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HomeMy WebLinkAboutBLD2015-00240 - MECHANICAL B LD 15-00240 BUILDING PERMIT APPLICATA. Review Type: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD15-00240 Received Date: 7/13/2015 SITE ADDRESS: 491 S BAY WAY OWNER: ALDEN B JOHNSON TRUSTEE PHONE: 360-437-8049 JUDITH M JOHNSON TRUSTEE 491 S BAY WAY PORT LUDLOW WA 98365-9420 SUBDIVISION: Block: Lot: PARCEL NUMBER: 921294009 Section: 29 Township: 29 N Range: 1E 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 DESCRIPTIOII New Mechanical Permit INSTALL ONE DUCLESS 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: Type Amount Paid By: Date: Receipt: Approved/Date Permit $156.00 SRE 07/13/15 156290 APPROVED Total: $156.00 V��00 JUL 13 2015 Jefferson County DCD 111iriomorkrlota1fnrmc\F RI fl Ann RId rnt 7/11/•M • I .,,,go1v c 0 DEPARTMENT OF COMMUNITY DEVELOPMENT 44 , 6, 6'1 Sheridan Sir(u,Parr (o�c tsend,V,, \ 98368 W 3 Tei. 16(11'9 450 I I C'. 6p.ai9.44',1 '-C \\,,.11.wwc..co.icttcrson•49 u,/cnrnrrunity<lccclopment I:mail:dcd!uco.icffcrson,.c:..us 4- 95--111•1G`s.0 MECHANICAL PERMIT APPLICATION 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#: 156,;,24 L<'( Date: 7/I '3// Related Application#5: Payment#: 4-4 366 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 * 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 1 L 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. Assessor Tax Parcel Number: gal 2g(4609 Site Address and/or Directions to Property: Y9/ 5_� "1 ` gM n �_) " wavit, W Access (name of street(s)from which access will be gained: rj, Description of Work: 'Dr(cON:Lu -,K1 CT cK5.•E >nkj■-- --cam to.....n... (rHv Property Owner Name: L _ __ Ilk Z1�r ) w Address: . �! ►_. i ii P �� O.. . I 4".t+a . E Phone#: ,••11 i,i... E-mail Address: . ) A • m x Applicant/ Contractor: Authorized Agent/Representative Name: Phone#: Lt / I I I E- e. . • ••7 ` f-A. i 0 AA License #: Ai�E 11#P:��(� 1 mpo � ! omvaii. . ii Mechanical il1 atidij L1 1 J'.' 'L JEFFERSON COUNTY v DEPT.OF COMMUNITY DEVELOPMENT • • Heat Sourcc Electric Heating Oil Propane* I I 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 and a site plan must be 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. Property 0 • - Signature.S 1 — ,, , - Print Name: ��� �, 'aH(* Date:(../,e1t_S 4 OFFICE USE ONLY Building Permit Fees Mechanical Permit fee(tank Swan,'wndsmvP,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 , ,.._ 1)6,3). 1.:- Lqt4 r/Iv I TE ik C C C� [_- D � JUL 1 3 2015 JEFFERSON COUNTY DEPT.OF COMMUNI PI DEVELOPMENT r' o 4 ,.:. I cl. I D T �� ' \E] lJ ��. • MITSUBISHI r III ELECTRIC M C O O L I N G & H E A T I N G SUBMITTAL DATA MSZ-FH15NA & MUZ-FH15NA 15,000 BTUtH WALL-MOUNTED HEAT PUMP SYSTEM Job Name: System Reference: Date: Indoor UrtMSZ-FH15NA Iv Wireless Remote I'f 1 Controller Outdoor Unit MUZ-FH15NA GENERAL FEATURES • Highly energy-efficient system that features 100%heating capacity at 5°F,82%at-4°F, and 62%at-13°F • Updated sleek, compact indoor unit design • Includes Standard,Platinum Deodorizing,and Anti-allergy Enzyme filters for a complete air purifying system • "Powerful Mode"function permits system to temporarily run at a lower/higher temperature with an increased fan speed,which quickly brings the room to the optimum comfort level • Integrated i-see Sensor automatically adjusts the unit's operation according to temperature differences detected between the floor and the intake air, ensuring optimum comfort and energy usage • Hand-held Wireless Remote Controller • Base Pan Heater is available as an option • Limited warranty:five years parts and seven years compressors ACCESSORIES Outdoor Unit --�_ ❑ Base Pan Heater(MAC-642BH-U) lC, /� ❑ Three-pole Disconnect Switch(TAZ-MS303) v L, V (_C ❑ Air Outlet Guide(MAC-886SG-E) I D ❑• Mounting Pad(ULTRILITE1) I JUL 1 3 2015 Indoor Unit ❑ Condensate Pump(BlueDiamond X87-711/721; 115/230V) JEFFERSON COUNTY ❑ Condensate Pump(Sauermann SI30-115/230; 115/230V) OFPr.OF 00 lIjrtUyp :r ❑ Replacement Platinum Deodorizing Filter(MAC-3000FT-E) -Fi OPMENT ❑ Replacement Anti-allergy Enzyme Filter(MAC-2330FT-E) Controller Options ❑ Wireless Wall-mounted Remote Controller Kit(MHK1)* ❑ Portable Central Controller(MCCH1)* I RR ❑ Outdoor Air Sensor(MOS1)* ❑ Wired Wall-mounted Controller (PAR-31 MAA requires MAC-333lF)* ❑ Simple MA Remote Controller (PAC-YT53CRAU requires MAC-333lF)* "See Submittal for information on each option ❑ System Control Interface(MAC-333IF) ❑ Remote Temperature Sensor,(M21-JKO-307) ❑ Lockdown Bracket for Hand-held Controller(RCMKP1CB) Specifications are subject to change without notice. 0 2015 Mitsubishi Electric US,Inc. SPE..i-IOATIONS : MSZ-FHt5NA& MUZ-FH15NA Cooling`1 Indoor Unit Rated Capacity 15,000 Btu/h MCA 1.0 A Capacity Range 6,450- 19,000 Btu/h Blower Motor(ECM) 0.67 F.L.A. Rated Total Input 1,200 W Blower Motor Output 30 W Maximum Total Input 2,200 W SEER 22.0 Btu/h/W Airflow(Lo-Med-Hi-Super Hi-Powerful) Heating at 47°F°2 Cooling 225-262-304-355-411 Dry CFM Rated Capacity 18,000 Btu/h 194-225-261-305-354 Wet CFM Capacity Range 5,150-24,000 Btu/h Heating 201-254-317-394-497 Dry CFM Rated Total Input 1,300 W Maximum Total Input 3,360 W Sound Pressure Level(Lo-Med-Hi-Super Hi-Powerful) HSPF 12.0 Btu/h/W Cooling 27-31-35-39-44 dB(A) Heating at 17°F*3 Heating 25-29-34-39-46 dB(A) Rated Capacity 11,000 Btu/h Maximum Capacity 18,000 Btu/h External Finish Color Munsell 1.0Y 9.2/0.2 Rated Total Input 1,020 W Maximum Total Input 2,480 W External Dimensions Heating at 5° F Inches' 12+11/16 H x 36-7/16 W x 9-3/16 D Maximum Capacity 18,000 Btu/h mm: 305+17 H x 925 W x 234 D Maximum Total Input 3,000 W Weight Unit 29 lbs./12 kg Rating Conditons: Field Drainpipe Size 0.0 19/32 In.115mm °1 Cooling I Indoor:80°F(27°C)DB/67°F(19°C)WB °1 Cooling I Outdoor:95°F(35°C)DB/75°F(24°C)WB `2 Heating at 47°F I Indoor:70°F(21°C)DB/60°F(16°C)WB Outdoor Unit *2 Heating at 47°F I Outdoor:47°F(8°C)DB/43°F(6°C)WB MCA 16 A *3 Heating at 17°F I Indoor:70°F(21°C)DB/60°F(16°C)WB Fan Motor(ECM) 0.93 F.L.A. *3 Heating at 17°F I Outdoor:17°F(-8°C)DB/15°F(-9°C)WB *4 Heating at 5°F1 Indoor:70°F(21°C)D8(60°F(16°C)WB *4 Heating at 5°F I Outdoor:5°F(-15°C)DB/5°F(-15°C)WB Sound Pressure Level Cooling'1 51 dB(A) Electrical Requirements Heating°2 55 dB(A) Power Supply 208/230V, 1-Phase,60 Hz Breaker Size 20 A External Finish Color Munsell 3Y 7.8/1.1 Voltage Dimensions Indoor-Outdoor S1-S2 AC 208/230V Inches 34-5/8 H x 33-1/16 W x 13 D Indoor-Outdoor S2-S3 DC+/-24V mm: 880 H x 840 W x 330 Indoor-Remote Controller MHK1 DC 3V PAR-31 MAA DC 12V Weight 124 lbs./56 kg PAC-YT53CRAU DC 12V Operating Conditons Refrigerant Type R410A Cooling Indoor Intake Air Temp...(Max.)90°F(32°C)DB/73°F(23°C)WB Refrigerant Pipe (Min.)67°F(19°C)DB/57°F(14°C)WB Gas Side O.D 1/2"x 12.7 mm Liquid Side O.D. 1/4"x 6.35 mm Outdoor Intake Air Temp (Max.) 115°F(46°C)DB (Min.)14°F(-10°C)DB Refrigerant Pipe Length Heating Height Difference(Max.) 50'x 15m Indoor Intake Air Temp.. .(Max.)80°F(27°C)DB 167°F(19°C)WB Length(Max.) 100'x 30m (Min.)70°F(21°C)DB/60°F(16°C)WB Connection Method Outdoor Intake Air Temp. (Max.)75°F(24°C)DB/65°F(18°C)WB Indoor/Outdoor Flared (Min.)-13°F(-25°C)DB/-15°F(-26°C)WB" **System cuts out at-18°F(-28°C)to avoid thermistor error,but recovers from cutout operation and automatically restarts at-14°F(-26°C). Notes: Specifications are subject to change without notice. ©2015 Mitsubishi Electric US,Inc. JEFFERSON COUNTY De.,49 NO. 156290 DATE 7 JJ3 is iiezthizt RECEIVED FROM d; Y PO DESCRIPTION BARS# AMOUNT CURRENCY COIN r CHEC C 0 .4-e II 9 £1 � )4--/).09 0 Z m 0 n Illiiii ., TOTAL J 1S SD- tt & -tom JtYhtKJUN LUUN I T ` �2 DEPARTMENT OF COMMUNITY DEVELOPMENT 9'SFf(ti GAO Date: —1 2,1Time Received: 637 tfrr9p m Mon. Tue. Wed. Fri. Date: '?/3) BLD: i C . 240 Contact Name: Owner: Contact Number: 360 4137 go [ Address: /IV S tcPN7 206 Notes: HEAT-- PU WJ1 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 ss Final Inspection Setbacks Floor Foundation Wall Address Posted Block&Tile Ceiling DIMENSIONS: MSZ--H15NA & MUZ-FIB„ NA MSZ-FH1 5NA Unit: mm(in.) 7/16•1-1/16 Oblong hole 7/16 o 13/16 Oblong hole Installation plate 4-1/16 8-7/8 8-7/8 J t.,4-1/16 °! r ---1---k- , 36-7/16 `.f...3: e, N N a �° G _ o0 \ dG W -- 35-5!8 3/8 �r / -.. �.. -.. /.-�� I f r y 1 w j 8-1/8_,J:3/4 °� t Indoor unit �f 2-518 . . 15-9/16 14-11/16 3-9/16 Air in Wall hole 03 9-3116 3 116 V Installation .late c,i's ii ) "°-NI I . i r I N N rill• --� ilk r Y 1I ! Pipin. 2 _ 1 I, 1-9/16 /- - - 10 Drain hose 2-3/8 --...-.-27-11!16.------ 6-5/16 0 4 N 2-3/8 1 I`__ 11116 Air out _---...4-5/8-, te A — - 45-3/76._ N N a, El 1 r I I.2-5/8 2-11/16 1 1. MUZ-FH15NA REQUIRED SPACE Unit:mm(in-) 1 20 in.(500 ram)or more when front and sides of the unit are deer 16-7116 .-.. ....... ..........-",.../"'-'.. aft OUO.ain hle 01.68 Ai.in 1.9/16 ''re et . immilmil Fl :%. Air out ------ trJn1 ai.e ' /4” L 2-holes 13132X13116 ,Lp�3 8 I. ietvii� °` '7s0" .7: 19.31,16 A I •2 Wnen any 2 sees of left,right and rear of the unit are clear 331/18 J16 -`•il1 Service panel ❑ Fes• Liquid reingaranl pipe font /�j �� IIII ( Refrigerant pipe(6ared■a IN • ii�itiill tlillll�llll _-, �i�� ___ I11` -IIaP Gas refrigerant Me folm --"---- -� Refs erani•i.. Bared v1/2 MINEI E'�(\i` MITSUBISHI D i .�.. CERTIFIED M ELECTRIC `L 1 3 . 5 j 144.1:5 wrl C \ � US I JUL iLJ C O O L I N G & H E A T I N G a a v ...., .., r 6Tto t n z �• 4 Intertek L__ --_ J 1340 Satellite Boulevard EFFERSGfVCGUNTYnPl1 IT Suwanee,GA30024 DEPT.OF CGMMUMTy DF.____ ___---� Tele:6I8-376-2900•Fax:800-889-9904 Toll free.800-433-4822 www.mehvac.com FORM#MSZ-FH t 5NA/MUZ-FH 15NA-201503Ver2 Specifications are subject to change without notice. ©2015 Mitsubishi Electric US,Inc. Parcel Details i • Page 1 of 2 �t6 Jefferson County ��leatrnerStation .... �ase�oals,`,�; N :�Mapes , ±�. ..�4iebca.n .tome County Info Departments Search Parcel Number: 921294009 SEARCH Parcel Number: 921294009 Printer Friendly Owner Mailing Address: ALDEN B JOHNSON TRUSTEE JUDITH M JOHNSON TRUSTEE JOHNSON FAMILY REV TRUST 491 5 BAY WAY PORT LUDLOW WA98365-9420 Site Address: 491 S BAY WAY PORT LUDLOW 98365 Section: 29 School District: Chimacum (49) Qtr Section: SE1/4 Fire Dist: Port Ludlow (3) Township: 29N Tax Status: Taxable Range: 1E Tax Code: 0231 Planning area: Port Ludlow (7) Sewer: Drainage: Bank: View 1: View 2: Zoning 1: RR-5 - Rural Residential Zoning 2: Zoning 3: Sub Division: Assessor's Land Use Code: 1100 - Residential - Single Unit Property Description: S29 T29 R1E TAX 81 & TLTX D7 WITH & SUB] TO EASE Tax, A/V, Sales, Photos, and Permit Data Bldo Data Map Parcel Plats&Surveys Se•tic Monitorin• Info e r3o 1 County •a 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/parcellparceldetail.asp?value=921294009 7/13/2015 AIR FLO HEATING COMPANY INC(' • Page 1 of 2 Home Inicio en Espanol Contact Search Att A-Z Index Help My Secure L&I Safety Claims&Insurance Workplace Rights Trades&Licensing 40) Washington State Department of Labor & Industries AIR FLO HEATING COMPANY INC Owner or tradesperson 221 W CEDAR SEQUIM,WA 98382 Principals 360-683-3901 BEQUETTE,MARK A,PRESIDENT CLALLAM County 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 Governing persons MARK BEQUETTE SANDRA BEQUETTE; 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/VentlAir-Conditioning and Refrig (HVACIR) License no. AIRFLI`206DG Effective—expiration 03/0711980—04/25/2016 Bond CBIC $6,000.00 Bond account no. 816215 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 04/21/2015 04/25/2014 Expiration date https://secure.lni.wa.gov/verify/Detail.aspx?UBI=600347761&LIC=AIRFLI*206DG&SAW= 7/13/2015 • • 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#: BLD15-00240 Received Date 7/13/2015 SITE ADDRESS: 491 S BAY WAY Issue Date 7/13/2015 APPLICANT: ALDEN B JOHNSON TRUSTEE PHONE: 360-437-8049 JUDITH M JOHNSON TRUSTEE 491 S BAY WAY PORT LUDLOW WA 98365-9420 SUBDIVISION: Block: Lot: PARCEL NUMBER: 921294009 Section: 29 Township: 29N Range: 1E 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, ALDEN B JOHNSON TRUSTEE PHONE: 360-437-8049 if different: JUDITH M JOHNSON TRUSTEE 491 S BAY WAY PORT LUDLOW WA 98365-9420 PROJECT DESCRIPTION: New Mechanical Permit Directions INSTALL ONE DUCLESS HEAT PUMP 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 7/13/2016. REQUIRED INSPECTIONS: Installation per Manufacturer Specifications/CO2: cY 7/5/i5 Tarrtd‘ine/Appliance: dK 7/3L/I. Final Approval: 0k 7,3zs/.� 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 7/13/2015