Loading...
HomeMy WebLinkAboutBLD2015-00267 - MECHANICAL • BUILDING PERMIT APPLI ION B Review 0267 Type: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD15-00267 Received Date: 8/4/2015 SITE ADDRESS: 1165 WOODLAND DR PORT TOWNSEND, 98368 OWNER: FRANCIS P CAVALLERO PHONE: 360-379-0347 VICTORIA S CAVALLERO 1165 WOODLAND DR PORT TOWNSEND WA 98368-2521 SUBDIVISION: Block: Lot: PARCEL NUMBER: 001275030 Section: 27 Township: 30 N Range: 11/1 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 DESCRIPTION NEW MECHANICAL PERMIT INSTALL HEAT PUMP AND AIR HANDLER 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 SRE 08/04/15 156401 Total: $156.00 APPROVED AUG U 4 2015 Jefferson County DCD 11flrloMnrIArlo+n1fnrrne1F RI fl Ann Rlrl rnf R/A/9f11 • • fl oy r EPARTMENT OF COMMUNITY DEVELOPMENT , , nAX 1 9i(1�-�' 11'eb �tw ro.ictteru n.wi us/cunuun3�etlel-cl,hment }<._riail (icd&mictf i._qg Wau-s/I 1 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. 0/120/5 For Department Use Only Receipt#: l�-oil C Date: Related Application#5: Payment#: 4.1. , 2 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 LGeneral Site plan —showing propane tank, lines, and distance from tank to all existing structures. Required Submittal Items—for Solar Panel installation only -_---,,,,t,,,- _ Complete first page and signature block only of Mechanical Permit Applicatio .D .. L ,L i1 A complete solar panel supplemental application. / I ~—� { I' Ft r- � ``� Aur, - 3 2015 1! II I . J Site Information {, Assessor Tax Parcel Number: (.L 1 2,-.7.- t) C fSi a Address and/or Directions to Property: + Lac wad I it Arj ve ortIcrAiAAenci, LA JA Access (name of street(s)from which access will be gained: Description of Work: A ,rG . _l._ 41 II l ! • • Heat Source • Electric Heating Oil Ci Propane* I I Wood 0 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 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. Property Owner Signature: Print Name: Date: OFFICE USE ONLY Building Permit Fees Mechanical Permit fee (tank swap,woodstave,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 ■ �'-¢ L JEFFERSON COUNTY '` DEPARTMENT OF COMMUNITY DEVELOPMENT N.Yff 1 1,1 CiCe Date: Time Received: /627. _ (jpm Mon. AV Wed. Thur. Fri. Date: BLD: I.S —02(P? Contact Name: Owner: Contact Number: 360 77471-- 73-4- Address: I 4"`J 1,v f; b1)tic+ )lD 206 Notes: n/`—Li` 4- i0 U t9 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 C CSC JIVE. , i AUG - 32015 JUL-24-2015 02:25 From: •:136r06bs € SONCOUNTY Paee:4'4 DEPT.OF COMIMUN!TY DFV1tOP^IrN;T 07/2L/2015 TUB 17:23 Fla 360 683 3971 air Pio Heating Co. ®005/005 t� '.y '4x+-3 " -_u'1 'F�iz,. c F�... � y -� - .,� Electric 0 Heating Oil D Propane* r--, Wood E e--,�7� ��ac� Y ?1.cM1 { rid _ ,4k1 �' V?'x S _- F� aT-` 'j�kt{ k tt -^'N Propane is prohibited in �:�. _ .,,, ,•�,� 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" w • - Cook Stove Cook Stove,Range Hood Exhaust • Ras 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: f over 500 gallons,a site plan is i Heat Pump • ; t seta .. , 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 3�r `1• re-inspection fee will be charged. A. t` s a Gcation form,the owner/agent attests that the information provided herein,and in an attachments, • ,� ;�_ PP !� P Y x,,'� # ►•Fred to the best of his,her or its knowledge. Any material falsehood or any omission of a materiai fact e oiNner/agent with respect to this application packet may result in making any issued permit null and void. t ?N F- that all activities I intend to undertake or complete associated with this permit will be performed in 1•:• t : all applicable federal,state and county laws and regulations and I agree to provide access and right of �••: 1, _ ersen County and its employees,representatives or agents for-the sole purpose of application review at4.a -¢•Ig er inspections. Applicant may request notice of the County's intent to enter upon the property forvisrtsre ted.tbis application and subsequent permit issuance, Prorsrlj%O r /� Signaturp e: •nt Name: i,AA ,f t 4c- Q/2 b Date: l'All[ 5 7§'` o-p r `x�'. s� F �3y '�' mss- 'F• �'„t' LL-&,'s ' .:i1, F C.s-, E :rr ..s -$�s..7�• , - { -7 _ jA.1'T Jt'3+�+�'. {L"1}.ki eF:t F'Z '71.4 -1-,�1r lr ":1.4,'1 eF - =R,£".- -4'AI. = - . Y6 af-- i.-- m �z7-MI 3 r�'", !' ��s yy ' 1 � � -4:- �r R- j�rbY° r< 44 -' -' Y.+� (X Ski! -j.—'•t FYc3 1-.. . rF^S�,r'4f."¢3� s''9e 'c•�'s .� 5.+ . - H ' -%r .-�., ainx � c "�I ��"O .,=t , 3 �yrF. h rt '^ a 1 s ,.xs k -..- 20.,;:z . �.:. sY-ree r�"t c f---:44„ `k� R � fs✓a+^ � P T•1!16 �ti�-ai�� T • 'T T'� ` -�;���, p��,...c�, ,` _--.` .�.a ti�f {� 1 .-..�cxt- —a.3 a ..ti. . r r Y,y i . ,5�• _i,Z_ i Yoh t _cr c �c . a .n v $F � xr' "'"+ I'g70 •MI cY �. ac.� i '>E,.3 r .no. ' �t;q- _.v,s -11.71 `. mss Nx. xers.^a - -tai¢ •k."i�-'`5e ' . T•9-° .:EM.Z. r 2:". ,., T n cam ;,e,. Qa:d'n �. zc � �T �� . �-��`-,rte--���. .� 1t-�.;� s��.r.AT;z_.:��_ �'"'g ._ ''"s��,��.s:..m'-�.�JF..�„'F.=8�'�` `�'.+'�;.��' � *Additional fees may apply. 0,,6- , /^0 Mechanical Application 2 \ cCEE V I` • \ AUG - 3 2015 JEFFERSON COUNTY DEPT.OF COMMUNITY DEVELOPMENT NP Of2_. - r 5 15 5 � y S 5 To kelf • • This combination qualifies for a Federal Energy "I •. i CERTIFIED® Efficiency Tax Credit when placed in service between Feb 17, 2009 and Dec 31, 2014. www.ahridirectory.org Certificate of Product Ratings AHRI Certified Reference Number: 6750459 Date: 7/22/2015 Product: Split System: Heat Pump with Remote Outdoor Unit-Air-Source Outdoor Unit Model Number: 4TWV8024A1 Indoor Unit Model Number: *AM8C0B30V21 Manufacturer: TRANE Trade/Brand name: TRANE Series name: XV181 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: Cooling Capacity (Btuh): 23800 EER Rating (Cooling): • 13.00 SEER Rating (Cooling): 18.00 • Heating Capacity(Btuh) @ 47 F: 20000 Region IV HSPF Rating (Heating): 10.00 Heating Capacity(Btuh) @ 17 F: 16800 , t I AUG - 32015 LAL JEFFERSON COUNTY DEPT.OF COMMUNITY DEVELOPMENT `Ratings followed by an astensk(")indicate a voluntary relate 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)listed 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 is C directory Certificate to a dht 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, AIR-CONDITIONING,HEATING, personal and confidential reference. A REFRIGERATION INSTITUTE CERTIFICATE VERIFICATION The information for the model cited on this certificate can be verified at www.ahridirectory.org,click on"Verify Certificate"link we make life better" 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. 130820560707958728 ©2014 Air-Conditioning, Heating,and Refrigeration Institute CERTIFICATE NO.: AIR FLO HEATING COMPAN C Page 1 of 2 • Home Inicio en Espanol Contact Search L&1 SEARCH A-Z Index Help My Secure L&I Safety Claims&Insurance Workplace Rights Trades&Licensing 0 Washington State Department of Labor & Industries AIR FLO HEATING COMPANY INC Owner or tradesperson 221 W CEDAR Principals S 0-683-.WA 98382 rincipals 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 03/0711980—04/25/2016 Bond CBIC $6,000.00 Bond account no. SI5215 Received by L&I Effective date 02/05/2010 02/01/2010 Expiration dale Until Canceled Bond history Insurance American Hallmark Ins Co of Te $1,000,000.00 Policy no. 44CL483619 Received by L&I Effective date 04/21/2015 04/25/2014 Expiration date https://secure.lni.wa.gov/verify/Detail.aspx?UBI=600347761&LIC=AIRFLI*206DG&SAW= 8/4/2015 Parcel Details • • Page 1 of 2 Jefferson . ., wrea.. ...„.,-..--- :::'": `• '4".''' .41..,-.41*-7,---,-7,,iii4 '1Altfgr- - 17- Home County Info _ e ar menu Search Parcel Number: 1001275030 1 SEARCH I Parcel Number: 001275030 Printer Friendly Owner Mailing Address: FRANCIS P CAVALLERO VICTORIA S CAVALLERO 1165 WOODLAND DR PORT TOWNSEND WA98368-2521 Site Address: 1165 WOODLAND DR PORT TOWNSEND 98368 Section: 27 School District: Port Townsend (50) Qtr Section: SE1/4 Fire Dist: Chimacum (1) Township: 30N Tax Status: Taxable Range: 1W Tax Code: 0111 Planning area:Tri-Area (4) 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: WOODLAND HILLS NO 1 LOT 38 Tax, A/V, Sales, Photos, and Permit Data Bldq Data Map_Parcel tats &Surveys Septic Monitoring Info �" '\ Jefferson County HOME I COUNTY INFO l 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=001275030 8/4/2015 JEFFERSON COUNTY I9c B NO. 1 ! `� 1 • DATE y , , 1._. RECEIVED FROM ail ' r " / a / - oEsCIPTIcN V� BARS# UNTT CURRENCY ea 116,60„ /5 ` 0t COIN Ccrx1,7 / 9• 50 CHECKS lkit- n C a J a75 o , A A sir li �i/ed-- 0 i RECEIVED BY ..Lat//A TOTAL 175s `S 0 1 • 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 #: BLD15-00267 Received Date 8/4/2015 SITE ADDRESS: 1165 WOODLAND DR Issue Date 8/4/2015 PORT TOWNSEND, 98368 APPLICANT: FRANCIS P CAVALLERO PHONE: 360-379-0347 VICTORIA S CAVALLERO 1165 WOODLAND DR PORT TOWNSEND WA 98368-2521 SUBDIVISION: Block: Lot: PARCEL NUMBER: 001275030 Section: 27 Township: 30N Range: 1W 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, FRANCIS P CAVALLERO PHONE: 360-379-0347 if different: VICTORIA S CAVALLERO 1165 WOODLAND DR PORT TOWNSEND WA 98368-2521 PROJECT DESCRIPTION: NEW MECHANICAL PERMIT Directions INSTALL HEAT PUMP AND AIR HANDLER 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 8/4/2016. REQUIRED INSPECTIONS: Installation per Manufacturer Specifications/CO2: Tank/Line/Appliance: Final Approval: V/6/6- 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 CYY1CUILCI o &r raC f b( se/3/i 5 1\tidemark\data\form s1F_B LD_Perm it_Propane.rpt 8/4/2015