HomeMy WebLinkAboutBLD2014-00446 - MECHANICAL BUILDING PERMIT APPLICA BLDI4-00446
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Review Type:
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD14-00446 Received Date: 11/26/2014
SITE ADDRESS: 6405 CAPE GEORGE RD
PORT TOWNSEND, 98368
OWNER: JANET A WALLI N PHONE: 360-385-1582
PO BOX 1205
PORT TOWNSEND WA 98368-0905
SUBDIVISION: Block: Lot:
PARCEL NUMBER: 001305014 Section: 30 Township: 30 N Range: 1VP
CONTRACTOR: ALL WEATHER HTG & COOLING PHONE: 360-452-9813
302 KEMP STREET
PORT ANGELES WA 98362
Contractor's License ALLWEHC150KU Expires 9/4/2015
REPRESENTATIVE: PHONE:
PROJECT DESCRIPTION ONE OUTDOOR DUCTLESS HEAT PUMP WITH TWO INDOOR UNITS
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:
Type Amount Paid By: Date: Receipt: Approved/Date
Permit $152.00 JLA 11/26/14 153883 APPRC
$152.00 ' `PP C
NOV 2 6 2014
Jefferson County DCD
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JEFFERSON COUNTY
") DEPARTMENT OF COMMUNITY DEVELOPMENT
i
Date: j Ct Time Received: i b a9'pm Mon. Tue. We . Thur. Fri.
Date: 7 -((
BLD: )L& Contact Name:
Owner: Contact Number: 360 . SS". ( S 2_
Address: x,95 CA,i.p lam"-Q 206
Notes: [ V
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
•
<iz.3oN c06. DEPARTMENT OF COMMUNITY DEVELOPMENT
W 621 Sheridan Street,Port Townsend,WA 98368
Tel:360.379.4450 Fax:360.379.4451
Web:www.co.jefferson.wa.us/communitydevelopment
E-mail:dcda,co.iefferson.wa.us
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PERMIT APPLICATION
Steps in the Permit Process:
-Review application checklist to ensure all information is completed prior to submitting application.
-Make sure septic has been applied for and water availability has been proven.
-Make an appointment to meet with the Permit Technician by calling 360-379-4450.
-This is not a standalone application;it must be accompanied by a project specific supplemental application.
-Fees will be collected at intake. Additional fees may apply after review and payment is required before permit is issued.
For Department Use Only Building Permit# 14- 1.-4-(�
Related Application#s: MLA#
Site Information
Assessor Tax Parcel Number: 001305014
Site Address and/or Directions to Property:6405 Cape George Road Port Townsend,WA 98368
Access(name of street(s)) from which access will be gained:
iffi
Present use of property:
Description of Work(include proposed uses):
MO . �7l
Install 1 outdoor ductless heat pump with 2 indoor units ' 2014
1=/Dr OF r, 54'sall co
moo,Orlifigovrivr
Wastewater-Sewage Disposal
This property is served by Port Townsend of Port Ludlow sewer system? YES NO
— —
If not served by sewer identified above, identify type of septic system below:
Type of Sewage System Serving Property:
Septic Septic Permit#:
Community Septic Name of System: Case#:
Are other residences connected to the septic system?
Additions or repairs to sewage system:
Is it a complete or partial system installation: Complete Partial
Has a reserve drainfield been designated? Yes _ No
Date of Last Operations& Maintenance check: Attach last report to application
Describe or attach any drainfield easements, covenants or notices on title,which may impact the property:
•
•
The authorized agent/representative is the primary contact for all project-related questions and correspondence. The County will
mail/e-mail requests and information about the application to the authorized agent/representative and will copy(cc) the owner
noted below. The authorized agent/representative is responsible for communicating the information to all parties involved with
the application. It is the responsibility of the authorized agent/representative and owner to ensure their mailbox accepts County
email i.e.,County email is not blocked or sent to"junk mail").
Applicant/Property Owner Information
Property Owner: l
Name: 7/�ry T' A 1 oAL-u /�
Address: 1 o +°5X
Phone#: _ -3j(0 p — 3 5 /6-53 a- E-mail Address:
_ _ Please contact Authorized Agent/Representative with project info. (select only one).
Date: / 7)-1 h
Property Owner Signature: ./h/O. C
Note; For projects with multiple owners,attach a separate sheet with each owner(s)information and signatures.
Applicant: Authorized Agent/Representative(If other than owner)
,Name- t W & -( 2A1 e. Co.)lr
Address: a. Yelp
Phone#: . -qg E-mail Address: bi I i) ij GI all ojekditkX ht-. w
Professional: Is this an Authorized Agent/Representative for this project? NO YES
Engineer Architect Surveyor Contractor Consultant
Name:
Address:
Phone#: E-mail Address:
Professional: Is this an Authorized Agent/Representative for this project? NO YES
Engineer Architect Surveyor Contractor Consultant
Name:
Address:
Phone#: E-mail Address:
Professional: Is this -en Authorized Agent/Representative for this project? NO YES
Engineer Architect Surveyor Contractor Consultant
Name:
Address:
Phone#: E-mail Address:
tPofessional: Is this an Authorized Agent/Representative for this project? NO YES
Engineer Architect Surveyor Contractor Consultant
game:
Address:
Phone#: E-mail Address:
Attach additional pages if nec.Issary
Builders Statement
The signer of this statement certifies that they are the Owners of the parcel referenced herein,that they are not licensed
contractors and that they will be assuming the responsibility of the General Contractor for the proposed project.
Signature: Print Name: Date:
MI
�JUtUTY I
ALL WEATHER HTG & COOLING Page 1 of 2
Washington State Department of
�� �� L���~��r & Industries
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ALL WEATHER HTG & COOLING INC
303 KEK8PST
Owner ortradesperson
PORT ANGELES, WA 98362
MCKEOWN,THOMAS '
' 360~452'9813
Principals CLALLAM County
MCKEOWN, THOMAS J JR, PRESIDENT
MCKEWON, IDA L, SECRETARY
Doing business as
ALL WEATHER HTG &COOLING INC
WA UBI No. Business type
600 485 640 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
GENERAL
License no
ALU0EHC150KU
Effective—expiration
05/31/1985—09/07/2015
Bond
TRAVELERS CAS &SURETY CO $12.000.00
Bond account no
104990651
Received by L&| Effective date
08/14/2007 09/01/3007
Expiration date
Until Canceled
Bond history
Insurance
Liberty Mutual Ins Co $1.000.000.00
Policy no.
56222477
Received by LW Effective date
09/02/2014 09/01/2014
Expiration date
09/01/2015
bmps://sccucc.loi.na.gov/vcrif«/Detuil.uopx?l<Bl=6O0485640&l.lC~~/\[[WEl{C15OKU&cSAW= 11/20/2014
Parcel Print • Page 1 of 1
Parcel Number:001305014 08/15/2014
Owner Mailing Address:
JANET WALLIN
PO BOX 1205
PORT TOWNSEND WA 98368-0905
Site Address:
6405 CAPE GEORGE RD
PORT TOWNSEND 98368-0905
Section: 30 School District: Port Townsend(50)
Qtr Section: NE1/4 Fire Dist: Chimacum(1)
Township: 30N Tax Status: Taxable
Range: 1W Tax Code: 0111
Planning area: 98368-0905
Sub Division:
Land Use Code: 1100
98368-0905
Property Description:
GLENN HAVEN LARGE LOT SUBDIVISION LOT 1
http://www.co.j efferson.wa.us/assessors/parcel/parcelprint.asp?PARCEL_NO=0013 05014 11/26/2014
All Weather Heating&Cooling Inc. 27772
Jefferson Country Building Permits 11/24/2014
COG-DIR:575 Permits & Fees Mechanical permit for Anna Wallin 171.00
Business Checking Fir Mechanical permit for Anna Wallin
171.00
JEFFERSON CONTY ç)CP • NO. 153883
DATE ''' ",
RECEIVED FROM \
DESCRIPTION BARS# AMOUNT
, CURRENCY 6 l 51 q2- 5
COIN �Ctr�- l 1-.30
1 `72°5°\ 11112- 2
0
3
m
33
o
O
RECEIVED BY TOTAL 111
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
PERMIT #: BLD14-00446 Received Date 11/26/2014
SITE ADDRESS: 6405 CAPE GEORGE RD Issue Date 11/26/2014
PORT TOWNSEND, 98368
APPLICANT: JANET A WALLIN PHONE: 360-385-1582
PO BOX 1205
PORT TOWNSEND WA 98368-0905
SUBDIVISION: Block: Lot:
PARCEL NUMBER: 001305014 Section: 30 Township: 30N Range: 1W
CONTRACTOR: ALL WEATHER HTG & COOLING PHONE: 360-452-9813
302 KEMP STREET
PORT ANGELES WA 98362
Contractor's License ALLWEHC150KU Expires 9/4/2015
OWNER, JANET A WALLIN PHONE: 360-385-1582
if different: PO BOX 1205
PORT TOWNSEND WA 98368-0905
PROJECT DESCRIPTION: ONE OUTDOOR DUCTLESS HEAT PUMP WITH TWO INDOOR
Directions UNITS
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 11/26/2015.
REQUIRED INSPECTIONS:
Installation per Manufacturer Specifications/CO2:
Tank/Line/Appliance:
Final Approval: S j 1 9 /
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
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