HomeMy WebLinkAbout17616 TOPPER CRT_BLD20120268_2026 j+30
BUILDING INSPECTION REPORT
G1T Y o� Permit No. /;--6 Zoo
Address: l coev�"
9�Ll1YGtp Contractor:
Owner: O/(/
Date: �/ X /Z
APPROVAL ® PARTIAL APPROVAL
® VIOLATION CORRECTION REQUEST
Corrections listed below MUST BE MADE before work can be approved
Please contact inspector
Was not able to perform inspection
Call 360-435-0674 FOR RE-INSPECTION by 5:00 pm the day before
Inspector: YD Date:
® Under-floor ® Framing ® Gas Piping
® Footing ® Drywall, nailing ® Consultation
® Foundation ®Shear Nailing ® Groundwork
%Mechanical ®Grid ® Struct. Slab
® Wood Stove ® Rough-in ® Final
® Masonry ® Drainage ® Insulation
® Other:
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CITY OFARLINGTON
\�• 238 N.OLYMPIC AVE.-ARLINGTON,WPC 98223
PHONE:(360)403-3551
BUILDING PCRMIt__r_" -
Address:17616 TOPPER Cr,ARLINGTON Permit#:BLD20120268
Parcel#:00870600008500 Valuation:$7,000.00
OWNE - ___JWAPPLICA CONTRACTOR
BRIAN B&TINA L ANDERSON Evergreen State Heat&AC Evergreen State Heat&AC
17616 TOPPER CRT Mark Payne Mark Payne
ARLINGTON,WA 98223-6392 2120 Pacific Avenue 2120 Pacific Avenue
Everett,WA 98201 Everett,WA 98201
Lic#:evergss022ot Exp: 10/10/13
PLUMBING CONTRACTOR MECHAMCAL CONTRACTOR - - -
Evergreen State Heat&AC
Mark Payne
2120 Pacific Avenue
Everett,WA 98201
Lic#: Exp: Lic#: evergss022ot Exp: 10/10/13
JOB DESCRIPTION
Install Heat Pump
PERMIT TYPE: Residential PERMIT GROUP: Mechanical/Solar
STORIES: 0 CONST TYPE:
DWELLING UNITS: 1 OCC GROUP:
CODE: OCC LOAD:
P RM]I T 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 Arlington must be reported on your sales tax return
form and coded City of Arlington#3101.
NvU L v
Signat a Print Name Date Released By e
ARCHIVE APPLICANT ASSESSOR OTC
BLD20120268
CONDMONS
THIS PERMIT AUTHORIPUBLIC ONLY ((RK CURBS SIDEWALKS,TED THIS DRIVEWAYS,MARQUMIT COVERS WORK EES,ETC BE .)WILL REQUIRE SEPARATEE ON PRIVATE PERTY ONLY.ANY PERMISSION.PERMISSION.ONSTRUCTION ON THE
Heat pump on solid pad 3-inches minimumabove grade
• Disconnect switch required at eMerior
• Insulate supply coils
• Seismic brace heat pump
PFM,NIT FEES
Fee Amount Paid Balance Due
Dale Description FO.UO '>75.00
I0?1/12 Mechanical Permit Fee $75.00
Total Due: $75.00 $0.00 $75.00
CALL FOR INSPWn0NS
BULLDING/F�NGINr'EMC✓PARKS/UI7I.ITIFS/FINAL(360)435-0674
FIRE(360)403-3607
When calling for an inspection please leave the following information: Permit Number,Job Site Address,Type of Inspection being
requested,Contact Name audPhone Number,Date Prefereed,andwhether you prefer morning or afternoon.
None
Oct 31 2012 2: 03PM EY;- REEK STATE HEAT tn dasI
CM 4F ALING70N
BUILDING DEPARTMENT
TXWE° AP P R p
General DATE ! /� BY
NO CHANGES AUTHORIZED
�a}ems UNLESS APPROVED BY THE
•G1l BUIiLDING INSPECTOR
PRODUCT SP15CIFICATIONS (1)
MODEL TOD28060A9VSVA TOD20000A9V3VA _
TYPE Dovm(b_w/Horizonlal DoWNbWI Hafizonfal
RATINGS @
1st Stage Input 8TUH 39,000 521000
isl Stage Capacity BTUH(I05) O 31,200 41,600
2nd Stage Input 8TUH 60,000 80.000
2nd Stage Capadly BTUH(0) O 48,000 63,000
AFUE(ICS) 60.0 80.0
Temp,rlse(Min,Max)'F. 35.65 35-65
BLOWER DRIVE Direct Direct
Dlameler-Width(in.) 100 7 10 x 7
No.Used 1 1
Speeds(No.) Variable Variable
CFMvsAn.W.g. Sea AlrkwTable SeeAirflowTable
Motor HP 1/2 1/2
R.P.M. Variable Variable
Volts/Ph 1 Hz 11511l60 115/1160
COMBUSTION FAN•Type Centrifugal Cenldflrgal
Drive-No.Speeds Deed-2 Direct-2
Motor HP-RPM 1/50.3000 1150-3000
Vohs/Ph/Hz 115/1160 115/1160
FLA 110 1.0
FILTER—Fumished? Yes Yes
Type Recommended Hlgh Veloaly NO Veiodty
HI Vol.(No;Size-Thk.) 2.14 x 20-1 in. 2-14 x 20-1 in.
VENT—Size(in.) 4 Round 4 Round
HEAT EXCHANGER
Type-Fired Alum,Steel-'type 1 Alum.Steel-Type 1
-Unfired
Gauge(Fired) 20 20
ORIFICES—Maln
Nat.Gas,01y.—Doll Size 3—45 4—45
LP.Gas Oly.—Drill Size 3—56 4—56
GAS VALVE Redundant-Two Stage Redundant-Two Stage
PILOT SAFETY DEVICE
TO Hot Surface Ignition Hot Surface Ignition
BURNERS—Type Multipod Inshol Molliporl Inshot
Number 3 4
POWER CONN.—VIPh/Hx O 11511160 11511mo
Ampacily On Amps) 10.6 10.5
Max.Overcurrent Protection Am 15 15
PIPE CONN.SIZE IN, 112 112
DIMENSIONS H x W x D H x W x D
Craled In. 41-3/4 x 18-1/2 x 30-1/2 41.8/4 x 19d P2 x*12
WEIGHT
Sh i (Lbs.)/Net(Lbs) 140/120 140/iS5
@Central Fumace hoaling designs are cerlitled by AGA and CSA.
@For U.S.applications,above input ralingS(BTUH)are up to 2,000 feel,derale 4%per 1,000 feet for elevations above 2,000 feet above sea level.For Canadian
applicaltons,above Input ratings(BTUH)are up to 4,500 feet,derale 4%per 1.000 foot for elevations above 4,500 feel above sea level.
@ eased on US.govemmenl standard tests,
OThe above vbring spodflcatlons are in accordance wilh National Eiactdcal Coda;however,imIallaiions must"ly with local codas. RECEIVED
OCT 31 2012
COA Engineering Dept.
g Pub.No.22-1673-0?
YIT.!
Oct 31 2012 2:03PM EV;�GREEN STATE HEAT & AC No 4053 P. 1
RESIDENTIAL MECHANICAL
PERMIT APPLICATION
Department of Community DevelopmoW
City of Arlington-230.N 01ytnpic AVO.-Allington,WA 08223•Phone(360)403 3551 -FAX(360)403 3418
THISAPPI.ICATION MUST BRACCOMPANIFD By Two(2)SErs 01=CONSTRUCTION DRAWINGS, -two(2)sas
OF SPI;CIFICAVOR SHEEM AND TWO(2)SETS OF WASHINOrON STATE ENERGY CODE(if opplloable).
Project Valuatlon; pOD
Project. ddress: 2W .Pal'cel ID#: af,�M F
Lot ilk. sub dNi6lon: ---
Project Description: ZA&ZAZL 4'w" (?",o
Owner: DPA&) ANJDA�W Phone Number;
Address: .. u& `to pm L'T City: State:_ Zip Code:
Contact Person: l�i PAS _ _Phona Humber:J� r
Cell pbone:(�4-��� `�f 1�✓i Fax: Zfi L1 F.mall" M A
Address: 74 2 P tG(FcL R�uG City: ixVrs 1 TC —State, WA Zip Code: lot_
Please List quantity of fixtures below:
FURNACE UP TO 100K BTU 0LOTfj2S DRYER OAS OUTLETS
FURNACE OVER 400K FLOOR FURNACE SUSPENDED HTRlUNIT IiTR
BOILER UP TO 3 HP APPLIANCE REPAIR SOLID-FUEL APPLIANCE
BOILER UP TO4-1E HP AIR HANDLING UP To 10K CFM � FIREPLACE INSERT
BOILER UP TO 10•30 HP AIFUHANDLING OVER 101E CFM VENTILATION SYSTEM
}1EAT PUMP VENTILATION FANS OTHER
VENT HOOD DOMESTIC INCINERATOR
ALL OTHER UNIT8 FREE8TANDING$TONE
Contractor: CcU1 1Z((Lt�27� %Alf t4W i a/G Phone Number:
Zt2Q PAcAr�C. AvE t_,Urmy 9$_701
Address: City: r w-State; -- --— Zip Dade:
Contractor's License Number: y t'�� 6 2 2c2T Explrallon: �J G v W l
I hereby cartlfy that the above Information Is oorrect and ihat the construcllon on, and the occupancy and the use of the -above-
described property Wit be In accordance VAIN the taws,rules and regulation of the 81ate of Waahinglon.
( ,()oy to 2.4,(-
ants Signature Date RECEIVED;
Y`tit�ttil� OCT 31 2012
Prtnf pplIcants Name
COA Engineering Dept.
ff FOR STAFF USE ONLY
Pew tltA AcWp(sd AmounlReceived Recalptit pate f ooetved
2010 CJY
Oct 31 2012 2:03PM EVPRGREEN STATE HEAT & k, --i No'. 4053 P. 2
r.41I 1E g 4TWX5036-SUB-103.00
TAGY
3 Ton Split System
NOTE:All dimensions are in mm/inches. Heat Pump -- 1 Phase
4TWX5036A
Product Specifications
_OUTDOOR UNIT 00 4TWX5038A1000A
POWFR CONNS. V/PH/HZ 0 20W30/1160
MIN.BRCN.CIR.AMPACITY 22
BR.CIR. MAX,(AMPS) 95
PROT.RTG.) MIN.(AMPS) 30
7[EYI(C PA\(L--� COMPRESSOR GLIMATUFF°- SCROLL
h(crEl(u A96 KralacEur NO.USED-NO.SPEEDS
PEEN VRETACATILIM MEN. VOLTS/PH/HZ 206/230/1160
R.L.AMPS 0-L.R.AMPS 15A-63
FACTORY INSTALLED
START COMPONENTS O NO
INSULATIOWSOUND BLANKET YES
-a Uru•D0[S(UrS61W COMPRESSOR HEAT YES
611[T 3 f erlr,AH L\6e16 EE OUTDOOR FAN PROPELLER
eT ICLLT]6a r 11.1 f 4 T lac ALL
aaEprrorls s.taog6[u a rb)l6(e• DIA.(IN.)-NO.USFO 2716-1
oleca p ala 3 trvt1171p e,
TYPE DPIIVE-NO,SPEEDS DIRECT-1
GFM 0 0.0 IN,W-G•O 3420
NO,MOTORS-HP 1-1/8
MOTOR 81" I=D HP.M, 9s0
VOLTS/PH/HZ 20012,011/60
F.L.AMPS 2.8
OUTDOOR COIL---TYPE SPINE FIN`
K ROWS-FP.L 1-24
rICCYe1Srl.f(nrT( FACE AREA(SQ.FT.) 27.86
TUBE SIZE(IN.) 318
A REFRIGERANT CONTROL EXPANSIONVALVF _
is Irt _ REFRIGERANT
LBS. R-410(O,D.UNIT)0 8 LIBS--3 OZ.
n.ata:al 9 FACTORY SUPPLIED YES
f' LINE SIZE-IN,O.D.GAS 0 3/4
a.l tl-rral 2E3 1 KE./• P'' LINE SIZE-IN.O.D.LIQ.0 3/8
wf 0IA,aal[1\l6 edrra rove("raT _ CHARGING SPECIFICATION
lfwl6 LINE 3146E •1 SUBGOOLING 10eF
TAlrr•£ I.D.r E M
6WE Eou[(flr'Ai�a F t)IMFNSIONS H X W X D
rrES;ei('tyr ilLL7E CRATED(IN.) _ 53.4 x 95.1 x 98.7
J FIR I WEIGHT
4 ii0.M A 111111r[n SHIPPING(LBS.) 316
NETS 260
L d6aWM0aANSomVievy RutPwmE4repmentroVictdnProgrem,
ralrf.4 1 0.rau c lurto conrcrlw nhlgl k t>"on AN 01rwlvd 2(IA+110.
rr 6 rrr•sr1 iw(m&SOiE p Piled ie aoomdtnoe ath AN 9a;1*1 270.
ru nln\D.
0 Mxrlsiad in wwaoca WN NCO,Om Codo&Use w4 kACR drag 6reWyt 6t Rua.
0 Sterdud Alt—uy Coo—oiddw
W This Y&A AW6:i mEle.For more predae vaw 6W anT nrwlaw
rdlder lm 0 MIX 9N 60 k'rAp.aA-Sudkn 60(L;IAau to-UqW 60 fL
From Dwg.21 D 152MS Rev.14 For eraser length consult refdgerArd p pn RwsQ so a PuO.No..2s312ok ra� Y 1.V
('danotea la:wt rlrarAat►. IeFo>I 0 Tree I31LH Nihon lot OomPMW RtA on die uriA nsmepWe and an 0as
MOVELB I WEI FIO,I A 1 0 1 C 1 D Q I P I G I H I J IK used to ca'nWe rJelmwn Gandy Grail er oly and mx f u Wo.N r96Ae F'I,D�I,��t�(k N
7207 y4B r170 1G2 BO 219 00 730 &Anoh thlul64111 r1(anent. 1,���
41wx5036A 4 I 49-WO 0014 34.114 314 Ma B5r6 33a 2&W4 0 r*oeetcanl Yes—glddraurtMtcomp-nl&PTCr!ROta 012
COA Engineering Dept,
IptqA-wet hted Sound Power Level [dS(A)] C`�' �2Oiz,�p�
MODEL SOUND POWER A-WEIGHTED FULL OCTAVE SOUND POWER LEV1=L dB-(da(A)]
LEVEL d6 A
63 125 250 500 1 1000 1 2000 1 4000 1 8000
4TWX5036A1 71 47.5 55A 58.8 65 1 65.5 1 61.9 1 58.6 1 47.8
0 2007 American Standard Inc. All Rights Reserved
. .• � t. aw'•y � �
%-WILIMwisvi iiaucspeupie rnnLerrrienaiyrage Page 1 of1
General/Specialty Contractor
A business registered as a construction contractor with Lfxl to perform construction work within the scope of
its specialty.A General or Specialty construction Contractor must maintain a surety bond or assignment of
account and carry general liability insurance.
Business and Licensing Information
Name EVERGREEN STATE SHEET MTL INC UBI No. 601724357
Phone 4252523114 Status Active
Address 2120 Pacific Ave License No. EVERGSS0220T
Suite/Apt. License Type Construction Contractor
City Everett Effective Date 9/30/1998
State WA Expiration Date 10/10/2013
Zip 98201 Suspend Date
County Snohomish Specialty 1 General
Business Type Corporation Specialty 2 Unused
Parent Company
Business Owner Information
Name Role Effective Date Expiration Date
KIMBALL, RUSSELL D President 09/30/1998
KIMBALL, PAM Vice President 09/30/1998
Bond Information
Bond Bond Company Name Bond Account Number Effective Date Expiration Date Cancel Date Impaired Date Bond Amount(Received Date
5 NORTH AMERICAN 2136566 03/12/2011 Until Cancelled
SPEC INS CO $12,000.0001/12/2011
4 INS CO OF THE WEST 2187938 03/12/2007 Until Cancelled 03/12/2011 $12,000.0003/19/2007
3 TRAVELERS CAS Et 206877768 10/08/2001 Until Cancelled 03/12/2007 $12,000.0010/10/2001
SURETY CO
Assignment of Savings Information No records found for the previous 6 year period
Insurance Information
(Insurance Company Name Polic Number Effective Date Expiration Date Cancel Date Impaired DateI Amount Received Date
13 American Fire BKA55253206 09/30/2012 09/30/2013
&Casualty Co $1,000,000.0009/26/2012
12 CONTINENTAL CWP2646730 09/30/2006 09/30/2013 $1,000,000.0009/25/2012
WESTERN INS
Summons/Complaint Information No unsatisfied complaints on file within prior 6 year period
Warrant Information No unsatisfied warrants on file within prior 6 year period
Infractions/Citations Information
Infracti /Citation Date RCW Code Type
on Status Violation Amount
PBATIO0650 17/27/2010 118.106.020 IPLUMBER INFRACTION Satisfied I S250.001
RECEIVED
OCT 31 2012
COA Engineering Dept.
https:Hfortress.wa.gov/lni/bbip/Print.aspx 10/31/2012
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Page 1 of 1
BUILDING PERMIT PERMIT M BLD20120268
OWNER:ANDERSON, BRIAN B&TINA L
ADDRESS: 17616 TOPPER CT,ARLINGTON STATUS:APPLIED
ISSUED:
BALANCE: $50.00
CREATED: 10/30/2012
SCREENS: Select Screen... - FUNCTIONS: Select Permit Function...
MECHANICAUSOLAR
REVIEWS PRINT ADD NEW SUMMARY
COIMM.. I ID DESCRIPTION ASSIGNE.. I DUE a., I LAST (#) REQ? Da.. ASSIGN REMOVE
1002 P-Engineering I LPETERS... 111212, 0 Y N u (11
2000 C-Building I CYOUNG 11/2/2. 0 Y N
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https://coapermits.arlington.local/PermitTrax/Module_Permits/Permits_Permit/Permit Re... 10/31/2012
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