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HomeMy WebLinkAboutBLD2014-00284 - MECHANICAL •UILDING PERMIT APPLICA N BR D14--00284 Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD14-00284 Received Date: 8/7/2014 SITE ADDRESS: 1320 E QUILCENE RD QUILCENE, 98376 OWNER: DOUGLAS E THOMAS PHONE: 425-908-8418 JUANITA R THOMAS PO BOX 216 QUILCENE WA 98376-0216 SUBDIVISION: Block: Lot: T 50 PARCEL NUMBER: 701191007 Section: 19 Township: 27 N Range: 1\ 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 DESCRIPTION NEW HEAT PUMP TYPE OF WORK NON SQUARE FOOTAGE: TYPE OF IMP MEC MAIN: 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: WATER SYSTEM: BEDROOMS: BATHROOMS: Exist: Exist: Prop: Prop: Total: Total: Routing Date: Type Amount Paid By: Date: Receipt: At)Apr Permit $152.00 SRE 08/06/14 151364 Total: $152.00 AUG 0 7 2014 Jefferson County DCD eMCIA.0 ) / N E" \\tidemark\data\forms\F_BLD_App_Bld.rpt 8/7/2014 I 4,soN c 0 PLD2D-1 2c �' JEFFEF N COUNTY r3 DEPARTMENT OF COMMUNITY DEVELOPMENT `d 621 Sheridan Street• Port Townsend •Washington 98368 360/379-4450 • 360/379-4451 Fax www.co.jefferson.wa.us/commdevelopment Master Permit Application MLA: 1 Project Description(include separate sheets as necessary): i n -tect QU \ Tax Parcel Number: 7 tr I ‘01 t, 0 G Property Size: (acres/square feet) Site Address and/or Directions to Property: 132_0 E. O. \cam.. izel 1 QL.jLcensL 1 c.JA g831e Property Owner(s)of Record: ��lk� � �` T�fr�� Telephone: L} ..5 —3oY-v4 t si Fax: email: Mailing Address: P.o . 1301( Le CJ CAJ'VL LA)(' 4&3'1 I-P Applicant/Agent(if different from owner): Alf" co 1 Heat in_c Telephone: 34.0-Web-?1C)1 Fax: 1083- 3c1'li� em , y.e64trilohedf1 ,CAM Mailing Address: 2.1% W. Cedar S't• �,c;at�trv" ,k,,,A gg3ea hilt-Hrver What kind of Permit?(Check each box that applies ❑Building ❑Critical Areas Stewardship Plan ❑ pemoktion Permit ❑Variance(Minor,Major or Reasonable Economic Use) Ingle Family ❑Garage Attached/Detached ❑Conditional Use[C(a),C(d),or C)*" ❑ Manufactured Home ❑ Modular ❑Discretionary'D"or Unnamed Use Classification ❑ Commercial• ❑Special Use(Essential Public Facilities)•• ❑ Change of Use ❑Boundary Line Adjustment ❑ Address ❑Road Approach ❑Short Plat** ❑ Home Business ❑ Cottage Industry ❑Binding Site Plan** ❑ Propane ❑Long Plat•* ❑Sign ❑Planned Rural Residential Development(PRRDyAmendments** ❑Allowed'Yes'Use Consistency Analysis ❑Plat Vacation/Alteration•• ❑Stormwater Management ❑Shoreline Master Program Exemption/Permit Revisions ❑ Site Plan Approval Advance Determination(SPAAD)• ❑Shoreline Management Substantial Development"* ❑Temporary Use ❑ Shoreline Management Variance ❑Wireless Telecommunication* ❑Comprehensive Plan/UDC/Land Use District Map Amendment ❑Forest Practices Act/Release of Six-Year Moratorium ❑Jefferson County Shoreline Master Program Amendment ' "May require a Pre—Application Conference ❑Tree Vegetation Request "Requires a Pre-Application Conference Please identify any other local,state or federal permits required for this proposal, if known: DESIGNATION OF AGENT i 4ecttp-E • st 2>rt.iwt - .„[.gib w?xsd.'°.;*PiRwa«s-'si a'&i This combination qualifies for a Federal Energy rru i CERTIFIED® Efficiency Tax Credit when placed in service between Feb 17 2009 and Dec 31 2013. www.ahritlirectory:org Certificate of roduct Ratings AHRI Certified Reference Number: 4934170 Date: 7/31/2014 Product: Variable Speed Mini-Split Heat Pump, with Remote Outdoor Unit Air-Source, Free Delivery Outdoor Unit Model Number: MUZ-FE12NA1 Indoor Unit Model Number: MSZ-FE12NA Manufacturer: MITSUBISHI ELECTRIC COOLING & HEATING Trade/Brand name: MR. SLIM Series name: Manufacturer responsible for the rating of this system combination is MITSUBISHI ELECTRIC COOLING & HEATING 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(Stub): 12000 EER Rating (Cooling): 12.90 SEER Rating (Cooling) 23.00 Heating Capaclty(Btuh)@ 47 F: 13600 Region IV HSPF Rating(Heating): 10,50 Heating Capacity(Btuh)@ 17 F: 7800 CERTIFIED RATINGS FOR VARIABLE-SPEED,MINI-AND MULTI-SPLIT SYSTEMS ARE VALID FOR ALL COMBINATIONS OF INDOOR UNITS (BASED ON COMBINATION TYPES)WITH THE SPECIFIC OUTDOOR UNIT LISTED ABOVE AND IN THE AHRI DIRECTORY OF CERTIFIED EQUIPMENT.VISIT WVWV.AHRIDIRECTORY.ORG TO VERIFY THAT THIS COMBINATION IS AN ACTIVE LISTING AND THE DATA LISTED ON THIS CERTIFICATE IS ACCURATE.SEARCH ON THE AHRI REFERENCE#TO QUICKLY LOCATE THIS COMBINATION IN THE DIRECTORY. •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.ahridirectory.org. TERMS AND CONDITIONS r S. 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; 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-CONOITIONING,HEATING, CERTIFICATE VERIFICATION &REFRIGERATION INSTITUTE The information for the model cited on this certificate can be verified at www.ahridirectory.org,click on"Verify Certificate"link H,„_make life beae 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. 1 3 0 5 1 3097629tlt.$9 �e °,. ©2014 Air-Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.. , AIR FLO HEATING CO INC Page 1 of 2 • Washington State Department of Labor & Industries AIR FLO HEATING CO INC Owner or tradesperson 221 W CEDAR ST BEQUETTE, MICHAEL SEQUIM, WA 98382-3320 360-683-3901 Principals CLALLAM County BEQUETTE, MICHAEL FULLAWAY, MICHAEL BEQUETTE, MARK A, PRESIDENT BEQUETTE, SANDRA A, VICE PRESIDENT BERSON, JOEL R, SECRETARY BERSON, JOEL R, TREASURER LEVINSON, WILLIAM R, AGENT Doing business as AIR FLO HEATING CO INC WA UBI No. Business type 600 347 761 Corporation ILicense Verify the contractor's active registration / license/certification (depending on trade) and any past violations. Electrical Contractor Active. Meets current requirements. License specialties HVAC/RFRG License no. AIRFLHCOO9C8 Effective—expiration 02/28/2000—02/28/2016 Designated administrator BERSON,JOEL RAY Active. Meets current requirements. License type License no. Master Electrician BERSOJR975LB Bond CBIC $4,000.00 Bond account no. si6233 Received by L&I Effective date 05/19/2010 07/06/2010 https://secure.Ini.wa.gov/verify/Detail.aspx?UBI=600347761&LIC=AIRFLHC009C8&SAW= 8/7/2014 AIR FLO HEATING CO INC Page 2 of 2 • Expiration date • Until Canceled Bond history Savings S ................. No savings accounts during the previous 6 year period. License Violations Infraction no. EDORN00206 Satisfied Violation date RCW/WAC 03/28/2013 19.28.161(6) RCW Violation city Violation amount Sequim $250.00 Type of violation ELECTRICAL CITATION Description Failure of the electrical contractor to accurately verify electrical training hours on an Affidavit of Experience. Workers' comp 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 2 of Year 2014"21 to 30 Workers" L&I account representative T1 /FEARAED FEROZE (360)902-4797-Email: FERH235 @Ini.wa.gov IWorkplace safety and health 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. access Wastungtran" I..tilre I mernr„s.«t AV,Sits https://secure.lni.wa.gov/verify/Detail.aspx?UBI=600347761&LIC=AIRFLHC009C8&SAW= 8/7/2014 Parcel Details Page 1 of 2 • • J I on nn Home County Info Departments Search Parcel Number: 701191007 SEARCH Parcel Number: 701191007 Printer Friendly Owner Mailing Address: DOUGLAS E THOMAS JUANITA R THOMAS PO BOX 216 QUILCENE WA98376-0216 Site Address: 1320 E QUILCENE QUILCENE 98376 Section: 19 School District: Quilcene (48) Qtr Section: NE1/4 Fire Dist: Quilcene (2) Township: 27N Tax Status: Taxable Range: 1W Tax Code: 0321 Planning area: Quilcene (10) Sub Division: Assessor's Land Use Code: 9100 - Vacant Land Property Description: S19 T27 R1W TAX 50 - I Tax,A/V. Sales, Photos, and Permit Data Bldg Data Map Parcel Plats &Surveyvs Septic Monitoring Info J8#ferwn Count ; , - HOME I COUNTY INFO I DEPARTMENTS I SEARCH goe Best viewed with Microsoft Internet Explorer 6.0 or later Windows - Mac http://www.co,jefferson.wa.us/assessors/parcel/parceldetaiLasp?Parcel N0=701191007 8/7/2014 ¢S°N CO w�� oy JEFFERSON COUNTY DEPARTMENT OF C OMMUNITY DEVELOPMENT .13'1,.13'1,1 NG. - I `I7'/ Date: '--t¶ Time Received: C)-3 1 P ipm Mon. Tue. ed. Thur. Fri. Date: R- C) BED: I Lr – Z / Contact Name: Owner: Contact Number: 360 t'ftc WC, 4&71 Address: I 3 91� G Q..i 1 206 Notes: !*— ?A 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 AIR FLO HEATING COMPANY Ch*Number: 42712 4 2712 Jefferson County Building Permit Depatlient Amount Date Description 171.00 08/04/2014 Permit for Thomas JecL&?t 1 BLL -1■ \ 7D0 cpc) -Q\ t Sdan JEFFERSON COUNTY ., NO. _: ln(fla/DATE Cv 'T RECEIVED FROM C.) 1( n O )4ecli. Co"'- , DESCRIPTION BARS# AMOUNT CURRENCY Q)L 1 by,\SF i G) 2, • U U i t&—Al Neat Pufr COIN .c`r4r,„ I 6`1 . ( cJ C CHECK PeUrCe'll X01 -16I-L3(0-44 c , 0 4 onorra8.- - M 33 8 RECEIVED BY c Eh 'f TOTAL R I ' 'DJ • • 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 #: BLD14-00284 Received Date 8/7/2014 SITE ADDRESS: 1320 E QUILCENE RD Issue Date 8/7/2014 QUILCENE, 98376 APPLICANT: DOUGLAS E THOMAS PHONE: 425-908-8418 JUANITA R THOMAS PO BOX 216 QUILCENE WA 98376-0216 T 50 SUBDIVISION: Block: Lot: PARCEL NUMBER: 701191007 Section: 19 Township: 27N 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, DOUGLAS E THOMAS PHONE: 425-908-8418 if different: JUANITA R THOMAS PO BOX 216 QUILCENE WA 98376-0216 PROJECT DESCRIPTION: NEW 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 8/7/2015. REQUIRED INSPECTIONS: Installation per Manufacturer Specifications/CO2: Tank/Line/Appliance: Final Approval: Y-10,2 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 8/7/2014 V d- -0 cam. • •I,Aar iC'Z, -Thame.3 co 3 icy ($0'^va1MS 4- I . -c-a) g 1-1q Lti R� G1 7.,;) Imo----2k 3011 Zo • 1..z.S `tl l -2,37 ,S3 r.