Inc Name: Address:1415 Broadway Address: City,Stale,Zip:Everett,WA 98201 City,State,Zip: Phone:425-259-0550 Phone: LTC#: EXP: LTC#: EXP: JOB DESCRIPTION PERMIT TYPE: Residential Mechanical CODE YEAR: 2017 STORIES: CONST.TYPE: DWELLING UNITS: l OCC GROUP: BUILDINGS: OCC LOAD: PERMIT APPROVAL 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 liugtumutusi be rclwrle on your sales tax return form and co cd City of Arlington#3101. 'e -1.20.17 l Signature Print Name Date Itcleused ITy Dale CONDITIONS Approved as submitted.Requirements for installation:provide a 3"concrete pad with seismic bracing attached to pad,provide electrical disconnect, lines shall be insulated-the use of adhesive tape is not permitted. THIS PERMIT AUTHORIZE 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 7/18/2017 Heat Pump $25.00 7/18/2017 Mechanical Permit Base Fee $25.00 7/18/2017 Processing/Technology Fee $26.00 Total Due: $75.00 Total Payment: $0.00 Balance Due: $75.00 CALL FOR INSPECTIONS BUILDING(360)403-3417 When calling for an inspection please leave the fallowing information: CITY OF ARLINGTON • `r 238 N. OLYMPIC AVE -ARLINGTON, WA. 98223 PHONE; (360)403-3551 BUILDING PERMIT Address:3318 177th Place NE Permit#:1559 Parcel#:00621300009600 Valuation:0.00 OWNER APPLICANT CONTRACTOR Name:HOBBS PAUL R Name:CM Heating Name:CM Heating Inc Address:3318 177TH PL NE Address:1415 Broadway Address: 1415 Broadway City,State Zip:ARLINGTON,WA 98223-8774 City,State Zip:Everett,WA 98201 City,State Zip:Everett,WA 98201 Phone: Phone:425-259-0550 Phone:425-259-0550 MECHANICAL CONTRACTOR PLUMBING CONTRACTOR Name:CM Heating Inc Name: Address: 1415 Broadway Address: City,State,Zip:Everett,WA 98201 City,State,Zip: Phone:425-259-0550 Phone: LIC#: EXP: LIC#: EXP: JOB DESCRIPTION PERMIT TYPE: Residential Mechanical CODE YEAR: 2017 STORIES: CONST.TYPE: DWELLING UNITS: 1 OCC GROUP: BUILDINGS: OCC LOAD: _ PERMIT APPROVAL 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 o lipglo be report on your sales tax return form and coded City of Arlington#3101. Signature Print Name Date Released By Date CONDITIONS Approved as submitted. Requirements for installation: provide a 3" concrete pad with seismic bracing attached to pad,provide electrical disconnect, lines shall be insulated -the use of adhesive tape is not permitted. THIS PERMIT AUTHORIZS 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 7/18/2017 Heat Pump $25.00 7/1 812 0 1 7 Mechanical Permit Base Fee $25.00 7/18/2017 Processing/Technology Fee $25.00 Total Due: $75.00 Total Payment: $0.00 Balance Due: $75.00 CALL FOR INSPECTIONS BUILDING(360)403-3417 When calling for an inspection please leave the following information: Permit Number,Type of Inspection being requested,and whether you prefer morning or afternoon RESIDENTIAL MECHANICAL PERMIT APPLICATION l�NG� 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:3318 177TH PL NE Project Description:INSTALL DUCTLESS HEAT PUMP Owner: EUGENE PIERSON Address: 3318 177TH PL NE City:ARLINGTON StateWA Zip Code: 98223 Phone: 360-661-7084 Email:AMYLYN N HOBBS @COMCAST.N ET Applicant: C.M. HEATING INC Address:1415 BROADWAY City: EVERETT StatewA Zip Code: 98201 Phone: 425-259-0550 Email: DEBBIE@CMHEATING.COM CONTRACTOR INFORMATION Contractor Name:C.M. HEATING INC Address:1415 BROADWAY City: EVERETT State WA Zip Code: 98201 License Number:CMHEAI*095R4 Expiration: 05/19 Phone:425-259-0550 Email:DEBBIE@CMHEATING.COM STAFF USE ON L Received Permit#: b Accepted : / Date: JUL 18 2017 P Y 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 [k Furnace (80+) Model # AFUE [� Heat Pump Model #4MXS36NMVJU AFUE HSPE ❑ AC Unit Model # SEER ❑ Freestanding Stove ID Fire Place Insert ❑ Outdoor BBQ ❑ Gas Piping ❑ Solid-Fuel Appliance CJI Other Gas Piping Information Not Applicable: Qi 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 �oU�otafi.a�acu�:1 Applicant Signature: Date: 07/18/2017 Applicant Printed Name: Deborah Bauers 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 r *JDAIKIN Submittal Data Sheet 4 PORT HP,DUCTLESS OD 3 TON 4MXS36NMVJU FEATURES Up to 18.9 SEER/Up to 12.7 EER/Up to 12.5 HSPF + High-efficiency inverter driven swing compressor + Low ambient cooling to 5°F/-4°F with optional drain pan heater + Specialized drain pan design for improved cold climate drainage BENEFITS , + 12 Year limited parts warranty with online registration _ + 5 Year limited parts warranty for commercial applications + High efficiency cooling and heating operation provides utility bill savings + Multiple indoor unit style options: wall mounted,floor standing,ceiling cassette,slim duct -- + May qualify for regional utility rebates and incentives = - + Compatible with optional Daikin ENV Wi-Fi capable Smart Control r MEN 7• Received JUL 18 2017 Daikin North America LLC,5151 San Felipe,Suite 500,Houston,TX,77055 Daikin City Generated Submittal Data :iet daikinac,ram.vmAv daiFfncnmrnr•.cnm (Daikin's products are subject to continuous improvements.Daikin reserves the right to modify product design,specifications and information in this data sheet without notice and without incurring any obligations) Page 1 of 3 Submittal Data Sheet 4 PORT HP,DUCTLESS OD 3 TON 4MXS36NMVJU PERFORMANCE Outdoor Unit Model No. 4MXS36NMVJU Outdoor Unit Name: 4 PORT HP,DUCTLESS OD 3 TON Type: Heat Pump Rated Cooling Conditions: Indoor(RF DB/DB):80/67 Ambient ff DBM/B):/ Rated Coaling Capacity(Btu/hr): 36,000 Rated Heating Conditions: Indoor(°F DB/WB):/ Ambient(RF DBM/B):/ Max/Min Cooling Capacity(Btu/hr): 38,000/ Rated Piping Length(ft): 25 Cooling Input Power(kW): Rated Height Difference(ft): 49.00 Rated Heatiny Capauly(Blu/hr): 3G,000 SEER(Non Ducted/Ducted): 17.70/14.00 Max/Min Heating Capacity(Btu/hr): 43,000/ HSPF(Non-Ducted/Ducted): 12.2/8.2 Heating Input Power(kW): Heating COP(Non-Ducted/Ducted): 4.5/3.5 OUTDOOR UNIT DETAILS Power Supply(V/Hz/Ph): 208-230/60/1 Compressor Type: Inverter Power Supply Connections: L1,L2,Ground Capacity Control Range Min.Circuit Amps MCA(A): 19.75 Airflow Rate(H)(CFM): 2.613 Max Overcurrent Protection(MOP)(A): 20.00 Gas Pipe Connection(inch): 1/2 Max Starting Current MSC(A): 17.50 Liquid Pipe Connection(inch): 1/4 Rated Load Amps RLA(A): 17.5 Sound Pressure(H)(dBA): 54 Dimensions(HxWxD)(in): 29 x 34-1/4 x 12-5/8 Sound Power Level(dBA): Net Weight(lb): 139 Daikin North America LLC,5151 San Felipe,Suite 500,Houston,TX,77056 Daikin City Generated Submittal Data •:aik:nac com rnv:r dwkmcomtan cnm (Daikin's products are subject to continuous improvements.Daikin reserves the right to modify product design,specifications and information in this data sheet without notice and without incumng any obligations) Page 2 of 3 "DAIKIN Submittal Data Sheet 4 PORT HP,DUCTLESS OD 3 TON 4MXS36NMVJU SYSTEM DETAILS Refrigerant Type: R-41 OA Cooling Operation Range(OF DB): 14-115 Holding Refrigerant Charge(lbs): 6.2 Heating Operation Range(°F WB): 5-72 Additional Charge(lb/ft): 0.01 Max.Pipe Length(Vertical)(ft): Pre-charge Piping(Length)(ft): Cooling Range w/Baffle ff DB): - Max.Pipe Length(Total)(ft): 230 Heating Range w/Baffle ff WB): - Max Height Separation(Ind to Ind ft): 49 DIMENSIONAL DRAWING HANDLE W16 tal 34-114(670 3-9/18180) WIRING 114(71 12-5181320) 1.3016001 INTERCONNECTING PIPING OUTDOOR AIR THERMISTOR r BfLAND NAME PLATE LlMANUFACTURERS LABEL S tR a e e � N N 1 4-HOLES FOR FOUNDATION BOLTS (M60R M10) 23-5/810001 <ROO_ 4n5rt6(125) ta•1213661 — 3•vt6(78) _ b PE WNIMUM SPACE FOR AIR MSSArtE (o38Ip9.5)SINGLE UNION) PIP WALL HEIGHT ON AIR OUTLET SID�LESS THAN 1200 h _ y (IIOLND 01141664)SINGLE UNION) - ...• o <ROOMB> tiati9l�aa� I 20.11/161526) (LKKADPPESINGLE UNION) IFS o DRAM OUTLET (0/14(p64)SINGLE UNION) IlDOS6pjI�S9I HDSE F011 L'ONNECTKNI <ROOM C> (01/21pp0PP72.7)SINGLE UNION) �7{1-iL-1-15I1_6(SO) -7 1-t6110 60 SG S 0 (ola4 F06P 11SINGLE UNION) «q <ROOM D> _ GAS PIPE U(08(po015 0)SINGLE UNION) 8 (o1�alla6.+1 SINGLE UNION) c 8 m [LIQUID 1/4 4 2.8r18 G6 A GAS 12 12-7 3•5116_f8411 M � e. N D `" � 1n SERVICE PORT STOP VALVE C:3D093199 IN CASE OF REMOVING STOP VALVE I-IV16(43 111/6 18) COVER AND TERMINAL STRIP COVER Daikin North America LLC,5151 San Felipe,Suite 500,Houston,TX,77056 Daikin City Generated Submittal Data +wnV dalk�nac.cOm 1vww.dmklncmnfort.com (Daikin's products are subject to continuous improvements.Daikin reserves the right to modify product design,specifications and information in this data sheet without notice and without incurring any obligations) Page 3 of 3 .M„ • � 7/18/2017 C M HEATING INC [Ionic [ispanol Contact SearchL&I \-7lwice [[rlp My U.[ Safety& Health Claims& Insurance Workplace Rights Trades& Licensing Aft Washington State Department of `j Labor & Industries C M HEATING INC Owner or tradesperson 1415 BROADWAY EVERETT,WA 98201 Principals 425-259-0550 GARNER,JAMES NICHOLAS,PRESIDENT SNOHOMISH County GARNER,JAMES NICHOLAS,VICE PRESIDENT GARNER,KATHLEEN DIANE,SECRETARY GARNER,KATHLEEN DIANE,TREASURER GARNER,JAMES NICHOLAS,AGENT SMITH,PAMELA (End:01/01/1980) GARNER,PAUL MILTON,PRESIDENT (End:10/01/2012) Doing business as C M HEATING INC WA UBI No. Business type 601 114 652 Corporation Governing persons JAMES GARNER PAUL M GARNER; KATHLEEN GARNER; 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. CMHEAI"095R4 Effective—expiration 12/24/1991—05/03/2019 Bond CBIC $12,000.00 Bond account no. 655840 Received by L&I Effective date 04/24/2002 12/01/2001 Expiration date Until Canceled Insurance Ohio Security Ins Co $1,000,000.00 Help us improve Policy no. hitps://secure.ini.wa.gov/verify/Detaii.aspx?UBI=601114652&LIC=CMHEAI*095R4&SAW= 1/3 7/18/2017 C M HEATING INC BKS55127154 Received by L&I Effective date 04/20/2017 05/03/2016 Expiration date 05/03/2018 Insurance history 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 Infraction no. PBATI01045 Satisfied Issue date RCW/WAC 05/16/2014 18.106.020 Violation city Violation amount MOUNTLAKE TERRACE $250.00 Type of violation PLUMBER INFRACTION Description Contractor employed a person to engage in the trade of pluiribing wilbuut a current journeyman,specialty or trainee certificate, temporary permit or medical gas endorsement as required.C M Heating employed Thomas Andrew Holden to perform plumbing installation work;Installed a new gas water heater,when not certified as a plumber as required. Workers' comp Do you know if the business has employees?If so,verify the business is up-to-date on workers'comp premiums. L&I Account ID Account is current. 490,794-01 Doing business as CHIMNEY MASTERS Estimated workers reported Quarter 1 of Year 2017"31 to 50 Workers" L&I account contact T2/MATT PEDERSEN(360)902-5476-Email:PEDM235@lni.wa.gov Public Works Strikes and Debarments Verify the contractor is eligible to perform work on public works projects. 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 and health Check for any past safety and health violations found on jobsites this business was responsible for. Inspection results date 0 3/1 612 01 5 No violations Inspection no. 317935327 Location 1415 Broadway Everett,WA 98201 Hell) us improve https://secure.ini.wa.gov/verify/Detail.aspx?UBI=601114652&LIC=CMHEAI"095R4&SAW= 2/3 7/18/2017 C M HEATING INC Inspection results date 0 Violations 8/01/2011 Inspection no. 315054981 Location 912 Rucker Everett,WA 98201 ©Washington State Dept.of Labor&Industries.Use of this site is subject to the laws of the state of Washington. Help us improve https://secure.ini.wa.gov/verify/Detaii.aspx?UBI=601114652&LIC=CMHEAI*095R4&SAW= 3/3 i Permit#: 1559 Permit Date: 07/18/17 Permit Type: RESIDENTIAL MECHANICAL Project Nam a Pierson Applicant Nam a CM Heating Applicant Address: 1415 Broadway Applicant, City, State, Zip: Everett,WA98201 Contact: Deborah Bauers Phone: 425-259-0550 Em al: debbie@cm heating.com Scope of Work: Install Ductless Heat Pum p Valuation: 0.00 Square Feet: 0 Num ber of Stories: 0 Construction Type: O xupancy G ioup: ID Code: Permit Issued: 07/20/2017 Permit Expires: Form Permit Type: Status: LASERFICHE Assigned To: Kristin Foster Property Parcel# Address L egal Description O wner Nam e Caner Phone Zoning 00621300009600 3 318 177TH PL NE H OBBS PAUL R 111 Single Fam iy Residence-Detached Contractors Contractor P rim ay Contact P hone A ddress C ontractor Type L icense License# CM HEATING INC 4 25-259-0550 1500 INDUSTRY CONSTRUCTION Plum flng CMHEAHL750LP ST STE 200 CONTRACTOR Contractor CM HEATING INC 4 25-259-0550 1500 INDUSTRY CONSTRUCTION Construction CMHEAHL751 W ST STE 200 CONTRACTOR Contractor CM HEATING INC 4 25-259-0550 1500 INDUSTRY CONSTRUCTION UBI 6 05890285 ST STE 200 CONTRACTOR Inspections Date I nspection Type D escription S cheduled Date C om lieted Date I nspector S tatus C10. 08/04/2017 MECHANICAL 08/04/2017 B UILDING A pproved ROUGH-IN R00.HEAT PUMP/ Heat pum pnot secured both Partial 08/01/2017 AC UNIT FINAL sides,seal piping conduit 08/01/2017 B UILDING Approval exterior at bottom Fees Fee D escription N otes A m wnt Heat Pum pUeat Exchangers $25.00 Mechanical Base P erm i Fee $25.00 Processing/Technology $25.00 Total $75.00 Attached Letters Date Letter D escription 07/18/2017 Building Perm i Paym sits Date Paid By D escription P aym art Type A ccepted By A m cunt 07/19/2017 Debbie Bauers 6 5589055 c c $75.00 O ttstanding Balance $0.00 Uploaded Files Date File Nam e 07/20/2017 2463520-1559 Issued Perm i.pdf 07/18/2017 2456821-1559 Specs.pdf 07/18/2017 2456822-1559 Application.pdf