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114 Hamlin Dr S_BLD6317_2025
RESIDENTIAL MECHANICAL APPLICATION Community and Economic Development City of Arlington • 18204 59th Ave NE • Arlington, WA 98223 • Phone (360) 403-3551 This application is for new, addition, altered or replaced mechanical installation and new or altered gas piping. Please fill out all pages of this application and include all information. Type of Permit: ï² New Installation ï² Addition/Alteration/Repair ï² Gas Piping Property Address: Project Valuation: Lot #: Parcel ID No.: Preferred Contact: ï² Owner ï² Contractor Project Description: Owner Name: Home No.: Email Address: Cell No.: Mailing Address: City: State: Zip: Contractor Name: Office No.: Email Address: Cell No.: Mailing Address: City: State: Zip: L&I Contractor License Number: Expiration Date: • 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 Gas Piping Information ï² Not Applicable ï² CSST ï²Brass ï²Other Proposed Piping Material: ï²Black Steel ï²Galvanized Steel _______________________________________ Proposed Piping Size: ï²Â½â€ ï² â…â€ ï² Â¾â€ ï² 1â€ ï² 1Â½â€ ï² 2†Distance from Meter to furthest Appliance: Total BTU’s of all Appliances: Residential mechanical permits will be assessed a base fee, fee per unit, and inspection fee (plan review per Table 4-8 may be required for certain permits) Type of Fixture No. of Cost per Unit Subtotal Model No. Units Additional Plan Review fees x $ 75.00 = Air Conditioning Unit ≤ 100 Btu/h x $ 15.00 = Air Conditioning Unit > 100 Btu/h x $ 25.00 = Air Conditioning Unit > 500 Btu/hp x $ 50.00 = Air Handling Units x $ 15.00 = Base Mechanical Fee 1 x $ 25.00 = $ 25.00 Boiler <100Btu/h >3hp x $ 15.00 = REV03.2022 Page 1 of 3 Residential mechanical permits will be assessed a base fee, fee per unit, and inspection fee (plan review per Table 4-8 may be required for certain permits) Boiler >1 million Btu/h<50hp x $ 25.00 = Boiler >1.5 million Btu/h<50hp x $ 50.00 = Boiler >100Btu/h 3-15hp x $ 15.00 = Boiler >500Btu/h 15-30hp x $ 25.00 = Commercial Hoods -Type I x $ 25.00 = Commercial Hoods -Type II x $50.00 = Diffusers x $ 15.00 = Dryer Ducting x $ 15.00 = Ductwork (drawings required) x $ 25.00 = Evaporative Coolers x $ 15.00 = Exhaust/Ventilation Fans x $ 15.00 = Fireplace/Insert/Stove x $ 15.00 = Forced Air Heat ≤100 Btu/h x $ 15.00 = Forced Air Heat >100 Btu/h x $ 25.00 = Gas Clothes Dryer x $ 15.00 = Gas Fired Air Conditioning Unit ≤ 100 Btu/h x $ 15.00 = Gas Fired Air Conditioning Unit > 100 Btu/h x $ 25.00 = Gas Fired Air Conditioning Unit > 500 Btu/hp x $ 50.00 = Gas Piping ≤ 5 units x $ 15.00 = Gas Piping for each additional unit > 5 x $ 2.00 = Heat Exchangers x $ 15.00 = Heat Pump-Condensing Unit x $ 25.00 = Hot Water Heat Coils x $ 15.00 = Miscellaneous Appliance - regulated by $ 15.00 x = mechanical code, not otherwise specified Package Units ≤ 100 Btu / > 100 Btu x $ 25.00/$50.00 = Range/Cook top-Gas Fired x $ 15.00 = Refrigeration Unit ≤100Btu/h x $ 15.00 = Refrigeration Unit >100Btu/h x $ 25.00 = Refrigeration. Unit >500Btu/h x $ 50.00 = Re-inspection fee x $ 75.00 = Residential Range Hood x $ 15.00 = Unit Heaters ≤ 100 Btu/h x $ 15.00 = Unit Heaters >100 Btu/h x $ 25.00 = Variable Air Volume Boxes (part of Air $ 10.00 x = Conditioning System) Wall Heaters - Gas Fired x $ 25.00 = Water Heater - Gas Fired x $ 25.00 = Permit Fee Inspection Fee $75.00 Processing/Technology Fee $25.00 Total 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. Signature Print Name Date REV2.2024 Page 2 of 3 PRESSURE PIPING SCHEMATIC COMPLETE FOR GAS PIPING ONLY ï² SCHEMATIC IS TO SCALE ï² SCHEMATIC NOT TO SCALE Show Pipe Size(s) and Length(s) from meter to all appliances NOTE: Any interior pressure regulators must be indicated REV2.2024 Page 3 of 3 RESIDENTIAL MECHANICAL APPLICATION Community and Economic Development City of Arlington • 18204 59th Ave NE • Arlington, WA 98223 • Phone (360) 403-3551 This application is for new, addition, altered or replaced mechanical installation and new or altered gas piping. Please fill out all pages of this application and include all information. Type of Permit: ï² New Installation ï² Addition/Alteration/Repair ï² Gas Piping Property Address: Project Valuation: Lot #: Parcel ID No.: Preferred Contact: ï² Owner ï² Contractor Project Description: Owner Name: Home No.: Email Address: Cell No.: Mailing Address: City: State: Zip: Contractor Name: Office No.: Email Address: Cell No.: Mailing Address: City: State: Zip: L&I Contractor License Number: Expiration Date: • 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 Gas Piping Information ï² Not Applicable ï² CSST ï²Brass ï²Other Proposed Piping Material: ï²Black Steel ï²Galvanized Steel _______________________________________ Proposed Piping Size: ï²Â½â€ ï² â…â€ ï² Â¾â€ ï² 1â€ ï² 1Â½â€ ï² 2†Distance from Meter to furthest Appliance: Total BTU’s of all Appliances: Residential mechanical permits will be assessed a base fee, fee per unit, and inspection fee (plan review per Table 4-8 may be required for certain permits) Type of Fixture No. of Cost per Unit Subtotal Model No. Units Additional Plan Review fees x $ 75.00 = Air Conditioning Unit ≤ 100 Btu/h x $ 15.00 = Air Conditioning Unit > 100 Btu/h x $ 25.00 = Air Conditioning Unit > 500 Btu/hp x $ 50.00 = Air Handling Units x $ 15.00 = Base Mechanical Fee 1 x $ 25.00 = $ 25.00 Boiler <100Btu/h >3hp x $ 15.00 = REV03.2022 Page 1 of 3 Residential mechanical permits will be assessed a base fee, fee per unit, and inspection fee (plan review per Table 4-8 may be required for certain permits) Boiler >1 million Btu/h<50hp x $ 25.00 = Boiler >1.5 million Btu/h<50hp x $ 50.00 = Boiler >100Btu/h 3-15hp x $ 15.00 = Boiler >500Btu/h 15-30hp x $ 25.00 = Commercial Hoods -Type I x $ 25.00 = Commercial Hoods -Type II x $50.00 = Diffusers x $ 15.00 = Dryer Ducting x $ 15.00 = Ductwork (drawings required) x $ 25.00 = Evaporative Coolers x $ 15.00 = Exhaust/Ventilation Fans x $ 15.00 = Fireplace/Insert/Stove x $ 15.00 = Forced Air Heat ≤100 Btu/h x $ 15.00 = Forced Air Heat >100 Btu/h x $ 25.00 = Gas Clothes Dryer x $ 15.00 = Gas Fired Air Conditioning Unit ≤ 100 Btu/h x $ 15.00 = Gas Fired Air Conditioning Unit > 100 Btu/h x $ 25.00 = Gas Fired Air Conditioning Unit > 500 Btu/hp x $ 50.00 = Gas Piping ≤ 5 units x $ 15.00 = Gas Piping for each additional unit > 5 x $ 2.00 = Heat Exchangers x $ 15.00 = Heat Pump-Condensing Unit x $ 25.00 = Hot Water Heat Coils x $ 15.00 = Miscellaneous Appliance - regulated by $ 15.00 x = mechanical code, not otherwise specified Package Units ≤ 100 Btu / > 100 Btu x $ 25.00/$50.00 = Range/Cook top-Gas Fired x $ 15.00 = Refrigeration Unit ≤100Btu/h x $ 15.00 = Refrigeration Unit >100Btu/h x $ 25.00 = Refrigeration. Unit >500Btu/h x $ 50.00 = Re-inspection fee x $ 75.00 = Residential Range Hood x $ 15.00 = Unit Heaters ≤ 100 Btu/h x $ 15.00 = Unit Heaters >100 Btu/h x $ 25.00 = Variable Air Volume Boxes (part of Air $ 10.00 x = Conditioning System) Wall Heaters - Gas Fired x $ 25.00 = Water Heater - Gas Fired x $ 25.00 = Permit Fee Inspection Fee $75.00 Processing/Technology Fee $25.00 Total 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. Signature Print Name Date REV2.2024 Page 2 of 3 PRESSURE PIPING SCHEMATIC COMPLETE FOR GAS PIPING ONLY ï² SCHEMATIC IS TO SCALE ï² SCHEMATIC NOT TO SCALE Show Pipe Size(s) and Length(s) from meter to all appliances NOTE: Any interior pressure regulators must be indicated REV2.2024 Page 3 of 3 MXZ-3C30NA4 2.5-TON MULTI-ZONE INVERTER HEAT-PUMP SYSTEM Job Name: System Reference: Date: FEATURES • Variable speed INVERTER-driven compressor • Optional base pan heater • Quiet outdoor unit operation as low as 52 dB(A) • High-pressure protection • Compressor thermal protection • Compressor overcurrent detection • Fan motor overheating/voltage protection • Blue Fin anti-corrosion treatment applied to the outdoor unit heat exchanger for increased coil protection and longer life â—‹ Rated for 2,000 hours spraying time per ASTM B117 Standard Specifications are subject to change without notice. © 2023 Mitsubishi Electric Trane HVAC US LLC. All rights reserved. SPECIFICATIONS: MXZ-3C30NA4 Maximum Capacity BTU/H 28,400 // 28,400 // 28,400 | 28,400 // 28,400 Cooling1 Rated Capacity BTU/H 28,400 // 27,900 // 27,400 | 27,900 // 27,400 (Non-Ducted // Mix (Low-static) // Ducted Minimum Capacity BTU/H 11,600 // 11,300 // 11,000 | 11,900 // 12,200 (Low-static) | Mix (High-static) // Ducted Maximum Power Input W 4,040 // 4,000 // 3,960 | 4,045 // 4,050 (High-static)) Rated Power Input W 2,670 // 2,755 // 2,840 | 2,762 // 2,854 Power Factor (208V, 230V) % 99.0, 99.0 // 99.0, 99.0 // 99.0, 99.0 | 99.0, 99.0 // 99.0, 99.0 Maximum Capacity BTU/H 36,000 // 36,000 // 36,000 | 36,000 // 36,000 Heating at 47°F2 Rated Capacity BTU/H 28,600 // 28,100 // 27,600 | 28,100 // 27,600 (Non-Ducted // Mix (Low-static) // Ducted Minimum Capacity BTU/H 18,100 // 18,300 // 18,500 | 17,150 // 16,200 (Low-static) | Mix (High-static) // Ducted Maximum Power Input W 3,700 // 3,900 // 4,100 | 3,900 // 4,100 (High-static)) Rated Power Input W 2,149 // 2,185 // 2,220 | 2,198 // 2,247 Power Factor (208V, 230V) % 99.0, 99.0 // 99.0, 99.0 // 99.0, 99.0 | 99.0, 99.0 // 99.0, 99.0 Heating at 17°F3 Maximum Capacity BTU/H 21,000 // 21,000 // 21,000| 21,000 // 21,000 (Non-Ducted // Mix (Low-static) // Ducted Rated Capacity BTU/H 18,600 // 18,200 // 17,800 | 18,200 // 17,800 (Low-static) | Mix (High-static) // Ducted Maximum Power Input W 2,860 // 2,910 // 2,960 | 2,910 // 2,960 (High-static)) Rated Power Input W 1,820 // 1,860 // 1,900 | 1,876 // 1,932 Heating at 5°F4 Maximum Capacity BTU/H 19,800 // 19,800 // 19,800 | 19,800 // 19,800 (Non-Ducted // Mix (Low-static) // Ducted (Low-static) | Mix (High-static) // Ducted Maximum Power Input W 3,100 // 3,205 // 3,310 | 3,205 // 3,310 (High-static)) SEER2 19.0 // 17.6 // 16.2 | 17.6 // 16.2 EER21 10.6 // 10.1 // 9.6 | 10.1 // 9.6 Efficiency HSPF2 (IV) 10.0 // 9.4 // 8.8 | 9.4 // 8.8 (Non-Ducted // Mix (Low-static) // Ducted (Low-static) | Mix (High-static) // Ducted COP at 47°F2 3.9 // 3.75 // 3.6 | 3.75 // 3.6 (High-static)) COP at 17°F at Maximum Capacity3 2.15 // 2.11 // 2.07 | 2.12 // 2.08 COP at 5°F at Maximum Capacity4 1.87 // 1.81 // 1.75 | 1.81 // 1.75 ENERGY STAR® Certified No // No // No | No // No Voltage, Phase, Electrical Power Requirements 208/230, 1, 60 Frequency Guaranteed Voltage Range V AC 187-253 Voltage: Indoor - Outdoor, S1-S2 V AC 208/230 Voltage: Indoor - Outdoor, S2-S3 V DC 24 Electrical Short-circuit Current Rating (SCCR) kA 5 Recommended Fuse/Breaker Size A 25 Recommended Wire Size (Indoor - Outdoor) AWG 14 Minimum Circuit Ampacity A 22.1 Maximum Overcurrent Protection A 25 Fan Motor Full Load Amperage A 2.43 Airflow Rate (Cooling / Heating) CFM 2,133 / 2,243 Refrigerant Control LEV Defrost Method Reverse Cycle Heat Exchanger Type Plate Fin Coil Heat Exchanger Coating Blue Fin Coating Sound Pressure Level, Cooling1 dB(A) 52 Sound Pressure Level, Heating2 dB(A) 56 Compressor Type DC INVERTER-driven Twin Rotary Compressor Model SNB220FCGMC Compressor Rated Load Amps A 12 Outdoor unit Compressor Locked Rotor Amps A 13.7 Compressor Oil Type // Charge oz. FV50S // 23.7 Base Pan Heater Optional W: In. [mm] 37-13/32 [950] Unit Dimensions D: In. [mm] 13 [330] H: In. [mm] 31-11/32 [796] W: In. [mm] 41-11/32 [1,050] Package Dimensions D: In. [mm] 17-5/16 [440] H: In. [mm] 38-31/32 [990] Unit Weight Lbs.[kg] 142 [64.3] Package Weight Lbs.[kg] 174 [78.9] Cooling Intake Air Temp (Maximum / Minimum*A) °FDB 115 / 14 Outdoor unit operating temperature Cooling Thermal Lock-out / Re-start Temperatures °FDB 10.4 / 14 range Heating Intake Air Temp (Maximum / Minimum) °FWB 65 / 5 Heating Thermal Lock-out / Re-start Temperatures °FDB 1.4 / 5 NOTES: AHRI Rated Conditions 1Cooling (Indoor // Outdoor) °F 80 DB, 67 WB // 95 DB, 75 WB (Rated data is determined at a fixed compressor speed) 2Heating at 47°F (Indoor // Outdoor) °F 70 DB, 60 WB // 47 DB, 43 WB 3Heating at 17°F (Indoor // Outdoor) °F 70 DB, 60 WB // 17 DB, 15 WB Conditions 4Heating at 5°F (Indoor // Outdoor) °F 70 DB, 60 WB // 5 DB, 4 WB *Applications should be restricted to comfort cooling only; equipment cooling applications are not recommended for low ambient temperature conditions. *A 5°F DB - 115°F DB when optional wind baffles are installed For actual capacity performance based on indoor unit type and number of indoor units connected, please refer to MXZ Operational Performance. Although the maximum connectable capacity is 130%, the outdoor unit cannot provide more than 100% of the rated capacity. Please utilize this over capacity capability for load shedding or applications where it is known that all connected units will NOT be operating at the same time. Low, mid and high external static pressure tests conducted at 0.1, 0.3 and 0.5 in.w.g. respectively, according to AHRI 210/240. The external static pressures utilized have no bearing on the capabilities of the indoor unit; please refer to the indoor unit manual to select the correct external static pressure setting for the application. Specifications are subject to change without notice. © 2023 Mitsubishi Electric Trane HVAC US LLC. All rights reserved. SPECIFICATIONS: MXZ-3C30NA4 Type R410A Pre-Charged Refrigerant Amount Lbs, oz 6.0, 13.0 Refrigerant Maximum Pre-Charged Piping Length Ft. [m] 98.0 [30.0] Additional Refrigerant Charge Per Additional Piping Length oz./Ft. [g/m] 0.216 [20] Maximum Number of Connected IDU 3 Minimum Number of Connected IDU 2 Indoor unit connection Minimum connected capacity BTU/H 12,000 Maximum connected capacity BTU/H 36,000 Liquid Pipe Size O.D. (Flared) In.[mm] A,B,C: 1/4 [A,B,C: 6.35] Gas Pipe Size O.D. (Flared) In.[mm] A: 1/2; B,C: 3/8 [A: 12.72; B,C: 9.52] Total Piping Length Ft. [m] 230 [70] Piping Maximum Height Difference, ODU above IDU Ft. [m] 49 [15] Maximum Height Difference, ODU below IDU Ft. [m] 49 [15] Farthest Piping Length from ODU to IDU Ft. [m] 82 [25] Maximum Number of Bends for IDU 70 NOTES: AHRI Rated Conditions 1Cooling (Indoor // Outdoor) °F 80 DB, 67 WB // 95 DB, 75 WB (Rated data is determined at a fixed compressor speed) 2Heating at 47°F (Indoor // Outdoor) °F 70 DB, 60 WB // 47 DB, 43 WB 3Heating at 17°F (Indoor // Outdoor) °F 70 DB, 60 WB // 17 DB, 15 WB Conditions 4Heating at 5°F (Indoor // Outdoor) °F 70 DB, 60 WB // 5 DB, 4 WB *Applications should be restricted to comfort cooling only; equipment cooling applications are not recommended for low ambient temperature conditions. *A 5°F DB - 115°F DB when optional wind baffles are installed For actual capacity performance based on indoor unit type and number of indoor units connected, please refer to MXZ Operational Performance. Although the maximum connectable capacity is 130%, the outdoor unit cannot provide more than 100% of the rated capacity. Please utilize this over capacity capability for load shedding or applications where it is known that all connected units will NOT be operating at the same time. Low, mid and high external static pressure tests conducted at 0.1, 0.3 and 0.5 in.w.g. respectively, according to AHRI 210/240. The external static pressures utilized have no bearing on the capabilities of the indoor unit; please refer to the indoor unit manual to select the correct external static pressure setting for the application. Specifications are subject to change without notice. © 2023 Mitsubishi Electric Trane HVAC US LLC. All rights reserved. OUTDOOR UNIT ACCESSORIES: MXZ-3C30NA4 Air Outlet Guide Air Outlet Guide (1 Piece) PAC-SH96SG-E Refrigeration Ball Valve - 1/2†BV12FFSI2 Refrigeration Ball Valve - 1/4†BV14FFSI2 Ball Valve Refrigeration Ball Valve - 3/8†BV38FFSI2 Refrigeration Ball Valve - 5/8†BV58FFSI2 M-Net Control Wire, 1,000’ Roll (16-AWG, Standard, Twisted Pair, Shielded, Jacketed- Plenum rated) CW162S-1000 Control Wire M-Net Control Wire, 250’ Roll (16-AWG, Standard, Twisted Pair, Shielded, Jacketed- Plenum rated) CW162S-250 Drain Socket Drain Socket PAC-SG60DS-E Hail Guards Hail Guard HG-A9 M-NET Converter M-NET Converter PAC-IF01MNT-E 14 Gauge, 4 wire MiniSplit Cable—250 ft. roll S144-250 14 Gauge, 4 wire MiniSplit Cable—250 ft. roll SW144-250 14 Gauge, 4 wire MiniSplit Cable—50 ft. roll S144-50 14 Gauge, 4 wire MiniSplit Cable—50 ft. roll SW144-50 Mini-Split Wire 16 Gauge, 4 wire MiniSplit Cable—250 ft. roll S164-250 16 Gauge, 4 wire MiniSplit Cable—250 ft. roll SW164-250 16 Gauge, 4 wire MiniSplit Cable—50 ft. roll S164-50 16 Gauge, 4 wire MiniSplit Cable—50 ft. roll SW164-50 Condensing Unit Mounting Pad: 16†x 36†x 3†ULTRILITE1 Mounting Pad Outdoor Unit 3-1/4 inch Mounting Base (Pair) - Plastic DSD-400P Adaptor: 1/2†x 3/8†MAC-A455JP-E Adaptor: 1/2†x 5/8†MAC-A456JP-E Port Adaptor Adaptor: 3/8†x 1/2†MAC-A454JP-E Adaptor: 3/8†x 5/8†PAC-SG76RJ-E 18†Single Fan Stand QSMS1801M 24†Single Fan Stand QSMS2401M Stand Condenser Wall Bracket QSWB2000M-1 Condenser Wall Bracket - Stainless Steel Finish QSWBSS Outdoor Unit Stand — 12†High QSMS1201M Specifications are subject to change without notice. © 2023 Mitsubishi Electric Trane HVAC US LLC. All rights reserved. OUTDOOR UNIT DIMENSIONS: MXZ-3C30NA4 Unit: inch (mm) Conduit plates Conduit connector Lock nut 1340 Satellite Boulevard Suwanee, GA 30024 Toll Free: 800-433-4822 www.mehvac.com FORM# MXZ-3C30NA4 - 202311 Specifications are subject to change without notice. © 2023 Mitsubishi Electric Trane HVAC US LLC. All rights reserved. CITY OF ARLINGTON 18204 59th Avenue NE, Arlington, WA 98223 INSPECTIONS: 360-403-3417 - Permit Center: 360-403-3551 BUILDING PERMIT 114 HAMLIN DR S Permit #: 6317 PERMIT EXPIRES 180 DAYS AFTER Parcel #: 00543000000800 DATE OF ISSUANCE. Scope of Work: Ductless Mini split Install Valuation: 12611.00 OWNER APPLICANT CONTRACTOR DRAKE RAYMOND F III & BONNIE L Northern Comfort Heating and Cooling Northern Comfort Heating & Cooling 114 HAMLIN DR S 19618 Jordan Rd 19618 Jordan Rd ARLINGTON, WA 98223 Arlington Arlington , Wa 98223 4255884139 4255884139 LIC: 604-753-001 EXP: 11/30/2025 LIC: NORTHCH762OJ EXP: 09/11/2026 MECHANICAL CONTRACTOR PLUMBING CONTRACTOR LIC #: EXP: LIC #: EXP: JOB DESCRIPTION PERMIT TYPE: RESIDENTIAL MECHANICAL CODE YEAR: 2021 STORIES: 1 CONST. TYPE: VB DWELLING UNITS: 1 OCC GROUP: R-3; Residential BUILDINGS: 1 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. 01/16/2025 Applicant Signature Date Building Official Date CONDITIONS PROVIDE A 3" CONCRETE PAD WITH SEISMIC BRACING ATTACHED. PROVIDE ELECTRICAL DISCONNECT. LINES SHALL BE INSULATED AND THE USE OF ADHESIVE TAPES ARE PROHIBITED. AHDERE TO THE INSTALLATION OF THE APPROVED EQUIPMENT. SIGNED PERMIT SHALL BE ONSITE FOR INSPECTION. CALL FOR INSPECTION. The property owner shall ensure that the construction project complies with all applicable zoning codes and regulations. The property owner shall also ensure that the construction project does not cause any adverse impact on the surrounding environment or community. The property owner shall be responsible for obtaining all necessary permits and approvals from the relevant authorities before commencing construction. The property owner shall ensure that the construction project complies with all applicable design review requirements. 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 01/16/2025 Processing/Technology $25.00 01/16/2025 Inspection $75.00 01/16/2025 Heat Pump - Condensing Unit $25.00 01/16/2025 Mechanical Base $25.00 01/16/2025 Credit Card Service $4.50 Total Due: $154.50 Total Payment: $154.50 Balance Due: $0.00 CALL FOR INSPECTIONS Call by 3:30 pm for next day inspection, allow 48 hours for Fire Inspections When calling for an inspection please leave the following information: Permit Number, Type of Inspection being requested, and whether you prefer morning or afternoon INSPECTION INFORMATION Pass/Fail !" ! #$%& '()*+,-(.. /0%1& 2'-3*'+!2452'-"*(-6+7(+8!22.6+7 /0%1/99:: ; <=2'8(+8 /0%1>?>@>A '.6+7-2+ ?#1% B6..6(4C'**+D*'7 E#1 F<<F ; G0 H " !H IH JB KC J!H @%##LM#N OP-.*,, 6+6,Q.6-+,-(.. R0S#1 J @TSU F; &SV#L@#: ?#1:S%#1 WX Y%%S1%Z#S [ \*,68*+-6(. ]?#9 ]::S9 G^: U# !" ! @S: !H _ /::`19# a'6,-6+I2,-*' # _('P*.b 88'*,, *7(.*,P'6Q-62+Hc+*' (4* Hc+*'_32+* d2+6+7 a C F < !"#"$# %&$# '! 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MSZ-GS09NA 9,000 BTU/H WALL-MOUNTED INDOOR UNIT Job Name: System Reference: Date: GENERAL FEATURES • Slim wall-mounted indoor units provide zone comfort control • Dual Barrier Coating applied to the heat exchanger, vanes and fan to prevent hydrophilic and hydrophobic dirt build-up • Optional Microparticle Filter designed to capture PM2.5 • The outdoor unit powers the indoor unit, and should a power outage occur, the system is automatically restarted when power returns • Quiet operation • Smart Set: recalls a preferred preset temperature setting at the touch of a button • Built-in backup/auxiliary heater control available • Multiple fan speed options: Quiet, Low, Medium, High, Super-high, Auto • Multiple control options available: â—‹ Back-lit screen handheld remote controller (provided with the unit) â—‹ kumo cloud® smart device app for remote access â—‹ Third-party interface options â—‹ Wired or wireless controllers Specifications System Unit Type MSZ-GS09NA Cooling Capacity1, 3 BTU/H 9,000 Heating Capacity2, 3 BTU/H 10,900 Voltage, Phase, Frequency 208/230, 1, 60 Guaranteed Voltage Range V AC 187 - 253 Electrical Voltage: Indoor - Outdoor, S1-S2 V AC 208/230 Voltage: Indoor - Outdoor, S2-S3 V DC 24 Short-circuit Current Rating [SCCR] kA 5 MCA A 1.0 Fan Motor Full Load Amperage A 0.5 Fan Motor Output W 30 Airflow Rate at Cooling, Dry CFM 134–160–222–307–381 Airflow Rate at Cooling, Wet CFM 121–144–200–276–343 Airflow Rate at Heating, Dry CFM 134–160–222–307–390 Sound Pressure Level [Cooling] dB[A] 19–22–30–37–43 Indoor Unit Sound Pressure Level [Heating] dB[A] 19–22–30–37–43 Drain Pipe Size In. [mm] 5/8 [15.88] Coating on Heat Exchanger Dual Barrier Coating External Finish Color Munsell 1.0Y 9.2/0.2 Unit Dimensions W x D x H: In. [mm] 31-7/16 x 9-1/8 x 11-5/8 [798 x 232 x 295] Package Dimensions W x D x H: In. [mm] 33-1/2 x 12 x 14 [850 x 300 x 350] Unit Weight Lbs. [kg] 23 [10.4] Package Weight Lbs. [kg] 26 [11.5] Refrigerant Type R410A Gas Pipe Size O.D. [Flared] In.[mm] 3/8 [9.52] Piping Liquid Pipe Size O.D. [Flared] In.[mm] 1/4 [6.35] NOTES: Conditions 1Cooling (Indoor // Outdoor) °F 80 DB, 67 WB // 95 DB, 75 WB 2Heating at 47°F (Indoor // Outdoor) °F 70 DB, 60 WB // 47 DB, 43 WB 3Capacity varies based on the number of indoor units operating and the model of the Multi-zone Outdoor Unit. For reference to connected capacity charts, please refer Multi-zone Outdoor Unit Operational Performance. Specifications are subject to change without notice. © 2023 Mitsubishi Electric Trane HVAC US LLC. All rights reserved. INDOOR UNIT ACCESSORIES: MSZ-GS09NA BACnet® and Modbus® Interface PAC-UKPRC001-CN-1 CN24 Relay Kit CN24RELAY-KIT-CM3 IT Extender PAC-WHS01IE-E kumo station® for kumo cloud® PAC-WHS01HC-E Control Interface System Control Interface MAC-334IF-E Thermostat Interface PAC-US444CN-1 Thermostat Interface PAC-US445CN-1 USNAP Adapter PAC-WHS01UP-E Wireless Interface for kumo cloud® PAC-USWHS002-WF-2 Wired Remote Sensor M21EAA307 Remote Sensor Wireless temperature and humitity sensor for kumo cloud® PAC-USWHS003-TH-1 Deluxe Wired MA Remote Controller†PAR-40MAAU Simple Ductless Wired Remote Controller PAC-SDW01RC-1 Wired Remote Controller Simple MA Remote Controller†PAC-YT53CRAU-J Touch MA Controller†PAR-CT01MAU-SB kumo touchâ„¢ RedLINKâ„¢ Wireless Controller MHK2 Wireless Remote Controller Lockdown bracket for remote controller RCMKP1CB Blue Diamond (Advanced) Mini Condensate Pump w/ Reservoir & Sensor (208/230V) [recommended] X87-721 Blue Diamond (MegaBlue Advanced) Condensate Pump w/ Reservoir & Sensor X87-835 Blue Diamond Alarm Extension Cable — 6.5 Ft. C13-192 Blue Diamond MultiTank — collection tank for use with multiple pumps C21-014 Blue Diamond Sensor Extension Cable — 15 Ft. C13-103 Condensate Drain Pan Level Sensor/Control SS610E Fascia Kit for MicroBlue Pump, mounts the MicroBlue and sensor directly beneath indoor unit T18-016 Refco Condensate Pump (100-240 VAC) GOBI-II Refco Condensate Pump (100-240 VAC) up to 120,000 BTU/H COMBI Sauermann Condensate Pump SI30-230 (30A/600V/UL) [fits 2†X 4†utility box] - Black TAZ-MS303 Disconnect Switch (30A/600V/UL) [fits 2†X 4†utility box] - White TAZ-MS303W Anti-allergy Enzyme Filter MAC-408FT-E Filter Microparticle (PM2.5) Filter MAC-EMF515FT-E NOTES: †Requires MAC-334IF-E • M-Series EZ FIT® Recessed Ceiling Cassette, Floor-mount and Wall-mount Allows indoor units to connect to an MA Controller: Deluxe MA Remote Controller Simple MA Controller Touch MA Controller Specifications are subject to change without notice. © 2023 Mitsubishi Electric Trane HVAC US LLC. All rights reserved. INDOOR UNIT DIMENSIONS: MSZ-GS09NA Unit: inch 2-3/8 3/4 Insulation ø1 - 9/16 O.D 7-5/8 Liquid line ø1/4 19 - 11/16 (Flared connection ø1/4) PipingGas line ø3/8 16 - 15/16 Wireless remote (Flared connection: ø3/8 (GS06/09/12NA), ø1/2 (GS15NA)) Drain hose Insulation ø1-1/8 O.D Connected part ø5/8 O.D controller 1340 Satellite Boulevard Suwanee, GA 30024 Toll Free: 800-433-4822 www.mehvac.com FORM# MSZ-GS09NA-U1 - 202304 Specifications are subject to change without notice. © 2023 Mitsubishi Electric Trane HVAC US LLC. All rights reserved. MSZ-GS12NA 12,000 BTU/H WALL-MOUNTED INDOOR UNIT Job Name: System Reference: Date: GENERAL FEATURES • Slim wall-mounted indoor units provide zone comfort control • Dual Barrier Coating applied to the heat exchanger, vanes and fan to prevent hydrophilic and hydrophobic dirt build-up • Optional Microparticle Filter designed to capture PM2.5 • The outdoor unit powers the indoor unit, and should a power outage occur, the system is automatically restarted when power returns • Quiet operation • Smart Set: recalls a preferred preset temperature setting at the touch of a button • Built-in backup/auxiliary heater control available • Multiple fan speed options: Quiet, Low, Medium, High, Super-high, Auto • Multiple control options available: â—‹ Back-lit screen handheld remote controller (provided with the unit) â—‹ kumo cloud® smart device app for remote access â—‹ Third-party interface options â—‹ Wired or wireless controllers Specifications System Unit Type MSZ-GS12NA Cooling Capacity1, 3 BTU/H 12,000 Heating Capacity2, 3 BTU/H 14,400 Voltage, Phase, Frequency 208/230, 1, 60 Guaranteed Voltage Range V AC 187 - 253 Electrical Voltage: Indoor - Outdoor, S1-S2 V AC 208/230 Voltage: Indoor - Outdoor, S2-S3 V DC 24 Short-circuit Current Rating [SCCR] kA 5 MCA A 1.0 Fan Motor Full Load Amperage A 0.5 Fan Motor Output W 30 Airflow Rate at Cooling, Dry CFM 134–160–222–307–381 Airflow Rate at Cooling, Wet CFM 121–144–200–276–343 Airflow Rate at Heating, Dry CFM 134–160–222–307–390 Sound Pressure Level [Cooling] dB[A] 19–22–30–37–45 Indoor Unit Sound Pressure Level [Heating] dB[A] 19–22–30–37–43 Drain Pipe Size In. [mm] 5/8 [15.88] Coating on Heat Exchanger Dual Barrier Coating External Finish Color Munsell 1.0Y 9.2/0.2 Unit Dimensions W x D x H: In. [mm] 31-7/16 x 9-1/8 x 11-5/8 [798 x 232 x 295] Package Dimensions W x D x H: In. [mm] 33-1/2 x 12 x 14 [850 x 300 x 350] Unit Weight Lbs. [kg] 23 [10.4] Package Weight Lbs. [kg] 26 [11.5] Refrigerant Type R410A Gas Pipe Size O.D. [Flared] In.[mm] 3/8 [9.52] Piping Liquid Pipe Size O.D. [Flared] In.[mm] 1/4 [6.35] NOTES: Conditions 1Cooling (Indoor // Outdoor) °F 80 DB, 67 WB // 95 DB, 75 WB 2Heating at 47°F (Indoor // Outdoor) °F 70 DB, 60 WB // 47 DB, 43 WB 3Capacity varies based on the number of indoor units operating and the model of the Multi-zone Outdoor Unit. For reference to connected capacity charts, please refer Multi-zone Outdoor Unit Operational Performance. Specifications are subject to change without notice. © 2023 Mitsubishi Electric Trane HVAC US LLC. All rights reserved. INDOOR UNIT ACCESSORIES: MSZ-GS12NA BACnet® and Modbus® Interface PAC-UKPRC001-CN-1 CN24 Relay Kit CN24RELAY-KIT-CM3 IT Extender PAC-WHS01IE-E kumo station® for kumo cloud® PAC-WHS01HC-E Control Interface System Control Interface MAC-334IF-E Thermostat Interface PAC-US444CN-1 Thermostat Interface PAC-US445CN-1 USNAP Adapter PAC-WHS01UP-E Wireless Interface for kumo cloud® PAC-USWHS002-WF-2 Wired Remote Sensor M21EAA307 Remote Sensor Wireless temperature and humitity sensor for kumo cloud® PAC-USWHS003-TH-1 Deluxe Wired MA Remote Controller†PAR-40MAAU Simple Ductless Wired Remote Controller PAC-SDW01RC-1 Wired Remote Controller Simple MA Remote Controller†PAC-YT53CRAU-J Touch MA Controller†PAR-CT01MAU-SB kumo touchâ„¢ RedLINKâ„¢ Wireless Controller MHK2 Wireless Remote Controller Lockdown bracket for remote controller RCMKP1CB Blue Diamond (Advanced) Mini Condensate Pump w/ Reservoir & Sensor (208/230V) [recommended] X87-721 Blue Diamond (MegaBlue Advanced) Condensate Pump w/ Reservoir & Sensor X87-835 Blue Diamond Alarm Extension Cable — 6.5 Ft. C13-192 Blue Diamond MultiTank — collection tank for use with multiple pumps C21-014 Blue Diamond Sensor Extension Cable — 15 Ft. C13-103 Condensate Drain Pan Level Sensor/Control SS610E Fascia Kit for MicroBlue Pump, mounts the MicroBlue and sensor directly beneath indoor unit T18-016 Refco Condensate Pump (100-240 VAC) GOBI-II Refco Condensate Pump (100-240 VAC) up to 120,000 BTU/H COMBI Sauermann Condensate Pump SI30-230 (30A/600V/UL) [fits 2†X 4†utility box] - Black TAZ-MS303 Disconnect Switch (30A/600V/UL) [fits 2†X 4†utility box] - White TAZ-MS303W Anti-allergy Enzyme Filter MAC-408FT-E Filter Microparticle (PM2.5) Filter MAC-EMF515FT-E NOTES: †Requires MAC-334IF-E • M-Series EZ FIT® Recessed Ceiling Cassette, Floor-mount and Wall-mount Allows indoor units to connect to an MA Controller: Deluxe MA Remote Controller Simple MA Controller Touch MA Controller Specifications are subject to change without notice. © 2023 Mitsubishi Electric Trane HVAC US LLC. All rights reserved. INDOOR UNIT DIMENSIONS: MSZ-GS12NA Unit: inch 2-3/8 3/4 Insulation ø1 - 9/16 O.D 7-5/8 Liquid line ø1/4 19 - 11/16 (Flared connection ø1/4) PipingGas line ø3/8 16 - 15/16 Wireless remote (Flared connection: ø3/8 (GS06/09/12NA), ø1/2 (GS15NA)) Drain hose Insulation ø1-1/8 O.D Connected part ø5/8 O.D controller 1340 Satellite Boulevard Suwanee, GA 30024 Toll Free: 800-433-4822 www.mehvac.com FORM# MSZ-GS12NA-U1 - 202304 Specifications are subject to change without notice. © 2023 Mitsubishi Electric Trane HVAC US LLC. All rights reserved. MSZ-GS06NA 6,000 BTU/H WALL-MOUNTED INDOOR UNIT Job Name: System Reference: Date: GENERAL FEATURES • Slim wall-mounted indoor units provide zone comfort control • Dual Barrier Coating applied to the heat exchanger, vanes and fan to prevent hydrophilic and hydrophobic dirt build-up • Optional Microparticle Filter designed to capture PM2.5 • The outdoor unit powers the indoor unit, and should a power outage occur, the system is automatically restarted when power returns • Quiet operation • Smart Set: recalls a preferred preset temperature setting at the touch of a button • Built-in backup/auxiliary heater control available • Multiple fan speed options: Quiet, Low, Medium, High, Super-high, Auto • Multiple control options available: â—‹ Back-lit screen handheld remote controller (provided with the unit) â—‹ kumo cloud® smart device app for remote access â—‹ Third-party interface options â—‹ Wired or wireless controllers Specifications System Unit Type MSZ-GS06NA Cooling Capacity1, 3 BTU/H 6,000 Heating Capacity2, 3 BTU/H 7,200 Voltage, Phase, Frequency 208/230, 1, 60 Guaranteed Voltage Range V AC 187 - 253 Electrical Voltage: Indoor - Outdoor, S1-S2 V AC 208/230 Voltage: Indoor - Outdoor, S2-S3 V DC 24 Short-circuit Current Rating [SCCR] kA 5 MCA A 1.0 Fan Motor Full Load Amperage A 0.5 Fan Motor Output W 30 Airflow Rate at Cooling, Dry CFM 134–160–222–307–381 Airflow Rate at Cooling, Wet CFM 121–144–200–276–343 Airflow Rate at Heating, Dry CFM 134–160–222–307–390 Sound Pressure Level [Cooling] dB[A] 19–22–30–37–45 Indoor Unit Sound Pressure Level [Heating] dB[A] 19–22–30–37–43 Drain Pipe Size In. [mm] 5/8 [15.88] Coating on Heat Exchanger Dual Barrier Coating External Finish Color Munsell 1.0Y 9.2/0.2 Unit Dimensions W x D x H: In. [mm] 31-7/16 x 9-1/8 x 11-5/8 [798 x 232 x 295] Package Dimensions W x D x H: In. [mm] 33-1/2 x 12 x 14 [850 x 300 x 350] Unit Weight Lbs. [kg] 23 [10.4] Package Weight Lbs. [kg] 26 [11.5] Refrigerant Type R410A Gas Pipe Size O.D. [Flared] In.[mm] 3/8 [9.52] Piping Liquid Pipe Size O.D. [Flared] In.[mm] 1/4 [6.35] NOTES: Conditions 1Cooling (Indoor // Outdoor) °F 80 DB, 67 WB // 95 DB, 75 WB 2Heating at 47°F (Indoor // Outdoor) °F 70 DB, 60 WB // 47 DB, 43 WB 3Capacity varies based on the number of indoor units operating and the model of the Multi-zone Outdoor Unit. For reference to connected capacity charts, please refer Multi-zone Outdoor Unit Operational Performance. Specifications are subject to change without notice. © 2023 Mitsubishi Electric Trane HVAC US LLC. All rights reserved. INDOOR UNIT ACCESSORIES: MSZ-GS06NA BACnet® and Modbus® Interface PAC-UKPRC001-CN-1 CN24 Relay Kit CN24RELAY-KIT-CM3 IT Extender PAC-WHS01IE-E kumo station® for kumo cloud® PAC-WHS01HC-E Control Interface System Control Interface MAC-334IF-E Thermostat Interface PAC-US444CN-1 Thermostat Interface PAC-US445CN-1 USNAP Adapter PAC-WHS01UP-E Wireless Interface for kumo cloud® PAC-USWHS002-WF-2 Wired Remote Sensor M21EAA307 Remote Sensor Wireless temperature and humitity sensor for kumo cloud® PAC-USWHS003-TH-1 Deluxe Wired MA Remote Controller†PAR-40MAAU Simple Ductless Wired Remote Controller PAC-SDW01RC-1 Wired Remote Controller Simple MA Remote Controller†PAC-YT53CRAU-J Touch MA Controller†PAR-CT01MAU-SB kumo touchâ„¢ RedLINKâ„¢ Wireless Controller MHK2 Wireless Remote Controller Lockdown bracket for remote controller RCMKP1CB Blue Diamond (Advanced) Mini Condensate Pump w/ Reservoir & Sensor (208/230V) [recommended] X87-721 Blue Diamond (MicroBlue) Mini Condensate Pump (110/208/230V) up to 18,000 BTU/H X86-003 Blue Diamond Alarm Extension Cable — 6.5 Ft. C13-192 Blue Diamond MultiTank — collection tank for use with multiple pumps C21-014 Blue Diamond Sensor Extension Cable — 15 Ft. C13-103 Condensate Drain Pan Level Sensor/Control SS610E Fascia Kit for MicroBlue Pump, mounts the MicroBlue and sensor directly beneath indoor unit T18-016 Refco Condensate Pump (100-240 VAC) GOBI-II Refco Condensate Pump (100-240 VAC) up to 120,000 BTU/H COMBI Sauermann Condensate Pump SI30-230 (30A/600V/UL) [fits 2†X 4†utility box] - Black TAZ-MS303 Disconnect Switch (30A/600V/UL) [fits 2†X 4†utility box] - White TAZ-MS303W Anti-allergy Enzyme Filter MAC-408FT-E Filter Microparticle (PM2.5) Filter MAC-EMF515FT-E 15’ x 1/4†x 15’ / 3/8†Lineset (Twin-Tube Insulation) MLS143812T-15 30’ x 1/4†x 30’ / 3/8†Lineset (Twin-Tube Insulation) MLS143812T-30 Lineset 50’ x 1/4†x 50’ / 3/8†Lineset (Twin-Tube Insulation) MLS143812T-50 65’ x 1/4†x 65’ / 3/8†Lineset (Twin-Tube Insulation) MLS143812T-65 NOTES: †Requires MAC-334IF-E • M-Series EZ FIT® Recessed Ceiling Cassette, Floor-mount and Wall-mount Allows indoor units to connect to an MA Controller: Deluxe MA Remote Controller Simple MA Controller Touch MA Controller Specifications are subject to change without notice. © 2023 Mitsubishi Electric Trane HVAC US LLC. All rights reserved. INDOOR UNIT DIMENSIONS: MSZ-GS06NA Unit: inch 2-3/8 3/4 Insulation ø1 - 9/16 O.D 7-5/8 Liquid line ø1/4 19 - 11/16 (Flared connection ø1/4) PipingGas line ø3/8 16 - 15/16 Wireless remote (Flared connection: ø3/8 (GS06/09/12NA), ø1/2 (GS15NA)) Drain hose Insulation ø1-1/8 O.D Connected part ø5/8 O.D controller 1340 Satellite Boulevard Suwanee, GA 30024 Toll Free: 800-433-4822 www.mehvac.com FORM# MSZ-GS06NA-U1 - 202304 Specifications are subject to change without notice. © 2023 Mitsubishi Electric Trane HVAC US LLC. All rights reserved. CITY OF ARLINGTON 18204 59th Avenue NE, Arlington, WA 98223 INSPECTIONS: 360-403-3417 - Permit Center: 360-403-3551 BUILDING PERMIT 114 HAMLIN DR S Permit #: 6317 PERMIT EXPIRES 180 DAYS AFTER Parcel #: 00543000000800 DATE OF ISSUANCE. Scope of Work: Ductless Mini split Install Valuation: 12611.00 OWNER APPLICANT CONTRACTOR DRAKE RAYMOND F III & BONNIE L Northern Comfort Heating and Cooling Northern Comfort Heating & Cooling 114 HAMLIN DR S 19618 Jordan Rd 19618 Jordan Rd ARLINGTON, WA 98223 Arlington Arlington , Wa 98223 4255884139 4255884139 LIC: 604-753-001 EXP: 11/30/2025 LIC: NORTHCH762OJ EXP: 09/11/2026 MECHANICAL CONTRACTOR PLUMBING CONTRACTOR LIC #: EXP: LIC #: EXP: JOB DESCRIPTION PERMIT TYPE: RESIDENTIAL MECHANICAL CODE YEAR: 2021 STORIES: 1 CONST. TYPE: VB DWELLING UNITS: 1 OCC GROUP: R-3; Residential BUILDINGS: 1 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. 01/16/2025 Applicant Signature Date Building Official Date CONDITIONS PROVIDE A 3" CONCRETE PAD WITH SEISMIC BRACING ATTACHED. PROVIDE ELECTRICAL DISCONNECT. LINES SHALL BE INSULATED AND THE USE OF ADHESIVE TAPES ARE PROHIBITED. AHDERE TO THE INSTALLATION OF THE APPROVED EQUIPMENT. SIGNED PERMIT SHALL BE ONSITE FOR INSPECTION. CALL FOR INSPECTION. The property owner shall ensure that the construction project complies with all applicable zoning codes and regulations. The property owner shall also ensure that the construction project does not cause any adverse impact on the surrounding environment or community. The property owner shall be responsible for obtaining all necessary permits and approvals from the relevant authorities before commencing construction. The property owner shall ensure that the construction project complies with all applicable design review requirements. 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 01/16/2025 Processing/Technology $25.00 01/16/2025 Inspection $75.00 01/16/2025 Heat Pump - Condensing Unit $25.00 01/16/2025 Mechanical Base $25.00 01/16/2025 Credit Card Service $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 INSPECTION INFORMATION Pass/Fail