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HomeMy WebLinkAboutBLD2015-00246 - MECHANICAL 111 UILDING PERMIT APPLICA 1111N BRDI5-002 6 Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT#: BLD15-00246 Received Date: 7/16/2015 SITE ADDRESS: 116 TIMBER MEADOW DR PORT LUDLOW, 98365 OWNER: CLINTON H WEBB PHONE: 3604374119 PATRICIAA WEBB 116 TIMBER MEADOW DR PORT LUDLOW WA 98365-8233 9985 - TIMBERTON VILLAGE PHASE SUBDIVISION: Block: Lot: PARCEL NUMBER: 998500035 Section: 17 Township: 28 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 DESCRIPTIOI Heat Pump w/Air Handler and Thermosat 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 HAC 07/16/15 156303 APPROVED Total: $156.00 JUL 16 2015 Jefferson County DCL 1\fi.famarle1r4afa\fnrmc\F RI fl Ann Rlrl rn+ 7H RflCl1 • • ,cgON c OG DEPARTMENT OF COMMUNITY DEVE 61- 'II- IN 4. 6"i Shciidan Steer Poor"1 t1unund,AK A 98368 ( I M W ..< Tcl:3(4)3.9.445o I r ax.3(0.3-0.44;1 A eb wtiw..cli erters_,r wa u o �muni_�develuhment ' I:-m,-mail-c9cd!r?,co.jcf£crson.�e:-us 6 2015 ��N1 Nu ' MECHANICAL PERMIT APPLICATI H N JEFFERSON COUNTY Steps in the Permit Process: DEPT 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#: Date: Related Application#s: Payment#: 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. A complete solar panel supplemental application. Site Information Assessor Tax Parcel Number. 4E) (.. j ' Site Address and/or Directions to Property: (O Ti nit 4gOr 04E03 GA) br, Access (name of street(s) from which access will be gained: Description of Work: ) ,, - • A • Ian 1 . ! , A fs `11/litAVYIOS 4*T Property Owner Name: (; 11 v\+1U. '\ e° r 4,--1-p v"it-'i:.7 c- Address: i �I /. A I. � I O. _, o Phone#: A. . �`/�. E-mail Address: Please contact Authorized Agent/Representative with project info. K — — /� of =- Property Owner Signature: iii/ Y! i( A(. ©cx,o1 Date: tz Applicant/Contractor: Authorized Agent/Representative Name: A 1� 4L 14 -+` j , (.d Phone#: •j la ,r .. G s E-mail Address: 4 • A 1/. II el ,;i-, ■ License#: A c le Pike goo (7) Expiration Date: 4 /a_o I I 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 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 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 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 too�this��application and subsequent permit issuance. Signature:_CC1G1�s Lt/o Print Name: C i v1 4-0: \ 10 Y Date: 7/6/15 OFFICE USE ONLY Building Permit Fees Mechanical Permit fee(tank swap,woodstove,furnace,etc) $156.00 Propane—Lines, tank, and appliance (add'I $78.00) Project Scanning Fee $19.50 Total Fees* *Additional fees may apply Mechanical Application 2 ,,,,g:'-''''N °�G JEFFERSON COUNTY o DEPARTMENT OF COMMUNITY DEVELOPMENT , 1 / Date: Sf'....-17 Time Received: 4-19-44 t 6n1/pm Mon. ue Wed. Thur. Fri. Date: --f q BLD: IC' 2•LtL Contact Name: Owner: Contact Number: 360 337 L J fy Address: i 1 (9 7-1 41-..- I 206 V Notes: u -`—�n.` Foundation Plumbing Framing Propane Tank Mechanical Setbacks Under-ground Framing Under ground Furance Footing Rough In Air Seal Above ground Gas Stemwall Hydronic Exterior shear Exterior lines Oil Straps Hot Water Htr Interior shear Interior lines Ducts Post Hole Ventilation Appliance Underfloor Gas/Wood stove Man-Homes Insulation Final Inspection Setbacks Floor Foundation Wall Address Posted Block&Tile Ceiling • • EC la {IVEn A.,Z. 1 JUL 1 6 2015 V) 1 .., JEFFERSON OF D COUNTY (\s e' 3 DEPT COMMUNITY EVELOPMENT I , . (---` \ i 1 1 ; ch - 1111 i [ .---'-- I 1 I - --\ (..-1 rc) 2_ a:,. , : V�$ This combination qualifies for a Federal Energy U i.v►d CERTIFIED® Efficiency Tax Credit when placed in service between Feb 17, 2009 and Dec 31, 2014. wwso.ahridirectory.or(J Certificate of Product Ratings AHRI Certified Reference Number: 4655311 Date: 7/7/2015 �7 Product: Split System: Heat Pump with Remote Outdoor Unit-Air-Source L C E V E Outdoor Unit Model Number: 4TWR5036G1 Indoor Unit Model Number: *AM7A0C36H31 JUL 1 6 2015 Manufacturer: TRANE JEFFERSON COUNTY Trade/Brand name: TRANE DEPT OFCOMMONITYDEVELOPM E T Series name: XR15 WEATHERTRON Manufacturer responsible for the rating of this system combination is TRANE 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: ,4fs ll Cooling Capacity tuh): 36000- P, EER Rating(Cool ): 12.50 i a 16,60, Capacity(Btuh)1 3 t F:, 14490 Region IVY P � 1e tins). 5 ' li, Heating Capacity(Btuh) @ 17 F: 21800' 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)hated 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.ahrtdirectery.org. TERMS AND CONDITIONS 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-CONDITIONING,HEATING, CERTIFICATE VERIFICATION S REFRIGERATION INSTITUTE The information for the model cited on this certificate can be verified at www.ahridirectory.org,click on"Verify Certificate"link 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. cn' 13080756' ©2014 Air-Conditioning, Heating,and Refrigeration Institute` AIR FLO HEATING COMPANY IS Page 1 of 2 • Home Inicio en Espanol Contact Search L&I A-Z Index Safety Claims & Insurance Workplace Rights klWashington 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 HeatingNent/Air-Conditioning and Refrig (HVAC/R) License no. AIRFLI*206DG Effective—expiration 03/07/1980—04/25/2016 Bond CBIC $6,000.00 https://secure.lni.wa.gov/verify/Detail.aspx?UBI=600347761&LIC=AIRFLI*206DG&SAW= 7/16/2015 Parcel Print • Page 1 of 1 • Parcel Number 998500035 05/12/2015 II Owner Mailing Address: CLINTON H WEBB PATRICIA A WEBB 116 TIMBER MEADOW DR PORT LUDLOW WA 98365-8233 giite Address: 116 TIMBER MEADOW DR PORT LUDLOW 98365-8233 Section: 17 School District: Chimacum(49) Qtr Section: SW 1/4 Fire Dist: Port Ludlow(3) Township: 28N Tax Status: Taxable Range: 1E Tax Code: 0231 Planning area: 98365-8233 PLSEWER Sewer: Connected(No CWF) Drainage: Bank: View 1: View 2: Zoning 1: MPR-SF-4- Master Planned Resort- Single Family Zoning 2: Zoning 3: Sub Division: 9985 - TIMBERTON VILLAGE PHASE II Land Use Code: 1100 98365-8233 Property Description: TIMBERTON VILLAGE PHASE II LOT 35 SUB] TO EASE http://www.co.jefferson.wa.us/assessors/parcel/parcelprint.asp?value=998500035 7/16/2015 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 #: BLD15-00246 Received Date 7/16/2015 SITE ADDRESS: 116 TIMBER MEADOW DR Issue Date 7/16/2015 PORT LUDLOW, 98365 APPLICANT: CLINTON H WEBB PHONE: 3604374119 PATRICIA A WEBB 116 TIMBER MEADOW DR PORT LUDLOW WA 98365-8233 SUBDIVISION: 9985 -TIMBERTON VILLAGE PHASE Block: Lot: PARCEL NUMBER: 998500035 Section: 17 Township: 28N 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, CLINTON H WEBB PHONE: 3604374119 if different: PATRICIAA WEBB 116 TIMBER MEADOW DR PORT LUDLOW WA 98365-8233 PROJECT DESCRIPTION: Heat Pump w/Air Handler and Thermosat 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 7/16/2016. REQUIRED INSPECTIONS: /, Installation per Man.ifacturer Specifications/CO2: � S '�= • Tank/Line/Appliance: // Final Approval: /505 . � " 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 Worms\F_BLD_Perm it_Propane.rpt 7/16/2015 JEFFERSON COUNTY24ip NO. 1 SAV DATE 7// /,5 RECEIVED FROM f-10 +1 Co- DESCRIPTION BARS, AMOUNT � �/� ///�I� �� CURRENCY 1..�Z Er6e 156_ � •/1H- f)p COIN nV J��-� /C7.60 "( fV CHECKS ,'•�(. 99 (23s W379 n Ilk -ant ' zefeao.�Of 0) 8 E XI A O RECEIVED BY TOTAL /75= q)