HomeMy WebLinkAboutBLD2015-00263 - MECHANICAL BILDING PERMIT APPLICATION BLDI5-00263
Review Type:
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD15-00263 Received Date: 7/29/2015
SITE ADDRESS: 491 BACHELOR RD
SEQUIM, 98382
OWNER: RICHARDAQUINNELL PHONE:
DEBBIE D QUINNELL
491 BACHELOR RD
SEQUIM WA 98382-8726
SUBDIVISION: Block: Lot:
PARCEL NUMBER: 002341050 Section: 34 Township: 30 N Range: 2\
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 DESCRIPTION Install 3 ton Heat Pump, outdoor unit only.
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 07/29/15 156339 APPROVED
Total: $156.00
JUL 292015
Jefferson County DCC
11461omm41r1o4,1fnrn,e r DI fl Ann Rlrl rn4 7/9019/115
w�S°N cO� •
ti DEPARTMENT OF COMMUNITY DEVE a ►A 1..
4-• 621 Sheridan Street,Port Townsend,WA 98368 M
w .< Tel:360.379.4450 I Fax:360.379.4451 ECEP v
Web:www.co.ief ferson.wa.us/communitydevelopment
E-mail:dcd(&,co.iefferson.wa.us
JUL 2 9
16' N O •13 2015
1
MECHANICAL PERMIT APPLICATI'1 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#5: 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:
Site Address and/or Directions to Property: 491 Bachelor Road
Access (name of street(s)from which access will be gained:
Description of Work:
Install 3 ton heat pump outdoor unit only
Property Owner
Name: Richard & Debbie Quinnell °°
Address: 491 Bachelor Road
Phone #: 360-97-0095 E-mail Address:
t/— Please contact Authorized Agent/Representative with project info.
Property Owner Signature: 14? Date: 7/20/15
Applicant/Contractor: Authorized Agent/Representative ll�
Name: All Weather Heating & Cooling, Inc
Phone #: 360-452-9813 E-mail Address: billingeallweathencc.cc
License #: ALLWEHC150KU Expiration Date: 9/15 Ul
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 to this appli .tion and subsequent permit issuance.
/ Karen McKeown 7/20/15
Signature: n,—A •rint Name: 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
4S,5p1Y % JEFFERSON COUNTY
DEPARTMENT OF COMMUNITY DEVELOPMENT
,mo0}SyJNG1
eZt Time Received: //:/9 am/pm Mon. Tue. Wed. Fri.
>ate: �f�_ Date: g/r7
3LD: IS - 6o2403
Contact Name:
Contact Number: 360 747-095
owner: �jGiva`c- r1 206
4ddress: 419/ UACHeeOz
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 pp
Hot Water Htr Interior shear Interior lines Ducts
Post Hole Ventilation Appliance
Underfloor Gas/Wood stove
Insulation
Man-Homes Final Inspection
Setbacks Floor
Wall Address Posted
Foundation
Block&Tile Ceiling
Parcel Print
• • Page 1 of 1
Parcel Number:002341050 05/12/2015
Owner Mailing Address:
RICHARD A QUINN ELL
DEBBIE D QUINN ELL
491 BACHELOR RD
SEQUIM WA 98382-8726
Site Address:
491 BACHELOR RD
SEQUIM 98382-8726
Section: 34 School District: Sequim (323)
Qtr Section: NE1/4 Fire Dist: Sequim (8)
Township: 30N Tax Status: Taxable
Range: 2W Tax Code: 0781
Planning area: 98382-8726
Sewer: Drainage:
Bank: View 1:
View 2: Zoning 1: RR-5 - Rural Residential
Zoning 2: Zoning 3:
Sub Division:
Land Use Code: 1100
98382-8726
Property Description:
THEIL SHORT PLAT LOT 1
http://www.co.jefferson.wa.us/assessors/parcel/parcelprint.asp?value°002341050 7/29/2015
ALL WEATHER HTG& COOLING Page 1 of 2
•
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Washington State Department of
1, 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
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;
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.
ALLW EHC150KU
Effective-expiration
05131/1985—09/07/2015
Bond
TRAVELERS CAS&SURETY CO $12,000.00
Bond account no.
104990651
Received by L&I Effective date
08/14/2007 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 09/0112014
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=ALLWEHC 150KU&SAW= 7/29/2015
JEFFERSON COIeTY DeD fr. 15 , 339
�� I � /`
DATE
C
RECEIVED FROM I �e ��/�` �l onl 9 IA(
DESCRIPTION BARS# / AMOUNT
CURRENCY 7 L2,62 /5( ,CO
y9/ (Y u/a r pj COIN �`Xari /9. 6
CHECKS
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0
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8
RECEIVED BY TOTAL /76' . 60
•
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 #: BLD15-00263 Received Date 7/29/2015
SITE ADDRESS: 491 BACHELOR RD Issue Date 7/29/2015
SEQUIM, 98382
APPLICANT: RICHARD A QUINNELL PHONE:
DEBBIE D QUINNELL
491 BACHELOR RD
SEQUIM WA 98382-8726
SUBDIVISION: Block: Lot:
PARCEL NUMBER: 002341050 Section: 34 Township: 30N 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, RICHARDAQUINNELL PHONE:
if different: DEBBIE D QUINNELL
491 BACHELOR RD
SEQUIM WA 98382-8726
PROJECT DESCRIPTION: Install 3 ton Heat Pump, outdoor unit only.
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 7/29/2016.
REQUIRED INSPECTIONS:
Installation per Manufacturer Specifications/CO2:
Tank/Line/Appliance:
Final Approval: 81.2-1 I1S
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 ADAY
\\tidemark\data\forms\F BLD_Permit_Propane.rpt 7/29/2015