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Home My WebLink AboutBLD2015-00252 - MECHANICAL BUILDING PERMIT APPLICATION BLD15-00252 Review Type: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD15-00252 Received Date: 7/22/2015 SITE ADDRESS: 193 KING DR BRINNON, 98320 OWNER: DUAYNE A SLIMP PHONE: 360-301-1259 ROXANNE SLIMP 193 KING DR BRINNON WA 98320-9630 SUBDIVISION: Block: Lot: PARCEL NUMBER: 502293006 Section: 29 Township: 25 N Range: 2V1 CONTRACTOR: SANDRA L PAUL PHONE: 360-229-2139 P.O. BOX 2085 SHELTON WA 98584 Contractor's License ARCHMM1902MN Expires 7/14/2016 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: OCCUPANCY: UNHEATED: #OF STORIES: 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 07/22/15 156353 APPROVED Total: $156.00 JUL z 2 2015 Jefferson County DCD 61,16,611. +o Gy-A-riAC-6," -3--/pQ/1 S--- \1firleT=r4\rle/n\4nrmc\ RI fl Ann PIA rnf 7/9919f lc Jul 20 1503:52p ARCH Mechanic Inc. 1- 60-432-8958 p.1 ��gON e DEPARTMENT OF COMMUNITY DEVELO u M -� k� �`j Tel:360.379.4450 Pax:30379.4451 v \1 Wcb:warw.co.jc Person.wa.0$/cr rmm°.tnitvdcvclormcnt IDl E-r:raii:dedi)c,.tclfcnor:.wans 1 4 � ; JUL 21 2015 f J MECHANICAL PERMIT APPLICA' 'IO JEFFERSON COUNTY Steps in the Permit Process: DF?T.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#: 161, Date: -312.211S- Related Application#5: Payment#: C(. - 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&l -360-417-2702 * If No: Complete this form and make an appointment to submit to Jefferson County Permit Tech 360-379-4450 2) 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. V ' _ A complete solar panel supplemental application. Site Information Assessor Tax Parcel Number:502293006 Site Address and/or Directions to Property: 193 King Drive, Brinnon, WA 98320 Access(name of street(s)from which access will be gained: hwy 101 north, L @ Seamont Dr., R @ King Dr. Description of Work: Install ductless heat pump system. Property Owner Name: Duayne Blimp co Address: 193 King Drive, Brinnon, WA 98320-9630 Phone#: 360-301-1259 E-mail Address: blackptelectric @gmai.com I � Applicant/Contractor: Authorized Agent/Representative Name: ARCH Mechanical, Inc. Phone #: 360-229-2139 E-mail Address: sandy @archmechanical.com License#: ARCHMMI902MN Expiration Date: Mechanical Application 3 Jul 20 15 03:52p ARCH Mechanical 1-360-432-8958 p.2 Neat Source Electric ✓ Heating Oil 1 I Propane El Wood _J 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+1-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(II gallons: ) over 500 gallons,a site plan is 1 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 alt 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 ins sections. Applicant may request notice of the County's intent to enter upon the property for visits related to this . .plica r•n and subsequent permit issuance. Property0,,. Sandra L. Paul 07/20/15 Si, r - ,414, Print Name: Date: OFFICE USE ONLY Building Permit Fees Mechanical Permit fee (tank swap,woodsmve,furnace,etc) $156.00 Propane—Lines, tank,and appliance (add'I $78.00) Project Scanning Fee $19.50 Total Fees* 1 -75 co *Additional fees may apply. )%)35 cG , Mechanical Application 2 �/ ARCH MECHANICAL INC • Page 1 of 2 Home Iotcio en Espanol Contact Search L&I A-Z Index Help My Secure L&I Safety Claims&Insurance Workplace Rights Trades&Licensing Washington State Department of At Labor & Industries ARCH MECHANICAL INC Owner or tradesperson PO BOX 2085 SHELTON,WA 98584 Principals 360-432-0214 PAUL,SANDRA LYNN,PRESIDENT MASON County PAUL,THOMAS JOSEPH,VICE PRESIDENT Doing business as ARCH MECHANICAL INC WA UBI No. Business type 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/Vent/Air-Conditioning and Refrig (HVAC/R) License no. ARCHMMI902MN Effective—expiration 07/1512010—06/28/2016 Bond CBIC $6,000.00 Bond account no. S16867 Received by L&I Effective date 07/15/2010 07/14/2010 Expiration date Until Canceled Insurance ................. Security National Insurance $1,000,000.00 Policy no. NA102878101 Received by L&I Effective date 06/29/2015 07/14/2013 Expiration date 07/14/2016 Insurance history Savings No savings accounts during the previous 6 year period. Lawsuits against the bond or savings No lawsuits against the bond or savings accounts during the previous 6 year period. L&I Tax debts No L&I tax debts are recorded for this contractor license during the previous 6 year period,but some debts may be recorded by other agencies. I I https://secure.lni.wa.gov/verify/Detail.aspx?UBI-603025747&LIC—ARCHMMI902MN&SAW= 7/22/2015 Parcel Details Page 1 of 2 • • ■■1 Jefferson County E —0, l't ' 44.7:',.. ,1.'4' ,,, ..,„„„,„*11:t1,■-'12.7:';77:'":017,4:E_'''";:'; 1:t.'41.‘7174rie iii'''. ----%-'1,%""':" ;-.U.S3ti: Id .. ;#-„; ''"::er.4‘,4'•'-....=: , , ,?,Z...,,,,__!T , t,,,,,,,,,,_ ' ' _ Home County Info Departments Search Parcel Number: 502293006 SEARCH Parcel Number: 502293006 Printer Friendly Owner Mailing Address: DUAYNE A SLIMP ROXANNE SLIMP 193 KING DR BRINNON WA98320-9630 Site Address: 193 KING DR BRINNON 98320 Section: 29 Sdiool District: Brinnon (46) Qtr Section: SW1/4 Fire Dist: Brinnon (4) Township: 25N Tax Status: Taxable Range: 2W Tax Code: 0441 Planning area: Brinnon (11) 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 T25 R2W TAX 34(LS TAX 40,41,42) SUBJ/EASE V572/P471 Tax, A/V, Sales, Photos, and Permit Data Bldg Data Map Parcel lats&Surveys ' Se.tic Monitonn. Info 0, HOME I COUNTY INFO I DEPARTMENTS I SEARCH ' Jeffetson County Best viewed with Microsoft Internet Explorer 6.0 or later isWindows - Mac http:// .cojefferson.wa.us/assessors/parcel/parceldetail.asp?value=502293006 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 #: BLD15-00252 Received Date 7/22/2015 SITE ADDRESS: 193 KING DR Issue Date 7/22/2015 BRINNON, 98320 APPLICANT: DUAYNE A SLIMP PHONE: 360-301-1259 ROXANNE SLIMP 193 KING DR BRINNON WA 98320-9630 SUBDIVISION: Block: Lot: PARCEL NUMBER: 502293006 Section: 29 Township: 25N Range: 2W CONTRACTOR: SANDRA L PAUL PHONE: 360-229-2139 P.O. BOX 2085 SHELTON WA 98584 Contractor's License ARCHMMI902MN Expires 7/14/2016 OWNER, DUAYNE A SLIMP PHONE: 360-301-1259 if different: ROXANNE SLIMP 193 KING DR BRINNON WA 98320-9630 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/CO2: Tank/Line/Appliance: Final Approval: ? -��'t s--y4-' 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 FEy" `'be, JEFFERSON COUNTY a DEPARTMENT OF COMMUNITY DEVELOPMENT 9SHI G 0 Date: Time Received: /,). t..// a (407 Mon. Tue. Thur. Fri. Date: 6- BLD: /S- v25,■ Contact Name: Owner: Contact Number: 360 ..2„.2,( 2J3q Address: /q3 206 Notes: /MIA 44- fu 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