Loading...
HomeMy WebLinkAboutBLD2015-00156 - MECHANICAL BUILDING PERMIT • Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 PERMIT#: BLD15-00156 Received Date: 5/11/2015 SITE ADDRESS: 543 PARKRIDGE DR Issue Date 5/11/2015 PORT TOWNSEND, 98368 Expiration Date 5/11/2016 OWNER: GENEVIEVE GORSKI TRUSTEE PHONE: 360-379-2478 STANLEY R GORSKI TRUSTEE 543 PARKRIDGE DR PORT TOWNSEND WA 98368-2599 9999-WOODLAND HILLS#2 SUBDIVISION: Block: Lot: PARCEL NUMBER: 999900160 Section: 28 Township: 30 N Range: 1V1 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 PROJECT DESCRIPTION: NEW MECHANICAL PERMIT INSTALL HEAT PUMP &AIR HANDLER 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: Type Amount Paid By: Date: Receipt: BEDROOMS: BATHROOMS: Permit $156.00 SRE 05/11/15 156050 Exist: Exist: Total: $156.00 Prop: Prop: Total: Total: Directions to Site: HEALTH DEPARTMENT AND PUBLIC WORKS APPROVAL REQUIRED PRIOR TO FINAL INSPECTION THIS PERMIT IS VALID FOR ONE YEAR OR IT MUST BE PROPERLY RENEWED BUILDING INSPECTION HOT-LINE 379-4455. Request must be received by 3pm the day before the inspection is needed. Office Hours 9:00 am -4:30 pm MONDAY- THURSDAY HOT LINE AVAILABLE 24 HOURS A DAY SUILDING PERMIT APPLICA N BLD15-00156 Review Type: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD15-00156 Received Date: 5/11/2015 SITE ADDRESS: 543 PARKRIDGE DR PORT TOWNSEND, 98368 OWNER: GENEVIEVE GORSKI TRUSTEE PHONE: 360-379-2478 STANLEY R GORSKI TRUSTEE 543 PARKRIDGE DR PORT TOWNSEND WA 98368-2599 9999-WOODLAND HILLS #2 SUBDIVISION: Block: Lot: PARCEL NUMBER: 999900160 Section: 28 Township: 30 N Range: 1\A 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 DESCRIPTIOP NEW MECHANICAL PERMIT INSTALL HEAT PUMP &AIR HANDLER 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 $156.00 SRE 05/11/15 156050 Total: $156.00 .APPROVED OVED MAY ; 1 2015 Jefferson County DCD \\tidemark\data\forms\F_B LD_App_Bld.rpt 5/11/2015 0 4�S�N CMG DEPARTMENT OF COMMUNITY DEVELOPMENT• W4">.,..$0, g tom', 4-' 621 6'1 Shcrular:8lucr Port Tonnsend,C4A98368 C 1 �/ .-, -C Tel. 360.+( t 3:9.14-)11 F ic36i1 379.4451 __ \\el) .Y t,u.cn.icl crs,In.wa u lc(,omn urn',cevel<1'mcnt .' I.`.- 'ul.dcd":aka Berson.c....s `mss�' MAY - 7 2015 16'11' hl NG O MECHANICAL PERMIT APPLICATION JEFFEPSONCDUNiY� Steps in the Permit Process: DEPT.OF COMMUNITY DEVELOPMENT _ -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#s: Payment#: Is this application for use in a Mobile/ Manufactured Home? * If 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 V ' * If No: Complete this form and make an appointment to submit to Jefferson County Permit Tech 360-379-4450 I ,.j t / - I ' i re,q $' 9 r a ' I.in+ 41■I I�IF I g 'a1 � s2 -S ( `, .' 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: q 00i (e:;,c) r Site Address and/or Directions to Property: 547, A- > (Alt, l)V 11011-i— TrDU)1/1o6 Q , A g 4 72 �a11 Access (name of street(s)from which access will be gained: Description of Work: 1 i'; •{-) - 1.1-t,c y # Air ootit r Property Owner. _ . , Name: :�1 &l \J C f1 01 Cs (--T Lit ',-,V, t fl Address: 51.4 1 7 -PA..re_n1 t rc. "p,r- po,(4. .--r-vv),,✓J 60 Clef GI Phone #: . .;-7Q .. aLC g E-mail Address: Please contact Autho ident/ presentative with project info. r K Property Owner Signature: /// Date: ) / ) zc Applicant/Contractor: Authorized Agent/Representative Name: (A IY`L I- L U '-tiT ) ti -1 j� �' 4i,11( !'Id,, f-\i1 Phone #: 3j(.,� (p�7.,,_ '?f O E-mail Address: A.i.1 C License#: ,A t v. ie S ca 0( Expiration Date: OSiIC Mechanical Application 1 • • Heat Source Electric Heating Oil Propane* Wood Indicate Quantity and Fixture Types Below *Propane is prohibited in Quantity Fixture Type Description hazardous locati i ns such as Fan _ Bath Fan and/or Exhaust Fan basements o pits or Clothes Dryer Clothes Dryer with Exhaust Vent anywhere"heavi-r-than-air" Cook Stove Cook Stove, Range Hood Exhaust gas can unsafe y collect. Fireplace-Gas Fireplace-Gas or Gas Log Insert *Propane tank- over 125 Fireplace-Wood Fireplace-wood,Wood Stove,or gallons require . minimum Pellet Stove setback of 10 ft.from Electric Furnace Electric Furnace or HP+/-Ducting property line an buildings, Propane(LP)Gas Furnace Propane Furnace+/-Ducting and a site pla must be submitted ith the Water Heater-Gas Gas WH Vent and Combustion Air application shi wing the Gas Pipe System Gas Pipe System LPG/Oil setbacks. If pro vane tank is Propane Tank LP Fuel Tank(#gallons: 1 over 500 gallons, : site plan is 1 Heat Pump required to acco pany 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 requir later inspections. Applicant may request notice of the County's intent to enter upon the p-operty for visits rela d th pplication and subsequent permit issuance. Signature: (� / 6_ Print Name: /- Date:5'01 7 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 g4445O cOO JEFFERSON COUNTY `. DEPARTMENT OF COMMUNITY DEVELOPMENT Date: c,//? Time Received: am/pm Mon. Tue. We Thur. Fri. Date: 5/22) BLD: 7 Contact Name: Owner: Cr-c'Ky- Contact Number: 360 Air 773 - 66i/5 Address: c43 a E Xi?MC,E D,Q 206 Notes: &C/.14,iJci 1:1L Foundation Plumbing Framing Propane Tank Mechanical Setbacks Under-ground Framing Under ground Furance X 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 • • [)) frt. 11 V E "AY 20'i J -J combination qualifies for a Federal Energy "N RI ® J"0"0. I LUUiJ1Y Ili Efficiency Tax Credit when placed in service e'u ...� CERTIFIED _PT.0 UO" hIU JITY DEVELO?MENT between Feb 17, 2009 and Dec 31, 2014. www.ahridirectory.org Certificate of Product Ratings AHRI Certified Reference Number: 6992576 Date: 5/4/2015 Product: Split System: Heat Pump with Remote Outdoor Unit-Air-Source Outdoor Unit Model Number: 4TWV8024A1 Indoor Unit Model Number: *AM8C0A24V21 Manufacturer: TRANE Trade/Brand name: TRANE Series name: XV181 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): 23400 EER Rating (Cooling): 13.00 SEER Rating (Cooling): 18.00 Heating Capacity(Btuh)@ 47 F: 21600 Region IV HSPF Rating (Heating): 9.60 Heating Capacity(Btuh)@ 17 F: 16900 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.ahrldlrectory.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; 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-CONDITIONING,REAMS, CERTIFICATE VERIFICATION &REFRIGERATION INSTITUTE The information for the model cited on this certificate can be verified at www.ahridlrectory.org,click on"Verify Certificate"link we make life better' and enter the AHRI Certified Reference Number and the date on which the certificate 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.: 130752297099685466 Jefferson County Building Division Permit Number:• BLD15-00156 Applicant: GORSKI TRUSTEE BUILDING PERMIT INSPECTION APPROVALS Applicable Code: 2012 International Building Codes To schedule inspections, call (360)379-4455 no later than 3:00PM the day before the inspection is needed. Requests received after 3:00 PM will not be scheduled for the next day's inspections. ELECTRICAL PERMITS are issued by the Washington State Department of Labor & Industries. The electrical permit must be signed off by the State Inspector prior to the County's Framing Inspection Inspection Item Date Approval Signature Notes Mechanical Systems .5-19.4//s- Miscellaneous /J ii A final inspection will not be scheduled until the following are completed and signed off by the applicable Department: • Building Permit Conditions are met • Septic Permit Final/Complete for any building containing plumbing • Land Use Conditions met and signed off • Public Works Permit Final(where applicable) FINAL INSPECTION (o /,/ FINAL INSPECTION UST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED THIS PERMIT IS VALID FOR ONE YEAR