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HomeMy WebLinkAboutBLD2015-00317 - MECHANICAL "BUILDING PERMIT APPLICAN BLD15-00317 Review Type: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD15-00317 Received Date: 9/16/2015 SITE ADDRESS: 404 WINDSHIP DR PORT TOWNSEND, 98368 OWNER: MICKIE H QUIGLEY PHONE: ALLIE LEE QUIGLEY 404 WINDSHIP DR PORT TOWNSEND WA98368-2516 9647 - KALA POINT 1&2 SUBDIVISION: Block: Lot: PARCEL NUMBER: 964700070 Section: 27 Township: 30 N Range: 1' CONTRACTOR: ALL WEATHER HTG & COOLING PHONE: 360-452-9813 302 KEMP STREET PORT ANGELES WA 98362 Contractor's License ALLWEHC150KU Expires 9/4/2017 REPRESENTATIVE: PHONE: PROJECT DESCRIPTIOP Install Ductless Heat Pump TYPE OF WORK NON SQUARE FOOTAGE: TYPE OF IMP MEC MAIN: VALUATION CODE EDITION: 2012 ADD'L: HEAT TYPE: HTP OCCUPANCY: HEAT BASE: HEAT TYPE: 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 HAC 09/16/15 159185 APPROVED Total: $156.00 SEP 16 2015 Jefferson County DCC 111ItInn arLlrla/o14nrmc P P1 n Ann QI,1 mf 011a/1n1A • • • <t4'�SON eo,. DEPARTMENT OF COMMUNITY DEVELOPMENT 621 Sheridan Street,Port Townsend,WA 98368 •> .< Tel:360.379.4450 I Fax:360.379.4451 Web:www.co.jefferson.wa.us/communirydcvelopment E-mail:dcd@co.jefferson.wa.u< -411IN ... 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. 1 L /e-3 Date: (O For Department Use Only Receipt#: OHS Related Application#s: Payment#:Z61-309 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: ' L. j 7GCC 71_■ Site Address and/or Directions to Property: y0LI W i n• A. hi p Of I. U"Z-- Access (name of street(s)from which access will be gained: Description of Work: In SFOAt ducd-les iwslk pump sNs— 'r Property Owner Name: (Y11L1`l► e el. A IIIc, ciJ (t/ w Address: Loo LI biro lship C' 0 Phone #: 360- 374- `ig II E-mail Address: m x i..._ Please contact Authorized Agent/Representative with project info. K Property Owner Signature: / , A at Ge y Date: 7--/—/- ls Applicant/ Contractor: Authorized Agent/Representative Name: All Weather Heating & Cooling, Inc Phone #: 360-452-9813 E-mail Address: billingAallweathencc.gj License#: ALLWEHC150KU Expiration Date: 9/1@ 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 Of gallons: ) over 500 gallons, a site plan is I 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:/ (,%1 Print Name: Y1UU 41 !� VICL,tt-r1 Date: 9 -ly-- is- 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 Parcel Details Page 1 of 2 Jefferson County WASHINGTON Weather Station 4 - Database Tools 6212N Maps Gri Webcam E-- Home Counts, Info Departments Search i Parcel Number: 964700070 SEARCH Parcel Number: 964700070 Printer Friendly Owner Mailing Address: MICKIE H QUIGLEY ALLIE LEE QUIGLEY 404 WINDSHIP DR PORT TOWNSEND WA98368-2516 Site Address: 404 WINDSHIP 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: 9647 - KALA POINT 1&2 Assessor's Land Use Code: 1100 - Residential - Single Unit Property Description: KALA POINT #2 LOT 146 SUB) TO EASE Tax, A/V, Sales, Photos, and Permit Data Bldg Data Map Parcel Plats&Surveys Septic Monitoring Info Jefferson County HOME I COUNTY INFO I DEPARTMENTS I SEARCH Jr Best viewed with Microsoft Internet Explorer 6.0 or later j 6 Windows - Mac http://www.co.jefferson.wa.us/assessors/parcel/parceldetail.asp?value=964700070 9/16/2015 ALL WEATHER HTG & COOLIN•NC Page 1 of 2 Home Inicio en Espanol Contact Search L&I CEO A-Z Index Help My Secure L&1 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 Principals 360-452-9813 Halverson,Dustin J,PRESIDENT CLALLAM County Sparks,Jeanne M,SECRETARY MCKEOWN,THOMAS J JR,PRESIDENT (End:09/04/2015) MCKEWON,IDA L,SECRETARY (End:09/04/2015) 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. ALLWEHC15OKU Effective—expiration 05/31/1985—09/0712017 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 Ohio Security Ins Co $1,000,000.00 Policy no. BKS56222477 Received by L&I Effective date 08/07/2015 09/01/2015 Expiration date https://secure.lni.wa.gov/verify/Detail.aspx?UBI=600485640&LIC=ALLWEHCI50KU&SAW= 9/16/2015 JEFFERSON COUNTY Q � 4`�4'V N CpGj Ps D Q / KI DEPARTMENT OF COMMUNITY DEVELOPMENT ysfll N GK6" late: /0 5 Time Received: _ %/ :lg (am Mon. Wed. Thur. Fri. Date: is /'r ;LD: 16- O 0317 Contact Name: ,// )wner: MtCI r 04 ILLY Contact Number: 360 ddress: L/641 Wtiio5_tiiP 206 37f u&4l Votes: J?uc' Le-S5 I-ka r T 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 • • 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#: BLD15-00317 Received Date 9/16/2015 SITE ADDRESS: 404 WINDSHIP DR Issue Date 9/16/2015 PORT TOWNSEND, 98368 APPLICANT: MICKIE H QUIGLEY PHONE: ALLIE LEE QUIGLEY 404 WINDSHIP DR PORT TOWNSEND WA 98368-2516 SUBDIVISION: 9647 - KALA POINT 1&2 Block: Lot: PARCEL NUMBER: 964700070 Section: 27 Township: 30N Range: 1W CONTRACTOR: ALL WEATHER HTG & COOLING PHONE: 360-452-9813 302 KEMP STREET PORT ANGELES WA 98362 Contractor's License ALLWEHC150KU Expires 9/4/2017 OWNER, MICKIE H QUIGLEY PHONE: if different: ALLIE LEE QUIGLEY 404 WINDSHIP DR PORT TOWNSEND WA 98368-2516 PROJECT DESCRIPTION: Install Ductless 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 9/1612016. REQUIRED INSPECTIONS: Installation per Manufacturer Specifications/CO2: 64/ /0// /S Tank/Line/A�:_ - '� i G Final Approval: Z)K /e/ /,C, 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\data\forms\F_BLD_Perm it_Propane.rpt 9/16/2015