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HomeMy WebLinkAboutBLD2015-00304 - MECHANICAL BLD 15-00304 UILDING PERMIT APPLICAN Review Type: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT#: BLD15-00304 Received Date: 9/2/2015 SITE ADDRESS: 120 FLEET DR PORT LUDLOW, 98365 OWNER: WAYNE T BUEHLER PHONE: 360-437-0500 STEPHANIE B BUEHLER 120 FLEET DR PORT LUDLOW WA 98365-9623 9906- PORT LUDLOW NO. 2 SUBDIVISION: Block: Lot: PARCEL NUMBER: 990603105 Section: 8 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 DESCRIPTION INSTALL NEW HEAT PUMP AND AIR HANDLER TYPE OF WORK NON SQUARE FOOTAGE: TYPE OF IMP MEC MAIN: VALUATION ADD'L: HEAT TYPE: CODE EDITION: 2012 HEAT BASE: HEAT TYPE: OCCUPANCY: OCCUPANCY: UNHEATED: #OF STORIES: 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 09/02/15 159155 /� Total: $156.00 APPROVED SEP0L2015 Jefferson County DCD 11firl.rnnrlrlrl,f,1fnrmc\G RI n Linn RIri rnf oP,Nn1c • SON e DEPARTMENT OF COMMUNITY DEVELOPMENT ,,fey, � 621 tihu can S, eet Port'tow. m end.AV'A 9R3E3 .4., l' Fel 36u ;-'9.4450 1 xs .0 ,79.1451 O 1ti -G CtK-cmab rn c«1au1(ca oc.io cl trun r,r r ucummm�ud k\cI i m nt ---�-"'r I V 4_S1/ i l SEP - 2 201 5 IN 0i � ; MECHANICAL PERMIT APPLICAkris Steps in the Permit Process: IEFFERSO%COUNTY r DEVELOPMENT -Review required submittal items to ensure all information is completed prior to submitti Ta iort. -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 jL 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: LIGI qj(j U. I 0 Site Address and/or Directions to Property: 20 f Le4a- 1)(1 i/L - Ppff Lk)d t_ - Access (name of street(s) from which access will be gained: Description of Work: , y) it .eAf PUMP I Air i-111-rid (i .r OAt IQ Property Owner _ Name: t� 4 i e ( co Address: I■ Phone #: SILD,LI 27'4 - ii Sup E-mail Address: K Applicant/ Contractor: Authorized Agent/Representative .7i' Name: i \li,— V crLi, rt '1.::,1-1 ii tc.! 0 Ll �+Ck d (ki c Li; _... Phone #: ' �l sgQ j E-mail Address: t [jO->JyI , eoro kil License #: Ai11�cL I KV-0( 1 Expiration Date: LI' 3-U Mechanical Application 1 L° Heat Source Electric E Heating Oil Propane* Wood I� 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 /►t.0 Signature: ( LY "`—Print Name: <1 t Date: Zc— (c 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 • 360/ 383-3301 360/ 385-5354 T-= � 360/ 307-7822 HEATING COi 221 West Cedar Street Sequim, WA 98382 FAX; 683-3971 INDOOR AIR EXPERTS www.airfloheating.corn August 17, 2015 Ted and Stephanie Buehler 120 Fleet Drive �� V Port Ludlow, WA 98365 I propose the following: SEQ Provide and install Trane XL Hyperion variable speed air handlet dIs\0 r\040 Provide and install Trane XR15 heat pump Install Trane thermostat XL824 - -ej oF Go Mechanical permit Clean Ductwork Labor to install Warranty 1 year labor, 10 years on parts and 10 year compressor $8627.00 $ 776.43 sales tax $9403.43 Option: Trane Clean Effects Air Cleaner $1400.00 plus sale tax • Proposal valid for 90 days Th you, Mark Ev an Authorized: A //', Purchaser agrees to pay fifty percent(50%)before project is permitted an. e re We ing fifty percent (50%)upon completion of ins r-tion,. . at any ••. • sums due 1- -under shall be subject to a service charge of one and one-hal .er nt( Yo)per .nt and all r-: on. . e attorney's fee's incurred. All material is guaranteed t' •e a• sp-,' f d. A ork -. be c• plet-- in a workmanli - . - according to standard practices. y alte'Iti• or rev'-tion fr. .:.ve spe• (cation '• . ring extra charge over and above the estimat-.Our w•i. -rs are ly coverer •y Wor -1' '•mpensation Insurance. Purchaser agrees that Sel - retains title to equipment/materials fu ished until final payment is made. Contractor 'cense.#AIRFLI*206DG (MRS i4rA i • This combination qualifies for a Federal Energy I ll s % CERTIFIED® Efficiency Tax Credit when placed in service between Feb 17, 2009 and Dec 31, 2014. www.ahridirectory.0rg Certificate of Product Ratings AHRI Certified Reference Number: 4655311 Date: 8/22/2015 O� Product: Split System: Heat Pump with Remote Outdoor Unit-Air-So - 0 Outdoor Unit Model Number: 4TWR5036G1 S ; l i.%\C-3 Indoor Unit Model Number: *AM7A0C36H31 )1 She Manufacturer: TRANE 1EFF��SO� Trade/Brand name: TRANE c<r `-`- 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: Cooling Capacity(Btuh): 36000 EER Rating (Cooling): 12.50 SEER Rating (Cooling): 15.00 Heating Capacity(Btuh)@ 47 F: 34600 Region IV HSPF Rating (Heating): 9.25 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)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 directory at www.ahridlrectory.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 &REFRIGERATION INSTITUTE The information for the model cited on this certificate cart be verified at www.ahrldlrectory.org,click on"Verify Certificate"link taster^ 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. 130847354102265007 ©2014 Air-Conditioning, Heating,and Refrigeration Institute CERTIFICATE NO.: S • r \, j12_ (/307 EE�gON 00E�F�% � ll R�Q�of A Parcel Details Page 1 of 2 • .............. Jefferson Count. Weather Statieon y Database Souls asps ==?414 W bcani Home Ca. ua ty Info .. Dep. artrents eat(h Parcel Number: 990603105 SEARCH Number: 990603105 Printer Friendly Owner Mailing Address: WAYNE T BUEHLER STEPHANIE B BUEHLER 120 FLEET DR :eTL:: 3659623 OW ss: Q 120 FLEET DR _ S� � � PORT LUDLOW 98365 Section: 8 School District: Chimacum (49) Qtr Section: NE1/4 Fire Dist: Port Ludlow (3) Township: 28N Tax Status: Taxable Range: 1E Tax Code: 0231 Planning area: Port Ludlow (7) Sewer: PLSEWER - Connected(No Drainage: PLDD YES CWF) Bank: View 1: View 2; Zoning 1: MPR-SF-4 - Master Planned Resort - Single Family Zoning 2: Zoning 3: Sub Division: 9906 - PORT LUDLOW NO. 2 Assessor's Land Use Code: 1100 - Residential - Single Unit Property Description: PORT LUDLOW NO 2 AREA 3 LOT 105 Tax, A/V, Sales, Photos, and Permit Data Bldg Data Map Parcel "fats&Surve s Septic Monitoring Info -Frcf12 Jerson County ; ", HOME I COUNTY INFO I DEPARTMENTS I SEARCH Best viewed with Microsoft Internet Explorer 6.0 or later Windows - Mac http://www.co.jefferson.wa.us/assessors/parcel/parceldetail.asp?value=990603105 9/2/2015 AIR FLO HEATING COMPANY Page 1 of 2 Home Inicio en Espanol Contact Search L&I St4ACH I'''. A-Z Index Help My Secure L&I Safety Claims&Insurance Workplace Rights Trades&Licensing Aft Washington State Department of Labor & Industries AIR FLO HEATING COMPANY INC Owner or tradesperson 221 W CEDAR SEQUIM,WA 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) c� Doing business as (! ��Q1� AIR FLO HEATING COMPANY INC WA UBI No. Business type Go` 600 347 761 Corporation 0 N c Governing persons �0.S MARK I „cr,,, a, 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 HeatingNentlAir-Conditioning and Ref rig (HVAC/R) License no. AIRFLI`206DG Effective—expiration 03/0711980—04/25/2016 Bond CBIC $6,000.00 Bond account no. S15215 Received by L&I Effective date 02/05/2010 02/01/2010 Expiration date 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.Ini.wa.gov/verify/Detail.aspx?UBI=600347761&LIC=AIRFLI*206DG&SAW= 9/2/2015 AIR FLO HEATING COMPANY I. Page 2 of 2 04125/2016 Insurance history Savings No savings accounts during the previous 6 year period. Lawsuits against the bond or savings _..__.. No lawsuits against the bond d or savings accounts during the previous 6 year period. L&I Tax debts No L8.& ..__ 1 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. Workers' 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. 351,432-00 Doing business as AIR FLO HEATING COMPANY INC. Estimated workers reported Quarter 2 of Year 2015"21 to 30 Workers" L&I account representative T3 f NATASHA DRAGOVICH(360)902-4679-Email:DRAG235 @Ini.wa.gov Workplace safety and health Check for any past safety and health violations found on jobsites this business was responsible for. Citation issue date 07/24/2012 Violations Inspection no. 315954529 Location 125 Horizon View Dr. Sequim,WA 98382 O 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=600347761&LTC=AIRFLI*206DG&SAW= 9/2/2015 JEFFERSON COUNTY '20 DEPARTMENT OF COMMUNITY DEVELOPMENT -,,,.\\ ,__ Date: Time Received: /:36 am m Mon. Tue. Wed. Thur. Fri. Date: 9/7_ //6 BLD: _ 'S-PC3OLI Contact Name: Owner: $uHLSfr._ Contact Number: 360 4/37-cKele Address: j 2.D Fi 119. 1-19. 1- V 206 Notes: _ IV Foundation Plumbing Framing Propane Tank Mechanical Setbacks Under-ground Framing Underground Furance)L 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 . _ Ceiling - 1 JEFFERSON COUNTY Q C NO. 159155 `� i , �, /� DATE L�/�//-7 RECEIVED FROM /�(C'F'U "['erl:J Crn , l .o- DESCRIPTION J ��` BARS# /561 AMOUNT CURRENCY /�I�.w Se, 0/j PP"11--0--Lvrp COIN +`.( C � -3l_. 1 `� '�t 0 CHECKS Y1.1 C CD m 33 n O 12 RECEIVED BY 74e, TOTAL I 7S ..5() • i 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#: BLD15-00304 Received Date 9/2/2015 SITE ADDRESS: 120 FLEET DR Issue Date 9/2/2015 PORT LUDLOW, 98365 APPLICANT: WAYNE T BUEHLER PHONE: 360-437-0500 STEPHANIE B BUEHLER 120 FLEET DR PORT LUDLOW WA 98365-9623 SUBDIVISION: 9906 - PORT LUDLOW NO. 2 Block: Lot: PARCEL NUMBER: 990603105 Section: 8 Township: 28N Ranqe: 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, WAYNE T BUEHLER PHONE: 360-437-0500 if different: STEPHANIE B BUEHLER 120 FLEET DR PORT LUDLOW WA 98365-9623 PROJECT DESCRIPTION: INSTALL NEW HEAT PUMP AND AIR HANDLER 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 9/2/2016. REQUIRED INSPECTIONS: Installation per Manufacturer Specifications/CO2: 0-'84:5'1 / Tank/Lin- •pplian ei< 0-9/6, Final Approval: Ore 5/f 5 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 9/2/2015