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HomeMy WebLinkAboutBLD2015-00312 - MECHANICAL BUILDING PERMIT APPLICA•N BLD15-00312 Review Type: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT#: BLD15-00312 Received Date: 9/15/2015 SITE ADDRESS: 14 COMPTON PL PORT TOWNSEND, 98368 OWNER: RAYMOND D LEVINE TRSTEE PHONE: 360-390-5692 JOANNE L LEVINE TRSTEE 14 COMPTON PL PORT TOWNSEND WA 98368-9519 9650 - KALA POINT 3-8 SUBDIVISION: Block: Lot: PARCEL NUMBER: 965000082 Section: 27 Township: 30 N Range: 1V1 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 ONE TRANE 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: 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 09/14/15 159728 R APPROVED Total: $156.00 /1 R V SEP 15 2015 Jefferson County DCD 11firlmmnr4\elnlo1fnrmc1P RI 1-1 Ann Rlrl rnl Ql1 /9f 1 .,zcaON r,J DEPARTMENT OF COMMUNITY DEVELOPMENT �fV , i 6. 621 Sizuidan Srroct Port to vn,end \X A X981,S lei.36')3.9.4+450 1 1;is:.i60 379.4451 � Web-}c\VW cis.le arson nca.ua/communiadcrcin Tim_nt E-mail.do 1 mac tfc rson ti�a_us C E 11 v E �SN1NG�� MECHANICAL PERMIT APPLICATI4) 4 SEP 1 4 2015 8 Steps in the Permit Process: -Review required submittal items to ensure all information is completed prior to sub ittirgi t?&iN.000Nly• -Mechanical Permits can be mailed into our office-and do not require an appointment. OMMUNIIYDEVFLOPMEN7 -Fees are due at time of submittal, Mechanical permits are generally issued within 5 business days. For Department Use Only Receipt#: Date: Related Application#5: 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 1% Assessor Tax Parcel Number: °(g5C) .)0B-a- Site Address and/or Directions to Property: i- CdMP r P` ,ce, - Potr TO wy i Access (name of street(s) from which access will be gained: Descripthn of Work: I♦V �4'A1;L OvJ icoute O 14_0.04 P u rl,\e t A l g, scnioG Property Owner Name: 1\:=_,);r,ov,3 le�\-c�e.-, w Address: 1y C r WN ,P( ° Phone#: 31n� - - St Z E-mail Address: Applicant/ Contractor: Authorized Agent/Representative Li Name: C is Fly. ' yt: ?‘ Phone #: •3 C)—SrdS –535`) E-mail Address: va \ License #: -ry\9,'" --t_\Zou cp C. Expiration Date: } l , '-II '}0110 Mechanical Application 1 Heat Source Electric _a_ Heating Oil Propane* n 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: ) 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 ater inspections. Applicant may request notice of the County's intent to enter upon the property for visits related this application and subsequent permit issuance. Property Owne C/ Signature: 4C/"---e Print Name: j`°- a 1111- - / et ) "2 Date: (7/ /� 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. cc)\ece rr{ ` Mechanical.Application 2 • This combination qualifies for a Federal Energy 1111U1 CE RTI F I E De Efficiency Tax Credit when placed in service between Feb 17, 2009 and Dec 31, 2014. www.ahridirectory.erg Certificate of Product Ratings AHRI Certified Reference Number: 6750459 Date: 9/3/2015 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: XV18I 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 •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 .t... 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 can be verified at Fvww.ah ridi rectory.o ry,click on"verity 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. ©2014 Air-Conditioning, Heating,and Refrigeration Institute CERTIFICATE NO.: 130857828530133783 4'1.11% I IL lJ I IL_ I III v vv. Name 4.R J.-If^ncM cX. t CU?, DATE Address Phone Sequim WA 70 degrees 55ddror 23 degrees Outdoor Type New • yp Poor AREA LOSS Manual J table 2 Consirudtion# - 3A 3C Obl E Wood Mt! Glass n 28 34 C9 qOO Manual J table 2 Const#tieflo'n# 1E 110 100 Ore Poty Wooz1 _1300S� � 28 17 2. Manual J tabte 2 Co ri# 7J N 3a '(p2y Low E Vire} Rletar 23 32 44 . Manua[J latale 2 ( udt rt# 12-1 n1. 4-i-1 J 5 f`-k'Z R21 R t 9 R11 Walls Above Grade 2.7 4.g Manual J tat*2 # 15H 15D` 150 -5"R19 -2.85 We Rolh S 1.5 4.6 2,5' Manocat Jfabie 2 ,111, 18-1 1_(: 1r • °I' (:63 r-4#r+ C r 1 1.e .1 1 1 +r, Manual J tat*2 # 18F 18C R30 Rig 1.1 2.3 Manual.,[_422 J. 20-t at (-30 r-19 r 17 J 2.3 S$' I .P�� c6 S1 Manual J table 2 Oentlituotion# 22C 22A 21A OG 2" OG 0"8aseme[Slab Floors 13 38 1.2 Manual J procedure A Winter infiltration AirChg _6/hr.74ir Volume 0,5 0.6 . i t r k 1¶'SS (ACJNR X.0187 X 1.1 X 47 degrees) Manual J table 7 Loss Quets insulated to R8 and sealed=5% not sealed •t Ducts -34 ' .,4.01"" - - til9t •Y , fir ,. I. f w c , �'�-+� r Xne 39 Voss%and by%ofd'uds outside"i +tfhlOiled space weer t t• __'a r The data and procedure for this form are taken direly from ACCA Manual J,7th edition Heat transfer multipliers are adjusted for a 47 degree indoor outdor difference. prdy typicle constructions features are fisted. For other features refer to Manual J Table: pomponerlt loads and total loads are certified accurate only for persons trained in the us of this form by myself.Use by any other individuals we prohibited and oopyriglrts and distribution rights are reserved. Mark Bequefte Fred ACCA instructor XV ber8�� ADDFORK 2001.21. 10/B/2006 • • LeAyiN-c" „.J • • ri ") ifs) - r -r- (Y'). (-71 qZ) 1,4 L 12), Parcel Details • • Page 1 of 2 -. M Jefferson Co wea.,-...taus► - , sib a,x " n - 1 Home County Info Departments Search Parcel Number: i965000082 SEARCH Parcel Number: 965000082 Printer Friendly Owner Mailing Address: RAYMOND D LEVINE TRSTEE JOANNE L LEVINE TRSTEE RDL INVESTMENT TRUST 14 COMPTON PL PORT TOWNSEND WA98368-9519 Site Address: 14 COMPTON PL 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: 9650 - KALA POINT 3-8 Assessor's Land Use Code: 1100 - Residential - Single Unit Property Description: KALA POINT #4 LOT 88 Tax, A/V, Sales, Photos, and Permit Data eldo Data Mao Parcel •fats&Surveys Septic Monitoring Info n , ,, "°-z, Jefferson County - , , ?� HOME I COUNTY INFO I DEPARTMENTS I SEARCH Best viewed with Microsoft Internet Explorer 6.0 or later egWindows - Mac http://www.co.jefferson.wa.us/assessors/parcel/parceldetail.asp?value=965000082 9/15/2015 AIR FLO HEATING COMPANY IO Page 1 of 2 Home Inicio en Espanol Contact Search L&l SEARCH A-Z Index Help My Secure L&I Safety Claims&Insurance Workplace Rights Trades&Licensing 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) 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 HeatingNentlAir-Conditioning and Refrig (HVACIR) 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.lni.wa.gov/verify/Detail.aspx?UBI=600347761&LIC=AIRFLI*206DG&SAW= 9/15/2015 AIR FLO HEATING COMPANY • Page 2 of 2 04/25/2016 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. L&I Tax debts No L&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 _ .i... 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 I NATASHA DRAGOVICH(360)902-4679-Email:DRAG235@lni.wa.gov IWorkplace 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&LIC=AIRFLI*206DG&SAW= 9/15/2015 • S 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 #: BLD15-00312 Received Date 9/15/2015 SITE ADDRESS: 14 COMPTON PL Issue Date 9/15/2015 PORT TOWNSEND, 98368 APPLICANT: RAYMOND D LEVINE TRSTEE PHONE: 360-390-5692 JOANNE L LEVINE TRSTEE 14 COMPTON PL PORT TOWNSEND WA 98368-9519 SUBDIVISION: 9650 - KALA POINT 3-8 Block: Lot: PARCEL NUMBER: 965000082 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, RAYMOND D LEVINE TRSTEE PHONE: 360-390-5692 if different: JOANNE L LEVINE TRSTEE 14 COMPTON PL PORT TOWNSEND WA 98368-9519 PROJECT DESCRIPTION: NEW MECHANICAL PERMIT Directions INSTALL ONE TRANE 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 9/15/2016. REQUIRED INSPECTIONS: Installation per Manufacturer Specifications/CO2: has TAt-e.�C -17e4, Mi Sir 1O/1/5 Tank/Linerkppli' /0/7/T5 Final Approval: Lf/< 4"ckC,f Op' 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 0-i HOT LINE AVAILABLE 24 HOURS A DAY 0\.c A, -Ie r Y-10 O S /C \\tidemark\data\forms\F_BLD_Perm it_Propane.rpt 9/15/2015 AIR FLO HEATING COMPANY 4 4 6 8 9 Check Number: 44689 Jefferson Co Dept of Comm Dev Date Description Amount 09/08/2015 Permit Levine 175.50 11 SEP 1 4 2015 I L ! I I, JEFFERSON COUNTY DEPT.OF COMMUNITY DEVELOPMENT VALA Pr Pt D.% L fax Fs Dr 4`'O" JEFFERSON COUNTY .j fTDALfT�G� �R O"e L Fw c w DEPARTMENT OF COMMUNITY DEVELOPMENT 'SKril ., •G5 Date: Time Time Received: a 103 am& Mon. Tue. W e Thur. Fri. Date: fe9/`J//5` BLD: )5' 603 1 2- Contact Name: Owner: kaV►oe Contact Number: 360 Sfp - 56`3Z Address: ' c) Co►wplen1 P . 206 Notes: ��� Foundation Plumbing Framing Propane Tank (`er chanical 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 — • - - Ceiline JEFFERSON COUNTY IJC,{) NO. 159728 DATE G/ 19/I-C RECEIVED FROM t i L Ifi 1.1ectli Co O ESCRI PT ION BARS# AMOUNT NT CURRENCY « tyce I y c 'd° COIN c�ryry l ( GvQs_00D_nQ:,- 6,--E--c1-3 fn 1\Fei\Fe cfi m to n' cf i col m 0 0 RECEIVED BY TOTAL 1:1-5. .-.D