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HomeMy WebLinkAboutBLD2015-00251 - MECHANICAL UILDING PERMIT APPLIC ON BLD15-00251 Review Type: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT#: BLD15-00251 Received Date: 7/22/2015 SITE ADDRESS: 41 SEQUIM PL PORT TOWNSEND, 98368 OWNER: CASSANDRA REEVES PHONE: 360-344-2174 41 SEQUIM PL PORT TOWNSEND WA 98368-9441 9396 -CAPE GEORGE COLONY DIV. SUBDIVISION: Block: Lot: PARCEL NUMBER: 939601455 Section: 13 Township: 30 N Range: 21/) CONTRACTOR: PENINSULA HEAT INC PHONE: 360-681-3333 PO BOX 173 CARLSBORG WA 98324 Contractor's License PENINI*0440W Expires 3/2/2016 REPRESENTATIVE: PHONE: PROJECT DESCRIPTIOP NEW MECHANICAL PERMIT- INSTALL 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: SHORELINE: GARAGE: SETBACK: CONST TYPE: DECK: 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 07/22/15 156307 ����®��� Total: $156.00 JUL 222015 ,Jefferson County DCD \\firiomnr4\Ant,\fnrmelP RI rl Ann RIri mf 7/479/W1c ! • ��� gON coG DEPARTMENT OF COMMUNITY DEVELOPMENT A. 621 Sheridan Street,Port Townsend,WA 98368 - < Tel:360.379.4450 I Fax:360.379.4451 Web:ww■v.co.iefferaon.wa.us/communit}devclopment E-mxil:dcd( co.jefferson.wa.us IS ''c N 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#: 1 5630 Date: .7/a2L/i S Related Application#s: Payment#: 1440a 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 re fired for appliances installed within a mobile/manufactured home. L&I -360-417-2702 ("I: 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: q , (;( & 0 I el SS _ Site Address and/or Directions to Property: q- I Sect ∎ \ � pi c,p , 'Pa`+ I o_fl L Access (name of street(s)from which access will be gained: Description of Work: 1( Stot 1(Gct i ate. 19 .S ok_ 0 J ill-s ,M I ✓I Sp I ► t Property Owner Name: ( G-SSN e 4 - -e_ fit_S m v Address: 41 Se et VI ✓V\ P1 - Po �O-�v-t,�-evedC Cl8 0 3 4 v.//`- c) Phone#: 760 ._ 3 4 4 - `.1 7 4 E-mail Address: rn Please contact Authorized Agent/Representative with project info. K - - =t Property Owner Signature: Date: 4 Applicant/Contractor: Authorized Agent/Representative Name: Pe vii/IcJ L - (--1U-1- L.O . Phone#: E-mail Address: M0l V11f1S-,k4.e .i-I--tu✓v. 3F� v - �� I - 333 ��P License#:(,(J7 e N Z iv ilk 0 zt-i-n W Expiration Date: 10 I t 81 t o t (, 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 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 Water Heater-Gas Gas WH Vent and Combustion Air submitted with the 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 n Y � " "r ➢I,Gl, �S 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``.. this a.,;y c. on and subsequent permit isance. Signature: '" ' �• Print Name: /f �O G1�'� Date: O7� �/3 /S� y i OFFICE USE ONLY Building Permit Fees Mechanical Permit fee Itank swap,woodtove,furnace,etc) $156.00 Propane—Lines, tank, and appliance (add'I $78.00) Project Scanning Fee $19.50 Total Fees* 1 C-S-0 *Additional fees may apply. Mechanical Application 2 • • Mary Lofstrom From: cassie <cassieandcats @wildblue.net> Sent: Monday,July 13, 2015 12:04 PM To: Mary Lofstrom Subject: Re: Emailing: Cassie Reeves Mary, I authorize you to act as my representative for the permit for the job at 41 Sequim Place in Port Townsend. Thank you. Cassandra Reeves Sent from my iPad >On Jul 13, 2015, at 8:31 AM, Mary Lofstrom<mary@peninsulaheat.com>wrote: > Hello Cassie, > Here is the form that we talked about on the phone. If you can sign >and scan,send it to my email (mary@peninsulaheat.com) . If not, I >will act as your representative.Thanks! > Mary Lofstrom > Peninsula Heat >360-681-3333 ><Cassie Reeves.pdf> 1 Parcel Details • • Page 1 of 2 � d r � on CountyF� ,„ _, ,,,,, , , ,, 'v.�..a, ..„,, , ilia .3s T,00I5 r:.-_'^[. " . yM - Home County Info Departments ch �` _ �}f [� ants Search Parcel Number: 939601455 SEARCH Parcel Number: 939601455 Printer Friendly Owner Mailing Address: CASSANDRA REEVES 41 SEQUIM PL PORT TOWNSEND WA98368-9441 Site Address: 41 SEQUIM PL PORT TOWNSEND 98368 Section: 13 School District: Port Townsend (50) Qtr Section: NW1/4 Fire Dist: Chimacum (1) Township: 30N Tax Status: Taxable Range: 2W Tax Code: 0111 Planning area: Quimper (2) Sewer: Drainage: Bank: View 1: View 2: Zoning 1: RR-5 - Rural Residential Zoning 2: Zoning 3: Sub Division: 9396 - CAPE GEORGE COLONY DIV. 7 Assessor's Land Use Code: 1100 - Residential - Single Unit Property Description: CAPE GEORGE COLONY DIV 7 BLK 14 LOT 11 Tax,A/V, Sales, Photos, and Permit Data Bldg Data Mao Parcel lets&Surveys Se tic Monitoring Info , ° ' Jefferson Corm HOME I COUNTY INFO I DEPARTMENTS I SEARCH a Best viewed with Microsoft Internet Explorer 6.0 or later Windows - Mac http://www.co.jefferson.wa.us/assessors/parcel/parceldetail.asp?value=939601455 7/22/2015 PENINSULA HEAT INC Page 1 of 2 •Home Inicio en Espanol Contact Search L&I A-Z Index Safety Claims & Insurance Workplace Rights A Washington State Department of VI Labor & Industries PENINSULA HEAT INC Owner or tradesperson PO BOX 173 CARLSBORG, WA 98324 Principals 360-681-3333 LOFSTROM, KENNETH JOHN, PRESIDENT CLALLAM County LOFSTROM, MARY E, SECRETARY Doing business as PENINSULA HEAT INC WA UBI No. Business type 601 737 680 Corporation Governing persons KENNETH J LOFSTROM MARY E LOFSTROM; 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. PENINI`0440W Effective—expiration 09/16/1996-10/18/2016 Bond CBIC $12,000.00 Bond account no. SA4812 Received by L&I Effective date 07/02/2001 09/16/2001 https://secure.lni.wa.gov/verify/Detail.aspx?UBI=601737680&LIC=PENINI*0440W&SAW= 7/22/2015 • • 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 #: BLD15-00251 Received Date 7/22/2015 SITE ADDRESS: 41 SEQUIM PL Issue Date 7/22/2015 PORT TOWNSEND, 98368 APPLICANT: CASSANDRA REEVES PHONE: 360-344-2174 41 SEQUIM PL PORT TOWNSEND WA 98368-9441 SUBDIVISION: 9396-CAPE GEORGE COLONY DIV. Block: Lot: PARCEL NUMBER: 939601455 Section: 13 Township: 30N Range: 2W CONTRACTOR: PENINSULA HEAT INC PHONE: 360-681-3333 PO BOX 173 CARLSBORG WA 98324 Contractor's License PENINI*0440W Expires 3/2/2016 OWNER, CASSANDRA REEVES PHONE: 360-344-2174 if different: 41 SEQUIM PL PORT TOWNSEND WA 98368-9441 PROJECT DESCRIPTION: NEW MECHANICAL PERMIT- INSTALL HEAT PUMP Directions 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 7122/2016. REQUIRED INSPECTIONS: Installation per Manufacturer Specifications/C2: L 5-l .( h/* in-•ppplianc { lK Final Approval: CGK (r( N11 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 7/22/2015 4��5ON ''OO JEFFERSON COUNTY �` DEPARTMENT OF COMMUNITY DEVELOPMENT 99yiNG Date: 7 l/ Time Received: p © I am�� Mon. Tue. ORSP Thur. Fri. Date: --5 r BLD: 5 -(;,5-I Contact Name: Owner: Contact Number: 360 J /y 2/ 7y Address: 1--i / `5 ,.�rJ., Pc 206 Notes: � 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 JEFFERSON COUNTY OW NO. 156307 DATE 1/20l01 S_ RECEIVED FROM Pe1/ $i4I't I/ a4 /1) DESCRIPTION BARS# AMOUNT IN CURRENCY 15%/344a____ 156. OU COIN /L'►2 /1 CC° CHECKS C fA `(J airrY7419 P1 51-4 /A 4.--f, M q 1 6161 o glrz %fY) - RECEIVED BY -.V .a.■Ld//L/ TOTAL /75. 50