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HomeMy WebLinkAboutBLD2013-00358 - MECHANICAL BUILDING PERMIT APPLICADN BRLD1e 003pe58 Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT#: BLD13-00358 Received Date: 11/8/2013 SITE ADDRESS: 3045 UPPER BLUFFS DR PORT TOWNSEND, 98368 OWNER: W DWIGHT OBERHOLTZER PHONE: ELLEN C OSTERN 20 UPPER BLUFFS DR# 1 PORT TOWNSEND WA 983689503 THE BLUFFS BLDG 23 SUBDIVISION: Block: Lot: 3045 PARCEL NUMBER: 965300045 Section: 26 Township: 30 N Range: 01 W CONTRACTOR: AIR FLO HEATING COMPANY INC PHONE: 360-683-3901 221 W CEDAR SEQUIM WA 98382 Contractor's License AIRFLI*206DG Expires 4/25/2014 REPRESENTATIVE: PHONE: PROJECT DESCRIPTION REPLACE EXISTING HEAT PUMP SYSTEM TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP MEC MAIN: VALUATION ADD'L: HEAT TYPE: 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: Type Amount Paid By: Date: Receipt: Approved/Date Permit 00 MEB 11/08/13 145535 Total: $152 P �_ , HOV 0 08 2013 Jefferson County DCG \\+irlcmer4\ri a+e\fnrmc\F RI r Ann PIA rn+ 11 IQP,r 1 r‘vcasi-4� JEFFER COUNTY S DEPARTMENT OF COMMUNITY DEVELOPMENT IS / J i - b +d 621 Sheridan Street• Port Townsend •Washington 98368 v K&......... .y 360/379-4450 • 360/379-4451 Fax 0( www.co.jefferson.wa.us/commdevelopment Master Permit Application MLA: ; v- �c Project Description(include separate sheets as necessary r. rep\ ,6 e x i s'-t;cvj h e2` pu., .v a -t,ern Tax Parcel Number: q(,p S,3 0 0 Property Size: (acres/square feet) Site Address and/or Directions to Property: co - ■ Up p-ex" �W-Vts ) • , Poet TowtIsQ % Property Owner(s)of Record: t • h-t. 4 • ' e "}' Telephone: 3-74-A - g 3 ct 0 Fax: email: Mailing Address: Applicant/Agent(if different from owner): %r . %0 4eait■f1 Telephone: 31t0-Web—?AO 1 Fax: (R5.3' 39'7 email:ettenea -ttoteatttc,covrr Mailing Address: 2 •1 W. Cedar St• seCZA,LiNN ,W A c1$382,- What kind of Permit?(Check each box that applies ❑Building ❑Critical Areas Stewardship Plan ❑ Demolition Permit ❑Variance(Minor,Major or Reasonable Economic Use) ❑Single Family ❑Garage Attached/Detached ❑Conditional Use[C(a),C(d),or C]" ❑ Manufactured Home ❑ Modular ❑Discretionary"D*or Unnamed Use Classification ❑ Commercial" ❑Special Use(Essential Public Facilities)" ❑ Change of Use ❑Boundary Line Adjustment ❑ Address ❑Road Approach 0 Short Plat-- O Home Business ❑Cottage Industry ❑Binding Site Plan** O Propane ❑Long Plat** ❑Sign ❑Planned Rural Residential Development(PRRDyAmendments** O Allowed"Yes"Use Consistency Analysis ❑Plat Vacation/Alteration** ❑Stormwater Management ❑Shoreline Master Program Exemption/Permit Revisions*" O Site Plan Approval Advance Determination(SPAAD)* ❑Shoreline Management Substantial Development** O Temporary Use ❑Shoreline Management Variance O Wireless Telecommunication* ❑Comprehensive Plan/UDC/Land Use District Map Amendment ❑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 Pne•Application Conference Please identify any other local,state or federal permits required for this proposal,if known: nn DESIGNATION OF AGENT I hereby designate n i r 110 +ie c1 t'I t1 to act as my agent in matters relating to this application for permit(s). OWNER SIGNATURE L4.49.41.,d%,1-"'"u"7.' i 14 Date: 103 13//3 j 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 County against all liabilities,judgments,court costs,reasonable attorneys 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 ppl' • n thkt he or a wants p rinotice. Signature: � 4" i'1 14 Date: L b 30 1/3 . The action or actions Applicant 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-tr nsfe res ibili or adh ring nd complying with the ESA. The Applicant has read this disda' er and/signs and dates it below. signature: , - . Date: L l0(3 47/3 G:\PeimitCenter\###FORMS###\DRD FORMS\Master Permit Application 5-29-08.doc 1(4 5'5�°3`- i-o1, • IP This combination qualifies for a Federal Energy 4:Pill CERTIFIED TM 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: 4655313 Date: 10/31/2013. Product: Split System: Heat Pump with Remote Outdoor Unit-Air-Source Outdoor Unit Model Number: 4TWX5036B1 Indoor Unit Model Number:*AM7A0C36H31 Manufacturer: TRANE Trade/Brand name: XL15I WEATHERTRON 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: 37600 Cooling Capacity(Btuh): 12.50 EER Rating (Cooling): SEER Rating (Cooling): 15.00 Heating Capacity(Btuh)@ 47 F: 34600 Region IV HSPF Rating(Heating): 9.25 Heating Capacity(Btuh)@ 17 F: 21800 Ratings followed by an asterisk(')indicate a voluntary rerate of previously published data,unless accompanied with a WAS,which indicates an involuntary rerate. DISCLAIMER 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 arising 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 individual,personal and confidential reference purposes. The contents of this Certificate may not,in whole or in part,be reproduced;copied;disseminated;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. CERTIFICATE VERIFICATION u�' The information for the model cited on this certificate can be verified at www.ahridirectory.org, Air-Conditioning,Heating, click on"Verify Certificate"link and enter the AHRI Certified Reference Number and the date on A. ■a`' and Refrigeration Institute which the certificate was issued,which is listed above,and the Certificate No.,which is listed below. ©2013 Air-Conditioning,Heating,and Refrigeration Institute CERTIFICATE NO.: 130277117738521856 0 1 s 0 E -a \ N ai El . cc Z N c-. S MECHANICAL AND DEMOLITION PERMIT Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 Received Date 11/8/2013 PERMIT#: BLD13-00358 SITE ADDRESS: 3045 UPPER BLUFFS DR Issue Date 11/8/2013 PORT TOWNSEND, 98368 APPLICANT: W DWIGHT OBERHOLTZER PHONE: ELLEN C OSTERN 20 UPPER BLUFFS DR# 1 3045 PORT TOWNSEND WA 983689503 SUBDIVISION: THE BLUFFS BLDG 23 Block: Lot: PARCEL NUMBER: 965300045 Section: 26 Township: 30N Range: 01W CONTRACTOR: 221 W CEDAR O HEATING COMPANY INC PHONE: 360-683-3901 SEQUIM WA 98382 Contractor's License AIRFLI*206DG Expires 4/25/2014 OWNER, W DWIGHT OBERHOLTZER PHONE: if different: ELLEN C OSTERN 20 UPPER BLUFFS DR# 1 PORT TOWNSEND WA 983689503 PROJECT DESCRIPTION: REPLACE EXISTING HEAT PUMP SYSTEM Directions To Site: THIS PERMIT IS VALID FOR ONE YEAR AND IS NOT RENEWABLE. THE FINAL INSPECTION THE EXPIRATION BE SCHEDULED DATE IS /81 014 ND PASSED WITHIN THAT YEAR. REQUIRED INSPECTIONS: Ta iye/Appliance: i f y FinalApproval: I2 4 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 11/8/2013 AIR FLO HEATING COMPANY 414 5 7 Jefferson County Building Dept. Check Number: 41457 Date Description Amount 11/04/2013 Permit for Oberholtzer/Ostern I 152.00 4110 • SON coo w4 �, JEFFERSON COUNTY K Q , DEPARTMENT OF COMMUNITY DEVELOPMENT \-/9HI NO Date: Time Received: I (5(./ la!�/�j p►n Mon. Tue. ed. Thur. Fri. BLD: Date: 1 Z,_ LI Owner: a ~3 8 Contact Name: Address: Contact Number: 360 .7R X1.790 o�D ` 1 0Pe-e- 6t-OFi=S Notes: Foundation Plumbing Framing Propane Tank Mechanical Setbacks Under-ground Framing Footing g Under ground Furance g Rough In Air Seal Above ground Stemwall Hydronic Exterior shear Gas Straps Exterior lines Oil p Hot Water Htr Interior shear Interior lines Post Hole Ducts Ventilation Appliance Underfloor Man-Homes Gas/Wood stove Insulation Setbacks Floor Final Inspection Foundation Wall Block&Tile Address Posted Ceiling JEFFERSONSOUNTY 'b • NO. 145535 DATE tA/A"/ ( RECEIVED FROM p1/4,V --C-C7 tAel-ANte (el, . DESCRIPTION BARS# AMOUNT CURRENCY aJ COIN .1..-1 ECK g ,- � CD C f� * m xi r: , :)- p s1,'6 RECEIVED BY evv TOTAL l `'