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Home My WebLink AboutBLD2015-00131 - MECHANICAL • 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#: BLD15-00131 Received Date 4/20/2015 SITE ADDRESS: 620 CEDAR AVE Issue Date 4/20/2015 PORT HADLOCK, 98339 APPLICANT: JEFFERSON CO RURAL LIBRY DIST PHONE: 360-385-6544 620 CEDAR AVE PORT HADLOCK WA 98339-9514 T 160 SUBDIVISION: Block: Lot: PARCEL NUMBER: 901023018 Section: 2 Township: 29N 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, JEFFERSON CO RURAL LIBRY DIST PHONE: 360-385-6544 if different: 620 CEDAR AVE PORT HADLOCK WA 98339-9514 PROJECT DESCRIPTION: NEW MECHANICAL PERMIT Directions INSTALL HEAT PUMP AND AIR HANDLER 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 . REQUIRED INSPECTIONS: Installation per Manufacturer Specifications/CO2: Tank/Line/Appliance: Final Approval: (.."/4 1/2-5/C 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 4/20/2015 BUILDING PERMIT APPLICAION BLD15-00131 Review Type: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD15-00131 Received Date: 4/20/2015 SITE ADDRESS: 620 CEDAR AVE PORT HADLOCK, 98339 OWNER: JEFFERSON CO RURAL LIBRY DIST PHONE: 360-385-6544 620 CEDAR AVE PORT HADLOCK WA 98339-9514 SUBDIVISION: Block: Lot: T 160 PARCEL NUMBER: 901023018 Section: 2 Township: 29 N Range: 1V\ 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 DESCRIPTIOr NEW MECHANICAL PERMIT INSTALL HEAT PUMP AND AIR HANDLER TYPE OF WORK COM SQUARE FOOTAGE: COMMERCIAL: TYPE OF IMP MEC MAIN: INDUSTRIAL: 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: NUMBER OF EMPLOYEES: WATER SYSTEM: BATHROOMS: Exist: Prop: Total: Routing Date: Type Amount Paid By: Date: Receipt: Approved/Date Permit $156.00 SRE 04/20/15 156008 Total: $156.00 ^ , APR 2 0 2015 efferson County DCD \\tidemark\data\forms\F_B LD_App_Bld.rpt 4/20/2015 .0 1111! b ti\__________ . . . . _____________ i_. Liu; � . ,..: r-;----1 1 °-� 3 1 U Q t� J s J .4 ..... , .; r=- --------=-------:--] ., . ,. ,,,,s V ‘..1 i ..''' i __I —,t,,,,, ,....lt I i N 1 3 fv1 L 4 "`— i t �4' ,...., a3 ti� }t. ■ 1 1 * i C t________T........____ I g i 1 i 4 PO o • • � SnN C0G DEPARTMENT OF COMMUNITY I EVEI • <z... --/-: 621 Si,erid a Suter Port Tom iserid,\\.l 0836.- w ✓ Tt l 36(0-9.4450 I Fax:360 s ?.4451 \\el) v,wvex.1:o.tetEersot.wa.0 ,comrnunt1vdevelopmen€ 7—_:-____:::::-- O 1.:;"mill;dcC{t1 CC1.1C{fcrsoi1 w:t.us �I i AP 2 0 2015 Li 1 S�1 Nv� I Li b J I M ECH NCAL PERMIT APPLICATION YIIRSCN COUNTY , ,iTY D��7E�r,.?PfENT j Steps in the Permit Process: - -Review required submittal items to ensure all information is completed prior to submitting application. -Mechanical Permits can be mailed into our office-and do not require an appointment. -Fees are due at time of submittal, Mechanical permits are generally issued within 5 business days. For Department Use Only Receipt#: Date: Related Application#5: Payment#: Is this application for use in a Mobile/Manufactured Home? * It Yes: A permit from Washington State Department of Labor and Industries, not Jefferson County, is required for appliances installed within a mobile/manufactured home. L&I -360-417-2702 * If No: Complete this form and make an appointment to submit to Jefferson County Permit Tech 360-379-4450 Required Submittal Items—for propane tank only General Site plan —showing propane tank, lines, and distance from tank to all existing structures. _Required Submittal Items—for Solar Panel installation only Complete first page and signature block only of Mechanical Permit Application. A complete solar panel supplemental application. _ Site Information Assessor Tax Parcel Number: ``I Li. 1 iu--9jL 1 to Site Address and/or Directions to Property: %rZ0 ` . : Aifs eCy-4- 1+a tLoC , LJi'\ C'1 35q Access (name of street(s) from which access will be gained: Description of Work: 4 .iS' . '.I _1 AA 0 ' A ..ad 0' :'. Property Owner z_ NA.* _ - r . _ Name: 'i, - '. I • Lt :. /_ L.' co Address: (02.0 C; &CXx— e/` !�; l/� eQ LOC Phone #: ij ,L- 2 c — s Li.i E- •.it Address: Please con t uthorize Agent/Repres-r. e with project info. K Property Owner Signature: Date: / c,20 S Applicant I ContracW,Mhorized Agent/Representative e, Name: ili l Y2, t,. . AB . a y' Phone #: -0- # e. 3- 0 0 ( E-mail Address: License #: I 11z_e L i Ake gov1( Expiration Date: a)..,l ) 15 Mechanical Application 1 . . Heat Source, Electric `A Heating Oil Propane* Wood Indicate Quantity and Fixture Types Below *Propane is prohibited in Quantity Fixture Type Description hazardous locations such as Fan Bath Fan and/or Exhaust Fan basements or pits or Clothes Dryer Clothes Dryer with Exhaust Vent anywhere "heavier-than-air" Cook Stove Cook Stove, Range Hood Exhaust gas can unsafely collect. Fireplace-Gas Fireplace-Gas or Gas Log Insert *Propane tanks over 125 Fireplace-Wood Fireplace-wood,Wood Stove, or gallons require a minimum Pellet Stove setback of 10 ft.from Electric Furnace Electric Furnace or HP+/- Ducting property line and buildings, Propane(LP)Gas Furnace Propane Furnace+ Ducting submitted with the Water Heater-Gas Gas WH Vent and Combustion Air application showing the Gas Pipe System Gas Pipe System LPG/Oil setbacks. If propane tank is Propane Tank LP Fuel Tank(#gallons: ) over 500 gallons,a site plan is Heat Pump required to accompany this Generator application, and a separate Air Conditioner Fire Code approval is also required. Installation manual must be on site at time of inspection or a re-inspection fee will be charged. 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 making any issued permit null and void. I further agree to that all activities I intend to undertake or complete associated with this permit will be performed in compliance with all applicable federal, state and county laws and regulations and I 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. Applicant may request notice of the County's intent to enter upon the property for visits related to this application and subsequent permit issuance. Signature ( v G i Print Name: L - Date: q (v—� OFFICE USE ONLY Building Permit Fees Mechanical Permit fee(tank swap,woodstove,furnace,etc) $156.00 Propane— Lines, tank, and appliance (add'I $78.00) Project Scanning Fee $19.50 Total Fees* *Additional fees may apply Mechanical Application 2 AIR FLO HEATING COMPANY 4 3 8 0 0 Check Number: 43860 Jefferson County Bldg Dept Date Description Amount 04/06/2015 Permit for Jefferson Co. Library 175.50 `4F,4?ON % JEFFERSON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT \ $ 9S.h,t N GS() )ate: V/ IL L Time Received: //•`33 6n?J,iom Mon. Tue. Wed. ur. Fri. Date: 00/ I Contact Name: �,!' 3LD: /6 585 _�5# / Contact Number: 360 Owner: ,� C. t-'�Q�R-'�" 206 Address: _ 6 2.0, G&r:Ar A Notes: Rol- f 4 APDe_ E. Foundation Plumbing Framing Propane Tank Mechani Setbacks Under-ground Framing Under ground Furance Footing Rough h 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 AIR FLO HEATING COMPANY INC Page 1 of 2 • • Hone Tomb Inido en Espanol Contact ISearch L&I A-2 Index Help My Secure Li I Safety Claims&Insurance Workplace Rights Trades&Licensing Washington State Department of 4 Labor & industries AIR FLO HEATING COMPANY INC Owner or tradesperson 221 W CEDAR BEQUETTE,MARK A 60 3 ,WA 98382 360-6683 83-3901 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 UBI 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 Heating/Vent/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 L&I Effective date 02/05/2010 02/01/2010 Expiration date Until Canceled Bond history Insurance American Hallmark Ins Co of Te $1,000,000.00 Policy no. 44CL483619 Received by L&I Effective date 04/18/2014 04/25/2014 Expiration date 04/25/2015 Insurance history Savings https://secure.lni.wa.gov/verify/Detail.aspx?UBI=600347761&LIC=AIRFLI*206DG&SAW= 4/20/2015 AIR FLO HEATING COMPANY INC Page 2 of 2 No savings accounts during the previous lot r period. • Lawsuits against the bond or savings No lawsuits against the bond or savings accounts during the previous 6 year period. L&I Tax debts No L&l tax debts are recorded for this contractor license during the previous 6 year period, ut some debts may be recorded by other agencies. License Violations No license violations during the previous 6 year period. IWorkers' comp I Do you know if the business has employees?If so,verify the business is up-to-date on workers'comp premiums. L&I Account ID Account is current. 351,432-00 Doing business as AIR FLO HEATING COMPANY INC. Estimated workers reported Quarter 4 of Year 2014"21 to 30 Workers" L&I account representative T1/FEARAED FEROZE(360)902-4797-Email:FERH235 @lni.wa.gov IWorkplace safety and health I Check for any past safety and health violations found on jobsites this business was responsible for. Citation issue date 07/24/2012 Violations Inspection no. 315954529 Location 125 Horizon View Dr. Sequim,WA 98382 Washington State Dept.of Labor&Industries.Use of this site is subject to the laws of the state of Washington. https://secure.lni.wa.gov/verify/Detail.aspx?UBI=600347761&LIC=AIRFLI*206DG&SAW= 4/20/2015