HomeMy WebLinkAbout17824 OXFORD DR_BLD20130010_2026 I
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BUILDING INSPECTION REPORT
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Permit No. ------------
Address:Contractor:
Owner. n j
Date: —
(� APPROVAL -
®
VIOLATION PARTIAL APPROVAL -
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:
Date:
® Under-floor ® Framin
® Footing g ® Gas Piping
® Foundation ®Drywall, nailing ® Consultation
®Shear Nailing
® Mechanical ® Groundwork
® Wood Stove ®Grid ® Struct. Slab
® Masonry ® Rough-in q Final-14 V f7
CT Other:
®Drainage ® Insulation
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BUILDING INSPECTION REPORT
G'VY pA Permit Nob,b9o0ooto
Address: `-1$ ;14 Dxfboa 6V_
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Contractor:
Owner: I' 61f_
Date: g- 9 l�
JW 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: ^ � ��� Date: � �
® Under-floor ® Framing ® Gas Piping
® Footing ® Drywall, nailing ® Consultation
® Foundation ®Shear Nailing ® Groundwork
® Mechanical ®Grid ® Struct. Slab
® Wood Stove ® Rough-in pQ Final-}j Vf T
® Masonry ®Drainage ® Insulation
® Other:
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CITY OF ARLINGTON
• 238 N.OLYMPIC AVE.-ARLINGTON,WA 98223
PHONE:(360)403-3551
V9,
178#:00893900000900 Valuation:$0.00
Mw
COME MARTINIS NORTHWEST PERMITS WASHINGTON ENERGY SERVICES
17824 OXFORD DR NAIDA KHAN 3909 196TH ST SW
ARLINGTON,WA 98223 1345 GULF RD LYNNWOOD,WA 98036
POINT ROBERTS,WA 98291
Lie#:WASHEES97IOB Exp:09/02/13
WASHINGTON�&�NE� RVICES SB -� �? �� `�+�tt� £�e��.� ,�`"'I�+��,�' y �j'�..'! +'•� .s�I .
3909 196TH ST SW
LYNNWOOD,WA 98036
Lie#.WASHIES9710B Exp:09/02/13 Lie#: Exp:
O W>WWOM MfRMN— y�` t �x!w�—'
Replace Chas Water Heater
PERMIT TYPE: Residential-Residential-Repair CODE YEAR
STORIES: 0 CONST TYPE:
DWELLING UNITS: 0 OCC GROUP:
rBUILDINGS. 0 /O�C(C LOAD:
I AGREE TO COMPLY WITH CITY AND SPATE LAWS REGULATING CONSTRUCTION AND ]N DOING THE WORK AUTHORIZED
THEREBY,NO PERSON WILL BE EMPLOYED IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON R6LAT[NG 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
CERTIF ATE OF OCCUPANCY HAS BEEN GRANTED.IBCI 10/IRCI 10.
S L X NO L Salea tax relating to construction and construction materials in the City of Arlington must be reported on your sales tax return
for c dCit of Arlington#3101.
Signature Print Name Date Re b6ld By Date
ARCHIVE APPLIiCANT ASSESSOR OTll R
BLD20130010
CONDM
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.
• None
.- - - - PmMRnis
Date Deseription Fee Amount - Paid Baliince.Due
01/16/13 Plumbing Permit Fee(QTY 1) $50.00 $0.00 $50.00
Total Due: $50.00 $0.00 $50.00
CALL FOR INS ECI7ONS
BUILDING(360)403,3417
When calling for an inspection please leave the following information: Permit Number,Type of Inspection being requested,and
wbether you prefer morning or afternoon.
. `
BUILDING INSPECTION REPORT— PLUMBING (HWT)
Permit No. 20120010
Address: 17824 Oxford Dr
Contractor: Northwest Permits
Owner: Martinis
Date: 8/9/2013
R APPROVAL ❑ PARTIAL APPROVAL
❑ CORRECTION ❑ OTHER
APPLIANCE: Installation of a gas-fire water heater in garage
LOCATION OK: 1j L&I: ❑
ROUGH-IN: A BRACING: J.
INSULATION: ❑ VENTING: B
18 INCHES OR FVIR: ON PRV 6 INCHES:
PRV SET< 210: W PRV< 150PSI: ❑
DRAIN: [ICJ" DRIP LEG: M
IMPACT PROTECTION: Di, ACCESS: W&
SHUT-OFF VALVE: 10 COMBUSTION AIR: 119
Date: 8/9/2013
.a►.
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l®r CITY OF ARLINGTON
238 N.OLYMPIC AVE.-ARLINGTON,WA.98223
PHONE:(360)403-3551
BUILDING PERMIT
Address:17824 OXFORD DR,ARLINGTON Permit#:BLD20130010
Parcel#:00893900000900 Valuation:$0.00
O W'NHI APPLICANT CONTRACTOR
CONNIE MARTINIS NORTHWEST PERMITS WASHINGTON ENERGY SERVICES
17824 OXFORD DR NAIDA KHAN 3909 196TH ST SW
ARLINGTON,WA 98223 1345 GULF RD LYNNWOOD,WA 98036
POINT ROBERTS,WA 98281
Lic#:WASHIES971OB Exp:09/02/13
(VIBING CONTRACTOR MI]CHANICAL CONTRACTOR
WASHINGTON ENERGY SERVICES
3909 196TH ST SW
LYNNWOOD,WA 98036
Lic#:WASHIES971OB Exp:09/02/13 Lic#: Exp
JOB DESCRIPTION
Replace Gas Water Heater
PERMIT TYPE: Residential-Residential-Repair CODE YEAR:
STORIES: 0 CONST TYPE:
DWELLINGUNITS: 0 OCC GROUP:
BUILDINGS: 0 OCC LOAD:
PIRMIF 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.
Signature Print Name Date Re a d By Date
ARCHIVE = APPLICANT ASSESSOR Onm
BLD20130010
CONDITIONS
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.
• None
PFRMIT FEES
Date Description Fee Amount Paid Balance Due
01/16/13 Plumbing Permit Fee(QTY.1) S50.00 $0.00 $50.00
Total Due: $50.00 $0.00 $50.00
CALL FOR INSPEI TIONS
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.
Y RESIDENTIAL PLUMBING
9� o PERMIT APPLICATION
�I1vG� Department of Community Development
City of Arlington• 238 N Olympic Ave. -Arlington,WA 98223 • Phone(360)403 3431 - FAX(360)403 3447
THIS APPLICATION TO BE USED FOR ONE AND TWO DWELLING UNITS RESIDENTIAL STRUCTURES. THIS APPLICATION
MUST BE ACCOMPANIED BY THREE(3)SETS OF CONSTRUCTION DRAWINGS, THREE(3)ACCURATE,AND FULLY
DIMENSIONED PLOT PLANS.
Type of Permit: ( ) New Residential /) Addition/Alteration
Project Address:
17824 OXFORD DR Parcel ID#: 00893900000900
Lot#: Subdivision.
Project Description. Replace 50 gallon gas water heater. Rheem model 42VR504OF
Owner: CONNIE MARTINIS Phone Number: 425-501-0739
Address: 17824 OXFORD DR city. Arlington State: WA Zip Code: 98223
Contact Person: Naida Khan Phone Number: 360-945-2787
Cell Phone: Fax: 360-945-2091 E-mail: naidaempermit.com
Address: 1345 Gulf Road City: Point Roberts State:WA Zip Code: 98281
Plumbing Contractor: Washington Energy Services Phone Number: 800-398-4663
Address: 3909 196th St SW City. Lynnwood State: WA Zip Code: 98036
Contra W A S H I E S 9 7 1 0 B Contractor's License Number: Expiration: 09/02/13
1 hereby certify that the above information is correct and that the construction on, and the occupancy and the use of the above-
described property will be in accordance with the laws, rules and regulation of the State of Washington.
Digitally signed by Naida Khan
Naida Khan IDnc„ou,emea ne daQ wperm t com,c US 1/15/2 013
Dale.2013.01.15 14 41:12-08'00'
Applicants Signature CITY OF a e
RLIJ�GTON
Naida Khan BUILDING DEPAR
Print Applicants Name /� !'� r �, , I
DATE��V ��— PyC E IVE n
0 CHANGES AUTHO
UNLESS APPROVED t3 ALI
PECERNiIT CENTER
Permit# Accepted By Amount Received Receipt# Date Received
WEB Forms—44 Page 1 of 2 5/05 dwa
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" °� RESIDENTIAL PLUMBING
9� o PERMIT APPLICATION
Department of Community Development
City of Arlington- 238 N Olympic Ave. --Arlington, WA 98223- Phone (360)403 3431 - FAX(360)403 3447
Water Supply Piping
A. Fixture Units: Number of Fixtures X Fixture Units=Total Fixture Units
B. Distance from meter to most remote outlet: feet.
C. Difference in elevation between meter and highest fixture: feet above meter or feet below meter,
D. Pressure in street main: psi. (Measure with gauge or check with Water Department)
I Number of Plumbing Fixtures (Including Rough-Ins)
l� Plumbing Accessory Main Total Fixture Total Number
Fixtures Dwelling unit Residence #X Multiplier Fixtures Units
Bar Sink X 1.0 =
Bathtub or Combination Bath/Shower X 4.0 = i
Clotheswasher X 4.0 =
Dishwasher X 1.5 =
Hose Bibb X 2.5 =
Kitchen Sink X 1.5 =
Laundry Sink X 2.0 =
Lavatory Bathroom Sink X 1.0 =
Shower Stand Alone Each Head X 2.0 =
Water Closet Toilet X 2.5 =
Whirlpool Bath or Combination Bath/Shower X 4.0 =
Water Heater
Other Gas piping-5' TOTAL
Traps other than above items FIXTURE UNITS:
hereby certify that the above information is correct and that the construction on, and the occupancy and the use of the above-
described property will be in accordance with the laws, rules and regulation of the State of Washington.
Applicants Signature Date
Naida Khan
Print Applicants Name RECEIVED
FOR STAFF USE ONLY JAN 6 2013
W(o A-e— -4e_-- COA PERMIT CENTER
Permit# Accepted By Amount Received Receipt# Date Received
WEB Forms—44 Page 2 of 2 5/05 dwa
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Residential Gas
Water Fury Water Heaters
11
The now degree of comfort:`
Fury® gas water heaters feature the Guardian
System - engineered to exceed ANSI standards
for flammable vapor ignition resistance
Efficiency Plus...
• .58- .62 EF • Easy to light-no matches required
• More hot water at a low operating cost • EverKleen"patented system fights
Performance sediment build-up
• •Brass drain valve and temperature
FHR: 50 to 90 gallons for natural gas
and pressure relief valve are included
• Recovery:30.3 to 50.5 gallons •Standard replacement parts
at a 90 degree rise,based on model
Warranty
Guardian System"&Sensor •6-Year limited tank and parts
• Exclusive air/fuel shut-off device warranty"
• Maintenance free-no filter to clean •With Protection Plus"the 6-year limited
LOW Emissions tank warranty becomes 10-year
•Eco-friend) burner, low NOx design 'See Residential Warranty Certificate for
Y 9 complete information Fury
• Meets 40 ng/J NOx requirements FLUE ANODE fl00 r
Units meet or exceed H 29, 30, 38, 40 and
ANSI requirements WATER COIo
CONNECTION I WATER
Longer Life and have been tested I CONNECTION
• Patented magnesium anode rod with according to D.O.E. MFM
1 50-Gallon Capacities
9 procedures.units meet 3A'NP,T, Up to 50,000 Btu/h
resistor protects the tank from rust or exceed the energy ' RELIEF
VALVE
Natural and LP Gas
LIEF
efficiency requirements OPENING
High Altitude Compliant of NAECA,ASHRAE _
•All models certified u standard 90,ICC code c_.
p to 6,000 ft. and all state energy {}
above sea level efficiency performance A B
D
• Some models certified up to criteria. *LEER Point
�
10,200 ft,above sea level,check
factory for listings ° ,�•
FM I
DESCRIPTION FEATURES ROUGHING IN DIMENSIONS(SHOWN IN INCHES) ENERGY INFO.
ML TO WATER
HT.TO
JE
GAS INPUTIN RECOVERYN FIRST HOUR HT.TO TANK GAS VEMCONK SIDE WATER SHP. ENERGY AVG ANNOAL71gUS BTWH GP.K 9vnisE DEL GP.K VENT HT. DIAM. CONK SIZE CNTR. T8P COIN. WL FACTOR OPER.COST
CAP. MODEL NUTASER NAT. LP NAT. LIP NAT. A S C D E F G H (I.SS) NAT. NAT.
29 22V30F 32 30 32.3 30.3 50 59.3/4 56-3/8 16.1/8 14-1/2 3 8 50-3/4 314 100 0.62 $294
40 22V40-36F1 36 - 36.4 - 67 61-1/2 58 17-3/4 14-1/2 3or4 8 53 314 120 0.59 $309
40 22V40F1 38 32 38.4 32.3 73 61-314 58.3/8 18.1/8 14.1/2 3or4 8 52.1/4 3/4 120 0.59 $309
T 38 42V40F 40 34 40.4 34.3 1 68 61-1/2 1 57.3/4 1 19-3/4 14-1/2 3or4 8 52.1/4 314 125 0.60 $304
A
L 50 42VR50-40r 40 36 40.4 36.4 63 62-114 58.3/4 23 14.1/2 3or4 8 52.1/2 3/4 165 0.62 , $294
I
50 42V50-40F 40 36 40.4 36.4 82 61.1/2 58 21-3/4 1 14-1/2 3 or 8 52-1/2 3/4 150 0.58 $315
50 42V50-50F 50 - 50.5 - 81 62 58 21.3/4 14.1/2 3or4 8 52-1/2 3/4 150 0.58 $315
30 22V30S-30F 30 - 30.3 - 50 49-314 46-1/4 19-3/4 14-1/2 3 8 40-1/4 3/4 98 0.61 $299
8 40 42VR40S-40F' 40 1 36 1 40.4 1 36.4 1 72 1 53.7/8 50-1/2 23 14-1/2 3 8 44 3/4 135 0.62 $294
0 40 1 22V40SF 36 34 1 36.4 1 34.3 1 72 1 52.3/4 49-3/8 20.1/8 14.1/2 3 8 42.3/4 1 3/4 130 0.59 $309
R 40 42V40SF 40 1 36 40.4 1 36.41 72 1 53-7/8 50.1/2 20-1/8 14.1/2 3or4 8 44 3/4 130 0.59 $309
50 42V50SF 40 1 36 40.4 1 36.4 1 84 1 54.1/4 49-3/4 22-1/4 14-1/2 3 8 44 314 158 0.59 ppRA,$309
Specify LP gas when ordering.Add"P"suffix to the model number.Example:42VR40-40PF � A:&Energy Factor and Average Annual Operating Costs based on D.O.E.(Department of Energy)test procedures,D.O.E.national average fuel rate natural gas$1.218'11 $
In keeping with its policy of continuous progress and product improvement,Rheem reserves the right to make changes without r i t 1 UZU 13
Rheem Water Heating • 101 Bell Road Rheem Canada Ltd./Ltee • 125 Edgeware Road,Unit 1
Montgomery,Alabama 36117-4305 • www.rheem.com Brampton,Ontario L6Y OP5 • wwv/.rheen1X 1
INTEGRATED HOME COMFORT
PRINTED IN U.S.A.11/12 WP FORM NO 101-6 Rev.15
CITY OF ARLINGTON
�\ 238 N.OLYMPIC AVE.-ARLINGTON,WA 98223
PHONE:(360)403-3551
PERMIT FEES/RECEIPT
DATE: Wednesday, January 16, 2013 PERMIT#:BLD20130010
PROJECT ADDRESS: 17824 OXFORD DR,ARLINGTON
LOCATION:
OWNER: CONNIE MARTINIS
17824 OXFORD DR
ARI INGTON,WA 98223
(425)501-0739
l HT,S 1A1i11ARY*
Date Description Fee Amount Paid Balance Due
01/16/13 Plumbing Permit Fee(QTY.1) $50.00 ($50.00) $0.00
Total Due: $50.00 ($50.00) $0.00
*FEES ARE ESTIMATED BASED ON INFORMATION PROVIDED AT SUBMITTAL-SUBJECT TO CHANGE
P:ALYAIEVT TRANSACTIONS: Air
DATE RECEIPT# NTMIOD P��,y_FFx-
01!16/13 RECO03082 NORTHWEST PERMITS ($50.00)
322.10.00.00 Plumbing Permit lee ($50.00)
1
" RESIDENTIAL PLUMBING
7 o PERMIT APPLICATION
lINGt Department of Community Development
City of Arlington • 238 N Olympic Ave. •Arlington, WA 98223 - Phone(360)403 3431 - FAX(360)403 3447
THIS APPLICATION TO BE USED FOR ONE AND TWO DWELLING UNITS RESIDENTIAL STRUCTURES. THIS APPLICATION
MUST BE ACCOMPANIED BY THREE(3)SETS OF CONSTRUCTION DRAWINGS, THREE(3)ACCURATE,AND FULLY
DIMENSIONED PLOT PLANS.
Type of Permit: ( ) New Residential -/)Addition/Alteration
Project Address:
17824 OXFORD DR Parcel ID#: 00893900000900
Lot#: Subdivision:
Project Description: Replace 50 gallon gas water heater. Rheem model 42VR504OF
Owner: CON N I E MARTINIS Phone Number: 425-501-0739
Address: 17824 OXFORD DR city: Arlington State: WA Zip Code: 98223
Contact Person: Naida Khan Phone Number: 360-945-2787
Cell Phone: Fax: 360-945-2091 E-mail: naida@nwpermit.com
Address: 1345 Gulf Road city. Point Roberts State:WA Zip Code: 98281
Plumbing Contractor: Washington Energy Services Phone Number: 800-398-4663
Address: 3909 196th St SW city: Lynnwood State: WA Zip Code: 98036
Contractor's License Number: W A S H I E S 9 7 1 0 B Expiration: 09/02/13
hereby certify that the above information is correct and that the construction on, and the occupancy and the use of the above-
described property will be in accordance with the laws, rules and regulation of the State of Washington.
Digitally signed by Naida Khan
Naida Khan ino cn=Naida Khan,o=No lhwesl Permit 1/15/2013
Inc.,ou,email=naida@nwpermll.com,-US
Dal.:2013,01,16 14:41:12-08'00'
Applicants Signature Date
Naida Khan
Print Applicants Name
RECEIVED
FOR STAFF USE ONLY
e&-- COA PERMIT CENTER
Permit# Accepted By Amount Received Receipt# Date Received
WEB Forms—44 Page 1 of 2 5/05 dwa
. � �l
I
1
" °� RESIDENTIAL PLUMBING
7 PERMIT APPLICATION
�ING� Department of Community Development
City of Arlington• 238 N Olympic Ave. -Arlington, WA 98223 • Phone(360)403 3431 • FAX(360)403 3447
Water Supply Piping
A. Fixture Units: Number of Fixtures X Fixture Units=Total Fixture Units
B. Distance from meter to most remote outlet: feet.
C. Difference in elevation between meter and highest fixture: feet above meter or feet below meter
D. Pressure in street main: psi. (Measure with gauge or check with Water Department)
Number of Plumbing Fixtures (Including Rough-Ins)
Plumbing Accessory Main Total Fixture Total Number
Fixtures Dwelling unit Residence #X Multiplier Fixtures Units
Bar Sink X 1.0 =
Bathtub or Combination Bath/Shower X 4.0 =
Clotheswasher X 4.0 =
Dishwasher X 1.5 =
Hose Bibb _ X 2.5 =
Kitchen Sink X 1.5 =
Laundry Sink X 2.0 =
Lavatory Bathroom Sink) X 1.0 =
Shower Stand Alone Each Head X 2.0 =
Water Closet Toilet X 2.5 =
Whirlpool Bath or Combination Bath/Shower X 4.0 =
Water Heater
Other Gas ipin -5 TOTAL
Traps other than above items FIXTURE UNITS:
I hereby certify that the above information is correct and that the construction on, and the occupancy and the use of the above-
described property will be in accordance with the laws, rules and regulation of the State of Washington.
Applicants Signature Date
Naida Khan
Print Applicants Name
NECEIVE®
FOR STAFF USE ONLY JAN 16 2013
(✓��I 3 DOl D C®A PERMIT CENTER
Permit# Accepted By Amount Received Receipt# Date Received
WEB Forms—44 Page 2 of 2 5105 dwa
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Contractors or Tradespeople Printer Friendly Page Page 1 of 2
General/Specialty Contractor
A business registered as a construction contractor with L£tl 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 WASHINGTON ENERGY SERVICES CO UBI No. 602320560
Phone 2062824700 Status Active
Address 3909 196Th St Sw License No. WASHIES9710B
Suite/Apt. License Type Construction Contractor
City Lynnwood Effective Date 9/2/2003
State WA Expiration Date 9/2/2013
Zip 98036 Suspend Date
County Snohomish Specialty 1 General
Business Type Corporation Specialty 2 Unused
Parent Company
Other Associated Licenses -jr
License Name Type Specialty Specialty Effective Expiration status
1 2 Date Date
PLUMBWE888LO PLUMBWORKS BY WA Construction General Unused 6/20/2012 6/20/2014 Active
ENERGY SRVCS Contractor
Business Owner Information
Name Role Effective Date Expiration Date
OLSON, CRAIG President 09/02/2003
HEAGLE, RANDY Secretary 09/02/2003
CHRISTIANSON, STEVE 'Treasurer 09/02/2003
OLSON, VERN 'Vice President 09/02/2003
Bond Information
Bond Bond Company Name Bond Account Numbed Effective Date Expiration Datej'lCancel Date Impaired Date Bond Amoun Received Date
1 DEVELOPERS SURETY 571389C 08/29/2003 Until Cancelled $12,000.0009/02/2003
Et INDEM CO
Assignment of Savings Information No records found for the previous 6 year period
Insurance Information
InsurancelCompany NamelPolicy Numberl Effective Date Expiration Date Cancel Date Impaired Date Amount IReceived Date
10 Companion VGL1131637 05/01/2012 05/01/2013 $1,000,000.00104/30/2012
Specialty Ins Co 1 _ _
COMPANION f
9 SPECIALTY VGL1021215 05/01/2011 05/01/2012 $1,000,000.00 04/29/2011
INSURANCE I _
IRONSHORE
8 ISPECIALTY INS 000259901 05/01/2010 I05/01/2011 $1,000,000.00 04/30/2010
CO
7 Ironshore OOG41-10905001 05/01/2009 05/01/2010 $1,000,000.00 04/29/2009
Specialty Ins Co
6 UNITED I SPECIALTY INS IAGLO810381 05/01/2008 05/01/2009 $1,000,000.0004/30/2008
5 (AT LLOYDS UNDERWRITERS CJ0749013 05/01/2007 105/01/2008 $1,000,000.00 04/27/2007
4JERWRI
ATDLLOYDSTERS CJ0677036 05/01/2006 05/01/2007 $1,000,000.00 04/79/7006
Summons/Complaint Information No unsatisfied complaints on file within prior 6 year period
https://fortress.wa.gov/lni/bbip/Print.aspx 1/16/2013
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Residential Gas
' Water Fury Water Heaters
The new degree of comfort'"
Fury° gas water heaters feature the Guardian
System - engineered to exceed ANSI standards
for flammable vapor ignition resistance
Efficiency Plus...
• .58- .62 EF • Easy to light-no matches required
• More hot water at a low operating cost •EverKleen"patented system fights
Performance sediment build-up
• Brass drain valve and temperature
•FHR:50 to 90 gallons for natural gas
and pressure relief valve are included
• Recovery:30.3 to 50.5 gallons •Standard replacement parts t'
at a 90 degree rise, based on model
Warranty
Guardian System'&Sensor • 6-Year limited tank and parts
•Exclusive air/fuel shut-off device warranty*
•Maintenance free-no filter to clean •With Protection plUSTM the 6-year limited
Low Emissions tank warranty becomes 10-year
*See Residential Warranty Certificate for
• Eco-friendly burner,low NOx design complete information
• Meets 40 n /J NOx requirements FJEAODE ROO Fury
g q Units meet or exceed HH
ANSI requirements Y;�ERCOLD 29, 30, 38, 40 and
Longer Life and have been tested CONNECnN ECT ONaccording to D.O.E. 50-Gallon Capacities
• Patented magnesium anode rod with 000 Btu/h
procedures.units meetr•N.P.T. Up t0 50,
F
resistor protects the tank from rust or exceed the energy v Uv`E
efficiency requirements oPENINo Natural and LP Gas
High Altitude Compliant of NAECA,ASHRAE
•All models certified u to 6,000 ft. standard 9e energy
Code .-�-. Q p and all state energy )
above sea level efficiency performance A e
•Some models certified up to criteria. a G «LEED Pohl=1
10,200 ft.above sea level,check ` 19
factory for listings °
DESCRIPTION FEATURES ROUGHING IN DIMENSIONS(SHOWN IN INCHES) ENERGY INFO.
HL TO WATER HT.TO
T GAS INPUT IN RECOVERY IN FlRST HOUR HT.TO TANK GAS VENT CONK SIDE WATER SHP. ENERGY AVG.ANK
Y
p GAL THOUS.BTIYFI GP.H.90°RISE DEL GP.H VENT HT. DIAM. CONK SIZE CNTR. TBP CONK. WE FACTOR OPER.COST
E CAP. MODEL NUMBER NpT LP Na I Lp NAT A B C D E F G H asB1 NAT. NAT.
29 22V30F 32 1 30 32.3 30.3 50 59.3/4 56-3/8 1 16-1/8 14.1/2 3 8 50-3/4 314 100 0.62 $294
40 22V40-361`1 36 - 36.4 - 67 61-1/2 58 17.3/4 14.1/2 3or4 8 53 3/4 120 0.59 $309
40 22V40F1 38 32 38.4 32.3 73 61-3/4 58.3/8 18.1/8 14-1/2 3 or 8 52-1/4 3/4 120 0.59 $309
T 38 42V40F 40 34 40.4 34.3 68 61-1/2 57.3/4 19.3/4 1 14-1/2 3or4 8 52-1/4 1 3/4 1 125 0.60 1 $304
L LE50 42VR50-40F' 40 36 40.4 36.4 83 62.114 58.3/4 23 14-1/2 3or4 8 52-1/2 3/4 165 0.62 $294
A
P40
42V50.40F 40 36 40.4 36.4 82 61-1/2 58 21.3/4 14.1/2 3 or4 8 52-1/2 3/4 150 0.58 $315
42V50.50F 50 - 50.5 - 81 62 58 21-3/4 14-1/2 3or4 8 52-1/2 3/4 150 0.58 $315
22V30S-30F 30 - 30.3 - 50 49-3/4 46.1/4 19.3/4 14-1/2 3 8 40.1/4 314 98 0.61 $299
s 42VR40S-40F 40 36 40.4 36.4 72 53-7/8 50.1/2 23 14.1/2 3 8 44 3/4 135 0.62 $294
0 22V40SF 36 34 36.4 34.3 72 52-3/4 49-3/8 20.1/8 14.1/2 3 8 42.3/4 314 130 0.59 $309
7 42V40SF 40 36 40.4 36.4 72 53.7/8 1 50.1/2 1 20-1/8 14-1/2 3or4 8 44 3l4 130 0.59 $309
50 42V50SF 40 36 40.4 36.4 84 54-1/4 1 49-3/4 1 22.1/4 14-1/2 3 8 44 3/4 158 0.59 $309
Specify LP gas when ordering.Add"P"suffix to the model number.Example:42VR40-40PF. B �t�
gp
Energy Factor and Average Annual Operating Costs based on D.O.E.(Department of Energy►tact procedures.D.O.E.national average fuel rate natural gm$1.21 S l
In keeping with its policy of continuous progress and product improvement,Rheem reserves the right to make changes without not . 3
Rheem Water Heating • 101 Bell Road Rheem Canada Ltd./Ltee • 125 Edgeware Road,Unit 1
Montgomery,Alabama 36117-4305 • www.rheem.com Brampton,Ontario L6Y OP5 • WWW.rheem.cQ
INTEGRATED HOME COMFORT
PRINTED IN U.S.A.11/12 WP FORM NO 101-6 Rev.15
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