HomeMy WebLinkAbout18406 E Country Club Dr_BLD40_2026 RESIDENTIAL MECHANICAL
qW PERMIT APPLICATION
Department of Community Development
City of Arlington • 238 N Olympic Ave. •Arlington, WA 98223• Phone(360)403 3551 • FAX (360)403 3418
THIS APPLICATION MUST BE ACCOMPANIED BY TWO(2)SETS OF CONSTRUCTION DRAWINGS, TWO(2)SETS
OF SPECIFICATION SHEETS ANDTWO(2)SETS OF WASHINGTON STATE ENERGY CODE(if applicable).
Project Valuation: IR \ "'
Project Address:
Lot#: Subdivision:
Project Description:
Owner: —Phone Number: L__
ti
Address: City: _State: Zip Code:
Contact Person: ( �( 1'11,4/11A _Phone Number: L
Cell Phone: Fax: E-mail:
Address: City: —State: Zip Code:
Please List quantity of fixtures below:
FURNACE UP TO 100K BTU CLOTHES DRYER GAS OUTLETS
FURNACE OVER 100K FLOOR FURNACE SUSPENDED HTR/UNIT HTR
BOILER UP TO 3 HP APPLIANCE REPAIR SOLID-FUEL APPLIANCE
BOILER UP TO 4-15 HP AIR HANDLING UP TO 10K,CFM FIREPLACE INSERT
BOILER UP TO 16-30 HP AIR HANDLING OVER 10K CFM VENTILATION SYSTEM
HEAT PUMP VENTILATION FANS OTHER
VENT HOOD DOMESTIC INCINERATOF
ALL OTHER UNITS FREESTANDING STOVE r^�
Contractor: Phone Number: 1l Cko
Address: v� ' ` City- �_—State:`ff)R Z'p Code:
Contractor's License Number. '� A�A —a xpiration:
I hereby certify that the above information is correct and that the construct,00 on, and the occupancy and the use of the above-
sc bed property will be in accordance with the laws, rules and regulation of thF State of Washington.
Applicants ignature Date
Print Applicants Name
FOR STAFF USE ONLY
Permit# Accepted By Amount Received Receipt# Date Received
2010 CJY
SPECIFICATIONS
Gas
Heating Model No. EL280DF07OP36A EL28ODF09OP48B EL28ODF11OP60C
Performance 'AFUE 80% _ 80% 80%
High Input-Btuh 66,000 88,000
Fire _ 110,000
Output-Btuh 52,000 _ 69,000 87,000
Temperature rise range-"F 30-60 _ 35-65 40-70
Gas Manifold Pressure(in.w.g.) 3.5/10.0 3.5/10.0 3.5/10.0
Nat.Gas/LPG/Propane
Low Input-Btuh 43,000 57,000 72,000
Fire
Output-Btuh 35,000 46,000 59,000
Temperature rise range-°F 20-50 20-50 25-55
Gas Manifold Pressure(in.w.g.) 1.7/4.9 1 7/4 9 1 7/4 9
Nat.Gas/LPG/Propane
High static-in.w.g. Heating 0.5 0.5 0.5
Cooling 0.5 0.5 0.5
Connections Flue connection-in. round 4 4 4
in. Gas pipe size IPS 1/2 1/2
1/2
Indoor Wheel nominal diameter x width-in. 10 x 8 10 x 10 11-1/2 x 10
Blower Motor output-hp 1/3 1/2 1
Tons of add-on cooling 2-3.5 3-4 4-5
Air Volume Range-cfm 717-1562 917-1929 1517-2760
Electrical Voltage 120 volts-60 hertz-1 phase
Data Blower motor full load amps 6.1 8.2 11.5
Maximum overcurrent protection 15 15 15
Shipping Data lbs.-1 package 128 140 160
NOTE-Filters and provisions for mounting are not furnished and must be field provided.
Annual Fuel Utilization Efficiency based on DOE test procedures and according to FTC labeling regulations.Isolated combustion system rating for non-weatherized
furnaces.
OPTIONAL ACCESSORIES - ORDER SEPARATELY
.A„Width _ I „B„Width I „C"Width
Models Models Models
CABINET ACCES'SORICS
Downflow Combustible Flooring Base I 11M69 I 11M60 11M61
PowNFLOW FIFER KITS
Downflow Filter Kit 61W06 61W07 61W08
No.and Size of filter-in. (1)20 x 20 x 1 (2) 16 x 20 x 1 (2) 16 x 20 x 1
SERVICE KITS
Night Service Kit 84W46 84W46 84W46
Universal Service Kit-Switches 89W19 89W19 89W19
EL28ODF/Page 5
Permit#: 40
Permit Date: 03/18/13
Permit Type: RESIDENTIAL MECHANICAL
Project Name: Alan Goldberg
Applicant Name:
Applicant Address:
Applicant, City, State, Zip:
Contact:
Phone: 360-435-2407
Email:
Scope of Work:
Valuation: 1900.00
Square Feet: 0
Number of Stories: 0
Construction Type:
Occupancy Group:
ID Code:
Permit Issued: 03/22/2013
Permit Expires:
Form Permit Type:
Status: COMPLETE
Assigned To:
Property
Parcel# Address Legal Description Owner Name Owner Phone Zoning
00832900005800 18406 E COUNTRY CLUB GOLDBERG ALAN 111 Single Family
DR D&SHERYL K Residence-Detached
Contractors
Contractor Primary Contact Phone Address Contractor Type License License#
Brennan Heating Jaimie How 206-248-7900 4601 S 134TH PL MECHANICAL COA 602 346 866
CONTRACTOR
Brennan Heating Jaimie How 206-248-7900 4601 S 134TH PL MECHANICAL Labor and BRENNHA971R9
CONTRACTOR Industries
Inspections
Date Inspection Type Description Scheduled Date Completed Date Inspector Status
C10. L&I inspection on 3/18/13.
03/29/2013 MECHANICAL 03/29/2013 03/29/2013 z.Christopher Young Approved
ROUGH-IN Furnace installed per specs.
Plan Reviews
Date Review Type Description Assigned To Review Status
03/18/2013 RESIDENTIAL OK to issue z.Christopher Young
MECHANICAL
Fees
Fee Description Notes Amount
Forced Air Heat fee per Btu $50.00
Total $50.00
Attached Letters
Date Letter Description
03/22/2013 Building Permit
Payments
Date Paid By Description Payment Type Accepted By Amount
03/22/2013 Brennan Heating Goldberg Mechanical Credit $50.00
Permit
Outstanding Balance $0.00
Uploaded Files
Date File Name
03/18/2013 Country Club Application.pdf