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
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<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<
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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
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http://www.co.jefferson.wa.us/assessors/parcel/parceldetail.asp?value=964700070 9/16/2015
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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
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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