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Home My WebLink AboutBLD2015-00287 - MECHANICAL ILDING PERMIT APPLICATS BLD15-00287 Review Type: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT#: BLD15-00287 Received Date: 8/12/2015 SITE ADDRESS: 320 N BEACH DR PORT LUDLOW, 98365 OWNER: RODNEY L MASH TRUSTEE PHONE: MARION E MASH TRUSTEE 320 N BEACH DR PORT LUDLOW WA 98365-9271 9348 - BRIDGEHAVEN DIV. 4 SUBDIVISION: Block: Lot: PARCEL NUMBER: 934800004 Section: 16 Township: 27 N Range: 1E CONTRACTOR: BRENNAN HEATING &NC LLC PHONE: 206-248-7900 4601 S 134TH PL SEATTLE WA 98168 Contractor's License BRENNHA971R9 Expires 12/29/2015 REPRESENTATIVE: PHONE: PROJECT DESCRIPTIOI Install 3 1/2 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: 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 08/12/15 156422 APPROVED $156.00 AUG 12 2015 Jefferson County DC 1\4i.Inmor41.1ofolinr.nc\L 01 P1 Ann Rlr!rn4 Ail lroni • • ��S`g 0 COG DEPARTMENT OF COMMUNITY DEVELOPMENT W "%1 621 Sheridan Street,Port luwnscnd,1\',1 98368 -C Tel:360.379.4450 i Far 360.3'9.4431 \\'eb:w‘k-w.co.jefferson.wa.us/cnmniunityLlevelopment ,,, E-mail:dedr -co.ieffcrson.wa.us gS�INGtO 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#: 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: q34 g 4 Site Address and/or Directions to Property: Sap n anal or "-- - Lv d\ DLL) 9. o`71. es Access (name of street(s) from which access will be gained: ` Description of Work: 11 3x..11 31 ja - Y ,.( -wei -- p j rvk p Property Owner Name: eop .rey L. ,1 -54 • Address: A. • p 4 O g- Piert-c1/91- (.A) g3 car-- 5 Phone #: 360_ 17/37 o E-mail Address: re-0)14,74-54-e,//15 A m Please contact thorized Agent/Representative with project info. — — pa 3* Property Owner Signature: ...c- Applicant „i w�� Date:`7 /j'- # / `Contractor: Autho ized •gent/Representative Name: !1 .•.i ■ 0 L: Phone #: QLp , g , • ii, lb E-mail Address: &\ Ai k ri r ■A ,a ,I ■ MA License #: __a `A •AL �, Q 9 Expiration Date: f„ _ Q 5 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: 1 over 500 gallons, a site plan is Heat Pump required to accompany this Generator application, and a separate 3 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: tint Name: �/✓fC� L, �� Date: Z 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 $19.50 Total Fees* -)-5. 50 *Additional fees may apply. Mechanical Application 2 W JEFFERSON COUNTY rik) No. 156422 DATE // C7/1. RECEIVED FROM 81re ntO i-k-44I71 4/rCo /w6/2/7) '/ DESCRIPTION J BARS# AMOdNT CURRENCY 731D Xt$P 1 :_x_ .O0 tru 6i tea COIN 5 Cc L q. O CHECKS Q C g011 ?d K a s., m 3 TOTAL 116 .5V RECEIVED BY dr - „,,,<, ” es " coe, JEFFERSON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT f_.o. Q/'7 Time Received: l�( i am m Mon. Tue. Wed. Thur. Date: fi'y — » GGf'/`,�CS Date: J 1>b c Contact Name: Owner: Contact Number: 360 _0/ - A632, Owner: IU�cft 206'IV Address: 2.47 ',,e 437 d 3 Notes: /kg1 /dc' Foundation Plumbing Framing Propane Tank Mechanic round Furance Setbacks Under-ground Framing Under g Gas Rough In Air Seal Above ground Footing Exterior lines Oil H dronic Exterior shear Stemwall Y Interior lines Ducts Straps Hot Water Htr Interior shear Ventilation Appliance Post Hole Underfloor Gas/Wood stove Insulation Man Homes Final Inspection Floor Setbacks Wall Address Posted Foundation Ceiling Parcel Print Page 1 of 1 Parcel Number:934800004 05/12/2015 Owner Mailing Address: RODNEY L MASH TRUSTEE MARION E MASH TRUS I tE R&M MASH REV LIV TRUST 320 N BEACH DR PORT LUDLOW WA 98365-9271 Site Address: 320 N BEACH DR PORT LUDLOW 98365-9271 Section: 16 School District: Chimacum(49) Qtr Section: NW 1/4 Fire Dist: Port Ludlow(3) Township: 27N Tax Status: Taxable Range: 1E Tax Code: 0231 Planning area: 98365-9271 Sewer: Drainage: Bank: View 1: View 2: Zoning 1: RR-5 - Rural Residential Zoning 2: Zoning 3: Sub Division: 9348 - BRIDGEHAVEN DIV. 4 Land Use Code: 1100 98365-9271 Property Description: BRIDGEHAVEN DIV 4 4 TL TAX A 40(.9OCHS) http://www.co.jefferson.wa.us/assessors/parcel/parcelprint.asp?value=934800004 8/12/2015 BRENNAN HEATING& A/C LLC . Page 1 of 2 • Home InicioenEspanol Contact 'Search L&I I SEARCH A-Z Index Help My Secure L&I Safety Claims&Insurance Workplace Rights Trades&Licensing 0 Washington State Department of Labor & Industries IBRENNAN HEATING & A/C LLC Owner or tradesperson 4601 S 134TH PL SEATTLE,WA 98168 Principals 206-248-7900 ERDAHL,DARRIN PAUL,PARTNER/MEMBER KING County Doing business as BRENNAN HEATING&A/C LLC WA UBI No. Business type 602 346 866 Limited Liability Company Governing persons DARRIN P ERDAHL ERIC L BEARDEMPHL; JAMES JOLLY; STEFANIE ERDAHL; 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. BRENNHA971R9 Effective—expiration 12/29/2003-12/29/2015 Bond FEDERATED MUTUAL INS CO $12,000.00 Bond account no. 9127230 Received by L&I Effective date 11/04/2004 12/22/2004 Expiration date Until Canceled Insurance Federated Mutual Ins Co $1.000.000.00 Policy no. 9820726 Received by L&I Effective date 06/1612015 07/13/2015 Expiration date 07/13/2016 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. https://secure-lni.wa.gov/verify/Detail.aspx?UBI=602346866&LIC=BRENNHA971R9&SAW= 8/12/2015 • • 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#: BLD15-00287 Received Date 8/12/2015 SITE ADDRESS: 320 N BEACH DR Issue Date 8/12/2015 PORT LUDLOW, 98365 APPLICANT: RODNEY L MASH TRUSTEE PHONE: MARION E MASH TRUSTEE 320 N BEACH DR PORT LUDLOW WA 98365-9271 SUBDIVISION: 9348- BRIDGEHAVEN DIV. 4 Block: Lot: PARCEL NUMBER: 934800004 Section: 16 Township: 27N Range: 1E CONTRACTOR: BRENNAN HEATING &A/C LLC PHONE: 206-248-7900 4601 S 134TH PL SEATTLE WA 98168 Lalmie reenan heatinq.com Contractor's License BRENNHA971R9 Expires 11/1912 1 5 OWNER, RODNEY L MASH TRUSTEE PHONE: if different: MARION E MASH TRUSTEE 320 N BEACH DR PORT LUDLOW WA 98365-9271 PROJECT DESCRIPTION: Install 3 1/2 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 8/12/2016. REQUIRED INSPECTIONS: �, f�� Installation per Manufacturer Specifications/CO2: /QSTALLeD r /1/PG . `7 sj5(% (Appliance: - dl& 8/L0-ce Final Approval: 01 411- -Gnu-1 677-.6(j ff 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 1\tidemark\datalfo rms1F_BLD_Perm it_Propane.rpt 8/12/2015