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BLD2015-00239 - MECHANICAL
APPLICAII�N BLD15-00239 •UILDING PERMI T Review Type: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD15-00239 Received Date: 7/13/2015 SITE ADDRESS: 52 MARIETTA LOOP OWNER: PHILIP M RAGSDALE PHONE: 360-643-6132 LOIS A VENARCHICK 52 MARIETA LOOP PORT TOWNSEND WA 98368-9592 9304 -WALTHEW'S ACRE TRACTS SUBDIVISION: Block: Lot: PARCEL NUMBER: 930400011 Section: 27 Township: 30 N Range: 1V1 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 DESCRIPTIOI+ NEW MECHANICAL PERMIT INSTALL DUCTLESS HEAT PUMP SYSTEM 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 156288 /� Total: $156.00 APPROVED JUL 13 2015 Jefferson County DCD 1\firiomnr41r1 falfnrmc\F RI fl Ann RIII rnt 711.119nic III • (3N C oG DEPARTMENT OF COMMUNITY DEVELOPMENT 2: 621 Sheridan Street,Port Townsend,WA 98368 -< Tel:360.379.4450 Fax:360.379.4451 Web:www.co.jef ferson.wa.us/communitydevelopment E-mail:dcdna co.iefferson.wa.us '1`yH1 N G�O� 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#:)5(�a88' Date: V/ /S Related Application#5: Payment#: a83 7 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 — 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 \ E © [ g V I� -; A complete solar panel supplemental application. JUL 1 3 2015 ' Site Information Assessor Tax Parcel Number: j Soy 0001 I JEE■ERSCH COUNTY Site Address and/or Directions to Property: ti---)6, j£,,4_, , LoO p . DEPT OF PO' IUNiTy DUFi DPMENT Access (name of street(s) from which access will be gained: Description of Work: I srxl( O ck(e,SS lQ,o* pomp SyStc v, Property Owner Name: ��l( iy.l�\�SaU.lF,,, 03 Address: '5 Mp,�je {-p` LoCp c) Phone #: '-- t O - Loci 3• (DI 3d. E-mail Address: m ✓ Please contac t�rize gent Representative with project info. K Property Owner Signature: Date: 7 -,�_ # Applicant/Contractor: Au orized Agent/Representative Name: t-itl W.A-wte f-‘tutakit °4- Coo (IYn Phone #: kpo- 456,- lg..] E-mail Address: %i C rk i A ,, _. &,i f, , , C License#: LL tn..) &l+ Sb K U Expiration Date: 9 ' Mechanical Application 1 A • • Heat Source Electric V 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 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 is application and subsequent permit issuance. Signature: Print Name: ilaitn 1MLV)c,03 ■ Date: 7-`? • I S� OFFICE USE ONLY Building Permit Fees Mechanical Permit fee (tank swap,woodstove,furnace,etc) $152.00 Propane- Lines,tank, and appliance (add'I $76.00) Project Scanning Fee $19.00 Total Fees* *Additional fees may apply. .. Mechanical Application 2 JUL 1 3 2015 JEFFERSON COUNTY DEPT.OF COMMUNITY flcVf iPr^ ALL WEATHER HTG & COOLING• Page 1 of 2 • Home lnicio en Espafiol Contact Search L&I StAC A-Z Index Help My Secure L&I Safety Claims&Insurance Workplace Rights Trades&Licensing 0 Washington State Department of Labor & Industries ALL WEATHER HTG & COOLING INC Owner or tradesperson 302 KEMP ST PORT ANGELES,WA 98362 Principals 360-452-9813 MCKEOWN,THOMAS J JR,PRESIDENT CLALLAM County MCKEWON,IDA L,SECRETARY Doing business as ALL WEATHER HTG&COOLING INC WA UBI No. Business type 600 485 640 Corporation Governing persons IDA L MCKEOWN THOMAS J JR MCKEOWN; 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. ALLWEHC150KU Effective—expiration 05/31/1985—09/07/2015 Bond TRAVELERS CAS&SURETY CO $12,000.00 Bond account no. 104990651 Received by L&I Effective date 08/14/2007 09/01/2007 Expiration date Until Canceled Bond history Insurance ............._.. Liberty Mutual Ins Co $1,000,000.00 Policy no. 56222477 Received by L&I Effective date 09/02/2014 09/01/2014 Expiration date 09/01/2015 Insurance history Savings No savings accounts during the previous 6 year period. https://secure.lni.wa.gov/verify/Detail.aspx?UBI=600485640&LIC=ALLWEHC150KU&SAW= 7/13/2015 2syON `� JEFFERSON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT r Date: 3/3 Time Received: n:ZZ_ 69 pm Mon. Tue. ed Thur. Fri. Date: 48/5/45 BLD: 15 0023 9 Contact Name: Owner: gALSDA1.& Contact Number: 360 6 ys - G/sZ Address: 52 filiozieris Loo" 206 Notes: Foundation Plumbing Framing Propane Tank echanica Setbacks Under-ground Framing Underground 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 ,.,,, • • 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#: BLD15-00239 Received Date 7/13/2015 SITE ADDRESS: 52 MARIETTA LOOP Issue Date 7/13/2015 APPLICANT: PHILIP M RAGSDALE PHONE: 360-643-6132 LOIS A VENARCHICK 52 MARIETA LOOP PORT TOWNSEND WA 98368-9592 SUBDIVISION: 9304-WALTHEW'S ACRE TRACTS Block: Lot: PARCEL NUMBER: 930400011 Section: 27 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, PHILIP M RAGSDALE PHONE: 360-643-6132 if different: LOIS A VENARCHICK 52 MARIETA LOOP PORT TOWNSEND WA 98368-9592 PROJECT DESCRIPTION: NEW MECHANICAL PERMIT Directions INSTALL DUCTLESS HEAT PUMP SYSTEM 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:-�., h/g/3 Install tion per Manufacturer Spe 'cations/CO2: ✓ 4y/ S l/ Tank/Line/Appliance: `/ Final Approval: ?� ) � ( � 7-Y4-13-242 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 JEFFERSON COUNTY D D NO. 1 15P288 DATE 1/R / 1 S RECEIVED FROM .-/ • / /� . • • A _10 f. • AC-- DESCRIPTION pp�Is °ARSq M i NT CURRENCY rat. =r-42 / d COIN =MEW O Q AIN cn iimmr ! ' - AL- _mss o -o -c RECEIVED BY 2 ._AL/It4 TOTAL •