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HomeMy WebLinkAboutBLD2015-00241 - MECHANICAL • BUILDING PERMIT APPLICION BRLD15-002pe41 Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD15-00241 Received Date: 7/13/2015 SITE ADDRESS: 1545 RIPLEY CREEK RD OWNER: GREGORY A FAY PHONE: 360-765-0275 CONNIE FAY CO GUARDIANS PO BOX 429 QUILCENE WA 98376-0429 SUBDIVISION: Block: Lot: PARCEL NUMBER: 802352001 Section: 35 Township: 28 N Range: 2V1 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 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: Approved/Date Permit $156.00 SRE 07/13/15 156291 Total: $156.00 APPROVED JUL 13 2015 Jefferson County DCD 11firlcmnrIArlafnlfnrmc\R RI fl Ann Rid rnl 711'4011IS • • ��,st_SON `0e,. DEPARTMENT OF COMMUNITY DEVELOPMENT 't 621 Sheridan Street,Port Townsend,WA 98368 .0 Tel:360.379.4450 I Fax:360.379.4451 Web:www.co.jeffetson.wa.us/communitydevelopment E-mail:dcd@co.jefferson.wa.u: 1Sf INC\ 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#: s&. ?/ Date: VI 3//S Related Application#s: Payment#: a 83 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: 330 35 Site Address and/or Directions to Property: 51-4 5 R1 e_ ■ 'G(, Access (name of street(s) from which access will be gained: Description of Work: (.einrw+ tvr p u vvip s yS+C 4' Property Owner Name: (- (2c 4- Lc Ir nIC F-'�� w Address: co J&D`4 J d ti 6 Phone#: 3(00 -MO S- Oo17 S E-mail Address: Please contact Authorized Agent/Representative with project info. Property Owner Signature: Date: Applicant/Contractor: Authorized Agent/Representative Name: All Weather Heating & Cooling, Inc Phone#: 360-452-9813 E-mail Address: billinqAallweathencc.a License#: ALLWEHC150KU E c [1 ,w piration Date: 9/15 — ha]niaalMiplication 1 JEFFERSON COUNTY DEPT OF COMMUNITY DF`l '1 v- Heat Source i D I Electric ✓ Heating Oil Propane* Wool. + JUL 1 3 2015 JaffRSom roomy Or of ( G'•r r r Indicate Quantity and Fixture Types Below . •E c • e ,_,rW Mr JT 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 to this application and subsequent permit issuance. Signature: '�: �isrint Name: tVtr1 i► C I 1 tow tTh Date: 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 JEFFERSON COUNTY OW NO. 156291 11 DAT 7,111,3) , 0 )5 RECEIVED FROM L i - ��`�C-L� �-��" C4' ! 4 /�A /yf�/' /'G DESCRIPTION RS# /AMOUf•Vp,.�� CURRENCY & C..� 15 s "° COIN f'L�v, J 60 CHECKS• lf..(p� ` , �8'3a 3 " c a N i' at 1 6 4. 6 / Creek Rd 3S, ? 1 o � p //c oo RECEIVED BY t �. / .idil.� TOTAL /7 i Parcel Details • • Page 1 of 2 , C Jefferson County e 4 Home county Info Departments Search Parcel Number: 802352001 SEARCH Parcel Number: 802352001 Printer Friendly Owner Mailing Address: GREGORY A FAY CONNIE FAY CO GUARDIANS ESTATE OF DAWN M FAY PO BOX 429 QUILCENE WA98376-0429 Site Address: 1545 RIPLEY CREEK RD QUILCENE 98376 Section: 35 School District: Quilcene (48) Qtr Section: NW1/4 Fire Dist: Quilcene (2) Township: 28N Tax Status: Taxable Range: 2W Tax Code: 0324 Planning area: Quilcene (10) Sewer: Drainage: Bank: View 1: View 2: Zoning 1: Zoning 2: Zoning 3: Sub Division: Assessor's Land Use Code: 8800 - Designated Forest Land 1100 - Residential - Single Unit Property Description: S35 T28 R2W TAX 1(TR 35-1 SURV V13/P223) Tax,A/V, Sales, Photos,and Permit Data Bldg Data Map Parcel lats&Survey Septic Monitoring Info _. ';�s -- J tsr } [ t l HOME I COUNTY INFO I DEPARTMENTS I SEARCH Best viewed with Microsoft Internet Explorer 6.0 or later Windows - Mac http://www.co.j efferson.wa.us/assessors/parcel/parceldetail.asp?value=8023 52001 7/13/2015 ALL WEATHER HTG & COOL, INC Page 1 of 2 • Home Inicio en Espanol Contact Search L&l t a`: 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 I 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; ILicense I 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. ALLW EHC150KU Effective—expiration 05131/1985—09/0712015 Bond ........... TRAVELERS CAS&SURETY CO $12,000.00 Bond account no. 104990651 Received by L&I Effective date 08/1412007 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 Na savings accounts during the previous 6 year period. https://secure.lni.wa.gov/verify/Detail.aspx?UBI=600485640&LIC=ALLWEHC150KU&SAW= 7/13/2015 ALL WEATHER HTG & COOLING • Page 2 of 2 Lawsuits against the bond or savings No lawsuits against the bond or savings accoun 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. License Violations No license violations during the previous 6 year period. IWorkers' 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. 482,580-00 ..._......... .. Doing business as ALL WEATHER HEATING&COOLING Estimated workers reported Quarter 1 of Year 2015"21 to 30 Workers" L&I account representative T5 I STEPHANIE HENDERSON(360)902-6266-Email:HSTE235 @Ini.wa.gov Workplace safety and health No inspections during the previous 6 year period. C Washington State Dept.of Labor&Industries.Use of this site is subject to the laws of the state of Washington. https://secure.lni.wa.gov/verify/Detail.aspx?UBI=600485640&LIC=ALLWEHC150KU&SAW= 7/13/2015 ALL WEATHER HTG & COOL• INC • Page 1 of 2 Home Micro en Espanol Contact Search L&I a 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 MCKEWWN,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 0513111985—09107/2015 Bond TRAVELERS CAS&SURETY CO $12,000.00 Bond account no. 104990651 Received by L&I Effective date 08114/2007 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 ALL WEATHER HTG & COOLING. Page 2 of 2 Lawsuits against the bond or savings • No lawsuits against the bond or savings accounts during the previous 6 year period. L&l 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. License Violations No license violations during the previous 6 year period. IWorkers' 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. 482,580-00 .._.............. Doing business as ALL WEATHER HEATING&COOLING Estimated workers reported Quarter 1 of Year 2015"21 to 30 Workers" L&I account representative TB STEPHANIE HENDERSON(360)902-6266-Email:HSTE235 @lni.wa.gov Workplace safety and health No inspections during the previous 6 year period. ©Washington State Dept.of Labor&Industries.Use of this site is subject to the laws of the stale of Washington. https://secure.lni.wa.gov/verify/Detall.aspx.UBI_600485640&LIC_ALLWEHC150KU&SAW= 7/13/2015 SON c, a��4 O?, JEFFERSON COUNTY 4 DEPARTMENT OF COMMUNITY DEVELOPMENT 9SHI NG( Mon. Tue. Wed. Vr. Fri. Date: - l�j Time Received: ' O3 amii 2G Date: BLD: I 5--a4 ( Contact Name: _ Contact Number: 360 -165—O Z....75 Owner: 206 Address: 1 '5'-i r $■pit C r Notes: X °4\ Framing Foundation Plumbing g Propane Tank Mechanical ground Furance Setbacks Under-ground Framing Under g Gas Footing Rough In Air Seal Above ground Stemwall Hydronic Exterior shear Exterior lines Oil Straps Hot Water Htr Interior shear Interior lines Ducts Ventilation Appliance Post Hole Underfloor Gas/Wood stove Man-Homes Insulation Final Inspection Setbacks Floor Foundation Wall Address Posted Block&Tile Ceiling Parcel Details Page 1 of 2 • Jetierson C era b.° 1":5^Zft 7177 47.r i; h,-,====4;t4. , Home County into Departments Search Parcel Number: 802352001 SEARCH Parcel Number: 802352001 Printer Friendly Owner Mailing Address: GREGORY A FAY CONNIE FAY CO GUARDIANS ESTATE OF DAWN M FAY PO BOX 429 QUILCENE WA98376-0429 Site Address: 1545 RIPLEY CREEK RD QUILCENE 98376 Section: 35 School District: Quilcene (48) Qtr Section: NW1/4 Fire Dist: Quilcene (2) Township: 28N Tax Status: Taxable Range: 2W Tax Code: 0324 Planning area: Quilcene (10) Sewer: Drainage: Bank: View 1: View 2: Zoning 1: Zoning 2: Zoning 3: Sub Division: Assessor's Land Use Code: 8800 - Designated Forest Land 1100 - Residential - Single Unit Property Description: S35 T28 R2W TAX 1(TR 35-1 SURV V13/P223) Tax,A/V, Sales, Photos,and Permit Data Bldg Data Ma. P.r el fats&Surveys Septic Monitoring i+fir Jefferson Counts HOME I COUNTY INFO I DEPARTMENTS I SEARCH Best viewed with Microsoft Internet Explorer 6.0 or later Windows- Mac http://www.co.j efferson.wa.us/assessors/parcel/parceldetail.asp?value=8023 52001 7/13/2015 • S 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#: BLD15-00241 Received Date 7/13/2015 SITE ADDRESS: 1545 RIPLEY CREEK RD Issue Date 7/13/2015 APPLICANT: GREGORYAFAY PHONE: 360-765-0275 CONNIE FAY CO GUARDIANS PO BOX 429 QUILCENE WA 98376-0429 SUBDIVISION: Block: Lot: PARCEL NUMBER: 802352001 Section: 35 Township: 28N Range: 2W 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, GREGORY FAY PHONE: 360-765-0275 if different: CONNIE FAY CO GUARDIANS PO BOX 429 QUILCENE WA 98376-0429 PROJECT DESCRIPTION: NEW MECHANICAL PERMIT Directions INSTALL NEW HEAT PUMP 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: Installation per Manufacturer Specifications/CO2: Tank/Line/Appliance: Final Approval 812.0 II — 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