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HomeMy WebLinkAboutBLD2014-00273 - MECHANICAL UILDING PERMIT APPLICAPON BLDI4 iew Type: Rev Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT#: BLD14-00273 Received Date: 7/29/2014 SITE ADDRESS: 32 VANCOUVER LN PORT TOWNSEND, 98368 OWNER: LANNY PERKINS PHONE: 360-344-4078 DIANE PERKINS 32 VANCOUVER LN PORT TOWNSEND WA 98368-9675 9473 SUBDIVISION: Block: Lot: PARCEL NUMBER: 947300030 Section: 32 Township: 30 N Range: 1' CONTRACTOR: AIR FLO HEATING COMPANY INC PHONE: 360-683-3901 221 W CEDAR SEQUIM WA 98382 Contractor's License AIRFLI*206DG Expires 4/25/2016 REPRESENTATIVE: PHONE: PROJECT DESCRIPTION NEW HEAT PUMP TYPE OF WORK NON SQUARE FOOTAGE: TYPE OF IMP MEC MAIN: VALUATION ADD'L: HEAT TYPE: HTP CODE EDITION: 2012 HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: GARAGE: SHORELINE: CONST TYPE: DECK: SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: WATER SYSTEM: BEDROOMS: BATHROOMS: Exist: Exist: Prop: Prop: Total: Total: Routing Date: 1 Type Amount Paid By: Date: Receipt: Approved/Date Permit $152.00 SRE 07/29/14 151319 APPROVED Total: $152.00 JUL 2 9 2014 Jefferson County DCD r \\tidemark\data\forms\F_BLD_App_Bld.rpt 7/29/2014 JEFFERSON COUNTY DCD NO. 151319 319 kcii/ 4- DATE7 ,f 1-1C) ke- t1(\11,A/ C1171(1 siPtd6 AMOUNT RECEIVED FROM 1 r DESCRIPTION CURRENCY HtiCt..4 1 9 ov EC ,4 .0 OIN GrAlj I CI (7 0 CH I) , * 2 cft , r -I 0 f iF - ,:t." iratalwar iztmoWoKe-MINIIIM m 13 Loot° yr -', : 1AV4( -,) ,, ..<1' '' - -,---- A■ •_ 0, A : titta N CZ)__ .. 04 A , 1 A A .. A '4.'4 TOTAL 11L 4 RECEIVED B .V re A ;K go% JEFFERSON COUN 11NGc° DEPARTMENWF COMMUNITY DEVELOP•NT Date: / Time Received: / 5-- am/pm Mon. Tue. Wed. Thur. i� Date: BLD: 1 t-1,7,7 Contact Name: Owner: Contact Number: 360 30/ 674261 Address: ki/ co,✓-ri- �N 206 Notes: - -- PV Foundation Plumbing Framing Propane Tank Mechanical Setbacks Under-ground Framing Under ground Furance Footing Rough In Air Seal Above ground Gas Stemwall Hydronic Exterior shear Exterior lines Oil Straps Hot Water Htr Interior shear Interior lines Ducts Post Hole Ventilation Appliance Underfloor Gas/Wood stove Man-Homes Insulation Final Inspection Setbacks Floor Foundation Wall Address Posted Block&Tile Ceiling Parcel Details Page 1 of 2 � Jefferson County ' � . y Home County Info Departments Search Parcel Number: 947300030 SEARCH Parcel Number: 947300030 Printer Friendly Owner Mailing Address: LANNY PERKINS DIANE PERKINS 32 VANCOUVER LN PORT TOWNSEND WA98368-9675 Site Address: 32 VANCOUVER LN PORT TOWNSEND 98368 Section: 32 School District: Port Townsend (50) Qtr Section: NW1/4 Fire Dist: Chimacum (1) Township: 30N Tax Status: Taxable Range: 1W Tax Code: 0111 Planning area:Quimper (2) Sub Division: 9473 - DISCOVERY BAY HEIGHTS Assessor's Land Use Code: 1100 - Residential - Single Unit Property Description: DISCOVERY BAY HEIGHTS DIV 1 LOT 30 W/S TO EASE Tax,A/V, Sales, Photos, and Permit Data Bldg Data Map Parcel Plats&Surveys Septic Monitoring Info Jefferson County HOME I COUNTY INFO I DEPARTMENTS I SEARCH Best viewed with Microsoft Internet Explorer 6.0 or later Windows - Mac http://www.co.jefferson.wa.us/assessors/parcel/parceldetail.asp?Parcel NO=947300030 7/29/2014 �.�gON °O� JEFFERRi COUNTY f• g DEPARTMENT OF COMMUNITY DEVELOPMENT ;: `d 621 Sheridan Street• Port Townsend •Washington 98368 , .• 360/379-4450• 360/379-4451 Fax h l—^ (4, ---723-3 A www.co.jefferson.wa.us/commdevelopment Master Permit Application . MLA: Project Description(include separate sheets as necessary): Tax Parcel Number: 1 y-T 30C)(0 3(3 Property Size: (acres/square feet) Site Address and/or Directions to Property: 32. _ % .. __ &. a • I t _ 11_:�►-:. Property Owner(s)of Record: _ . . Telephone:,312 11_ If a 118 Fax email: /o ri ice,/io&i..+oget.rr<< Mailing Address: 3 . L.,A.du no c(g‘t>k !`s.n..4 a 1 6 3 6 I 1.t- re,i g)4 j A P !.V.A . Applicant/Agent(if different from owner): f1%r Flo }les}tfl`cA - Telephone: 31x0^Web-6010 1 Fax: 10 3' 39`11" email: -lap laealr`itoheatina. •re% ` Mailing Address: 22■ W. Cedar S`t• S ,(11,A rn ,W t: cke,%e2o.kind of Permit?(Check each box that applies [!Building 0 Critical Areas Stewardship Plan ❑ Demolition Permit ❑Variance(Minor,Major or Reasonable Economic Use) el Single Family ❑Garage Attached/Detached ❑Conditional Use[C(a),C(d),or C]" ❑ Manufactured Home ❑ Modular ❑Discretionary'D or Unnamed Us.el.4tctil ❑ Commercial* ❑Special Use(Essential Publ• I]V I ❑ Change of Use ❑Boundary Line Adjustment I ❑ Address ❑Road Approach ❑Short Plat-- ❑ Home Business ❑Cottage Industry ❑Binding Site Plan-- VI ❑Propane ❑Long Plat'" J U L 2 4 LO1'+ ❑Sign ❑Planned Rural Residential I= eg i =nt(PRRD)/Amendment. * O Allowed'Yes'Use Consistency Analysis ❑Plat Vacation/Alteration" ❑Stormwater Management ❑Shoreline Master Program ; emption/P "" ❑Site Plan Approval Advance Determination(SPAAD)" ❑Shoreline Management Su. -ntiftftftfEdgMffitnEVELOPMENT Q Temporary Use ❑Shoreline Management Van- «- ❑Wireless Telecommunication* ❑Comprehensive Plan/UDC/Land Use District MapAmepdment ❑Forest Practices Act/Release of Six-Year Moratorium ❑Jefferson County Shoreline Master Program Amendment May require a Pre-Application Conference ❑Tree Vegetation Request • "'Requires a Pre-Application Conference, Please identify any other local,state or federal permits required for this proposal,if known: . • DESIGNATION OF AGENT I hereby designate fl 1 r 1' +lest in to act as my agent in matters relating to this application for permit(s). OWNER SIGNATURE • Date:_ 1„,g,Lify By signing this application form,the owner/agent attests that the information provided herein,and in any attachments,is true and correct to the best of his,her or its knowledge. Any material falsehood or any omission of a material fact made by the owner/agent with respect to this application packet may result in this permit being null and void. I further agree to save,indemnify and hold harmless Jefferson Coutfty against all liabilities,judgments,court costs,reasonable attorney's fees and expenses which may in any way accrue against Jefferson County as a result of or in consequence of the granting of this permit I further agree to provide access and right of entry to Jefferson County and its employees,representatives or agents for the sole purpose of application review and any required later inspections. Staff's access and right of entry will be assumed unless the applicant informs the County in writing at the time of the appiic • t he e wants prior notice. Signature: Date: - 1--A The action or actions licant will undertake as a result of the issuance of this permit may negatively impact upon one or more threatened or endangered species and could lead to a potential"take'of an endangered species as those terms are defined in the federal law known as the `Endangered Species Act"or`ESA."Jefferson County makes no assurances to the applicant that the actions that will be undertaken because this permit has been issued will not violate the ESA. Any individual,group or agency can file a lawsuit on behalf of an endangered species regarding your action(s)even if you are in compliance with the Jefferson County development code.The Applicant acknowledges that he,she or it holds individual and non-transferabl poonsiibbility for adhering to and complying with the ESA. The Applicant has read this disclaimer and signs and dates it below. Signature: � �, /v� Date: -1- ?il-ty G:\PermitCenter\###FORMS###\DRD FORMS\Master Permit.Application 5-29-08.doc i V Z BUILDER STATEMENT The signer of this statement does herebIIfy that they are the Owners of the parcel referenced AP,that they are not licensed contractors and that they will be assuming the responsibility of the General Contractor for the proposed project. Signature: Date: GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: Fax: ( ) ( ) MAILING ADDRESS: EMAIL: CONTRACTOR'S LICENSE WAINS NUMBER: NUMBER ARCHITECT/ENGINEER: PHONE ( ) FAX:( ) MAILING ADDRESS: EMAIL Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: ❑ New 0 Wood Existing: O Sewer ❑ Addition ❑ Steel Proposed: Bank 0 Community System ❑ Alteration/Remodel ❑ Concrete Total: Height: ❑ Individual System ❑ Repair ❑ Masonry SEP Permit# ❑ Demolition ❑ Other: Bedrooms: Water Supply: Existing: Setback: Pp y 0 Private well ❑ Two Party Type of Heat: Proposed: ❑ Public Total: Name of System: If this is a Commercial Protect you must answer the following: Number of Parking Spaces: Current: Proposed: Number of ADA Parking Spaces: Number of occupants(includes owners,tenants,employees,etc) Current Proposed IBC Occupancy: IBC Type of construction: Will you have Food Service? Yes / No If this is a Propane Tank and/or Appliance Installation permit,mark all Items below that apply:. 1 Underground Tank 1 Above ground Tank Size of Propane Tank: 1 Heat Stove 1 Cook Stove 1 Woodstove 1 Fireplace Insert 1 Hot Water Tank 1 Pellet Stove 1 Other Is this appliance being Installed In a Manufactured/Mobile Home? Yes / No When applying for a permit to install a propane tank you must also submit a site plan showing all of the buildings,all property lines,tank location and size,distances from the propane tank to all property lines,buildings and septic system components, including the reserve area. S•uare Foo. !e Current . .. =ed n t,i. ` , Main Floor Heated � i EH Bld App Review: EIMplillonk r__ #_,MNIM 2 Floor Heated Consistency Review: Other Heated Base fee: 11111i111.11RIN111111111.• I Mezzanine Additional Section: ■ Heated Basement Plan Check fee: ' E Unheated Basement — r �� '�l_r�_ t e A�' �_I State Surcharge fee: `— _ i ii t Iiiiii Other Unheated :'"- Pot Water Review fee: Garage/Carport �i'f f 2 C 1111�SUBTOTAL 1 �� �' m Decks 911/Rd.Approach fee: � '-'r' t_ �' ; fir'n, r,yT� Other TOTAL: r • Receipt Number. 1 5)3 19 Cash/Check Number 7 1E`: -i ESTIMATED COST(REQUIRED) Date: �j .Fair market value of all labor and materials foundation to finish a 7`v� I Initials: ' IA G:\PermitCenter\###FORMS###\DRD FORMS\Master Pennit Application 5-29-08.doc • �-- --� ^ W� / O w ° ° zz o roc Z N ILDl I N W = WU -� o 3 4.2 ° a s ----- F. —. r 1 el o 3 r N e q-5 .1•1 2 D'.4 AIR FLO HEATING COMPANY INC Page 1 of 2 411 0 Washington State Department of ) Labor & Industries AIR FLO HEATING COMPANY INC Owner or tradesperson 221 W CEDAR BEQUETTE, MARK A SEQUIM,WA98382 360-683-3901 Principals CLALLAM County BEQUETTE, MARK A, PRESIDENT BEQUETTE, SANDRA A, VICE PRESIDENT BERSON, JOEL R, SECRETARY FULLAWAY, MICHAEL (End: 04/01/2010) Doing business as AIR FLO HEATING COMPANY INC WA UB1 No. Business type 600 347 761 Corporation License Verify the contractor's active registration/license/certification (depending on trade) and any past violations. Construction Contractor Active. Meets current requirements. License specialties HeatingNent/Air-Conditioning and Refrig (HVAC/R) License no. AIRFLI*206DG Effective—expiration 03/07/1980—04/25/2016 Bond CBIC $6,000.00 Bond account no. SI5215 Received by Lad Effective date 02/05/2010 02/01/2010 Bond history Insurance American Hallmark Ins Co of Te $1,000,000.00 Policy no. 44CL483619 Received by L&1 Effective date 04/18/2014 04/25/2014 https://secure.lni.wa.gov/verify/Detail.aspx?UBI=600347761&LIC=AIRFLI*206DG&SAW= 5/8/2014 III III This combination qualifies for a Federal Energy imil . CERTIFIED° Efficiency Tax Credit when placed in service between Feb 17,2009 and Dec 31,2013. www.ahridirectory.org Certificate of Product Ratings AHRI Certified Reference Number: 5020849 Date: 7/21/2014 Product: Split System: Heat Pump with Remote Outdoor Unit-Air-Source Outdoor Unit Model Number:4TWX5024B1 Indoor Unit Model Number:*AM7A0A24H21 Manufacturer:TRANE Trade/Brand name:XL151 WEATHERTRON Series name: Manufacturer responsible for the rating of this system combination is TRANE Rated as follows in accordance with AHRI Standard 210/240-2008 for Unitary Air-Conditioning and Air-Source Heat Pump Equipment and subject to verification of rating accuracy by AHRI-sponsored, independent,third party testing: Cooling Capacity(Btuh): 23600 EER Rating(Cook): 13.00 SEER Raft(Cooling): 15.50 a 4 : 21604 lh)Heating (Heating): 9.00 t(HSPF Heating Capaccitty(Btuh)©17 F. 13000 V ..%.,„ Eois • , CE, (IVE j 2 8 21 4 ',v-,\ ! JEFFERSON COU(v illl � � ��1� .. )ErFE DEPT.OF COMMUNITY DFUFIOPn T I ��R�gN COUNTY •Ratings followed by an asterisk C)indicate a voluntary rerat9Flf pre u-,l nless=•••mpanied with a WAS,which indicates an involuntary rerate. 9 Y ! DISCLAIMER ""- N AHRI does not endorse the product(s)listed on this Certificate and makes no representations,warranties or guarantees as to,and assumes no responsibility for, the product(s)listed on this Certificate.AHRI expressly disclaims all liability for damages of any kind aHsing out of the use or performance of the product(s),or the unauthorized alteration of data listed on this Certificate.Certified ratings are valid only for models and configurations listed In the directory at www.ahridirectory•org• TERMS AND CONDITIONS This Certificate and its contents are proprietary products of AHRI.This Certificate shall only be used for indvidual,personal and A confidential reference purposes.Th e contents of this Certificate may not,in whole or In part,be reproduced;copied;disseminated; 1 entered Into a computer database;or otherwise utilized,In any form or manner or by any means,except for the user's individual, personal and confidential reference. AIR-CONDmONING,HEATING, CERTIFICATE VERIFICATION &REFRIGERATION INSTITUTE The information for the model cited on this certificate can be verified at www.ahrldlrectory.org,click on'Verify Certificate'link we make life better" and enter the AHRI Certified Reference Number and the date on which the cert ificate was Issued, which is listed above,and the Certificate No.,which Is listed at bottom right ©2014 Air-Conditioning,Heating,and Refrigeration Institute CERTIFICATE NO.: 130504541 160 1 • • MECHANICAL AND DEMOLITION PERMIT Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 PERMIT#: BLD14-00273 Received Date 7/29/2014 SITE ADDRESS: 32 VANCOUVER LN Issue Date 7/29/2014 PORT TOWNSEND, 98368 APPLICANT: LANNY PERKINS PHONE: 360-344-4078 DIANE PERKINS 32 VANCOUVER LN PORT TOWNSEND WA 98368-9675 SUBDIVISION: 9473 Block: Lot: PARCEL NUMBER: 947300030 Section: 32 Township: 30N Range: 1W CONTRACTOR: AIR FLO HEATING COMPANY INC PHONE: 360-683-3901 221 W CEDAR SEQUIM WA 98382 Contractor's License AIRFLI*206DG Expires 4/25/2016 OWNER, LANNY PERKINS PHONE: 360-344-4078 if different: DIANE PERKINS 32 VANCOUVER LN PORT TOWNSEND WA 98368-9675 PROJECT DESCRIPTION: NEW HEAT PUMP Directions To Site: THIS PERMIT IS VALID FOR ONE YEAR AND IS NOT RENEWABLE. THE FINAL INSPECTION MUST BE SCHEDULED AND PASSED WITHIN THAT YEAR. THE EXPIRATION DATE IS 7/29/2015. REQUIRED INSPECTIONS: Installation per Manufacturer Specifications/CO2: (.0 Tank/Line/Appliance: Final Approval: '"Q r BUILDING INSPECTION HOT-LINE 379-4455. REQUESTS MUST BE RECEIVED BY 3 PM THE DAY BEFORE THE INSPECTION IS NEEDED. Office Hours 9:00 a.m. -4:30 p.m. Monday-Thursday HOT LINE AVAILABLE 24 HOURS A DAY \\tidemark\data\forms\F_BLD_Permit_Propane.rpt 7/29/2014