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HomeMy WebLinkAboutBLD2015-00172 - MECHANICAL 0UILDING PERMIT APPLICASN BRD1e 00172 Type: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT#: BLD15-00172 Received Date: 5/27/2015 SITE ADDRESS: 11 DANBURY CT PORT TOWNSEND, 98368 OWNER: KATHLEEN E DEVANNEY PHONE: 360-379-6400 MARIA E MENDES JTWROS 11 DANBURY CT PORT TOWNSEND WA 98368-9522 9650 - KALA POINT 3-8 SUBDIVISION: Block: Lot: 442+ PARCEL NUMBER: 965000052 Section: 27 Township: 30 N Range: 1N/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 PERMITS INSTALL NEW HEAT PUMP 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 05/26/15 156083 Total: $156.00 APPROVED MAY 2 r' 2015 Jefferson County DCD \lfi r/om nr4l`In/nlfnrmc\F RI Il Ann Rlrl rnf S 197/9r11c • -..__._. SON 'r� DEPARTMENT OF COMMUNITY DEVEI p ' � ' E V F r Qom Ci CL (,21 Shendar,Sncet P,., 'ratvns nd,AA \9y361s ti -< Tel:366.379A45(1 I F.Ix.3',A13-q.4431 MAY 2 6 2015 \\eb ,,,,.co.iethn c.-,\a u .con.munic)dcrelopmeni V€, ,,,� ..- ,• E-mail:dcci co J feu,on.\+a.as .J 9Sj?I N CNAL JEFFERSON COUNTY DEPT.OF COMMUNITY DEVELOPMENT 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. 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 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: „-j (v( 6.,�;(;t;z; - Site Address and/or Directions to Property: it j� �;��, t (l 4 . r 7(#-- �,Ou . Access (name of street(s) from which access will be gained: l Description of Work: 115--J i EYi POW 4 A 1 t rq-✓teLtfr-er Property Owner Name: IL,i lauftLin 12)14 'v'ft ] V1ti, m Address: 11. .i.:. a, !► 10 - —" o Phone #: ( tc0)O'.q-ei _ 10(4 pc, E-mail Address: Please contact A thorized Agent/R resentative with project info. E Property Owner Signature: ,C eetii .,C; -t l,t.,,_ - Date: 7/ y//S� / Applicant Authorized Agent/Representative / Name:ant/ CAir.1-Loh14t"ti14- ✓I ('l \ Phone#: 0 620 (p8?j 1 E-mail Address. • ,1 License #: A 1 te 'FU 20(F,)( Expiration Date: c/ i S I. J17j1't : l _ Of : `3969 5 � , aol5 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(#gallons: 1 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 relaattpd'to this ap I ' -tion and subsequent permit issuance. r SI nature•• � t. III . 1 'rint Name: �(,l(.i,( I (k 2 Date: 1.+- - t 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 MAY 2 6 2015 JJ I' JEFFERSON COUNTY DEPT.OF COMMUNITY DEVELOPMENT • • This combination qualifies for a Federal Energy ::■ i CERTIFIED® Efficiency Tax Credit when placed in service between Feb 17, 2009 and Dec 31, 2014. www.ahridirectary.org Certificate of Product Ratings AHRI Certified Reference Number: 6749943 Date: 4/27/2015 Product: Split System: Heat Pump with Remote Outdoor Unit-Air-Source Outdoor Unit Model Number: 4TWV0036A1 D v Indoor Unit Model Number: *AM8C0C36V31 ■ I 11 MAY 2 6 2015 Manufacturer: TRANE i ! ! J Trade/Brand name: TRANE JEFFERSON COUNTY Series name: XV20I DEPT OF COMMUNITY DEVFLOPMENT 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): 35000 EER Rating (Cooling): 13.50 SEER Rating (Cooling): 19.75 Heating Capacity(Btuh)@ 47 F: 33400 Region IV HSPF Rating (Heating): 10.00 Heating Capacity(Btuh)@ 17 F: 25200* '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.ahrldlrectory.org. TERMS AND CONDITIONS This Certificate and its contents are proprietary products of AHRI.This Certificate shall only be used for individual,personal and A confidential reference purposes.The contents of this Certificate may not,in whole or in part,be reproduced;copied;disseminated; I 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 www.ahridlrectory.org,click on"Verify Certificate°link U; make lite 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.: 130746479610154526 i1•1111k 4/27/2015 Parcel Details , d ,,,,:,:,,,,,..,.::::.,....,,,,,.,,,,,, .,,{ . eut .. ' ' ` 'fr �-, I '''',:"'",'",1=- Home -- County Info Departments p,. Search Parcel Number: 965000052 1,,SEARCH Parcel Number: 965000052 Printer Friendly Owner Mailing Address: KATHLEEN E DEVANNEY D o V is 1 , MARIA E MENDES JTWROS i , , 11 DANBURY CT I ,I ) L) u PORT TOWNSEND WA98368-9522 I � MAY 2 6 2015 ill L_ ' Site Address: JEFFERSON COUNTY 11 DAN BU RY CT DEPT OF COMMUNITY DEVFLOPMENT PORT TOWNSEND 98368 Section: 27 School District: Port Townsend (50) Qtr Section: NW1/4 FreDist: 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 #3 LOT 442/441(TX 24) CONTIG BY BLA Tax les P•I ] t i � ,; ,it Data O c)iat Mao P l , Plats& urvey e -Septic MonitorirurInfo ' ,, .1offursoTI C0 tilt y 1+, .a mE y coo' 81r/ 4 -O-I 11/4R1 18 I AR Best viewed with Microsoft Internet Explorer 6.0 or later 0 Windows - Mac http:lwww co Jefferson wa.us/assessors/parcel/parceldetail.asp?value=965000052 1/2 144.44 Pr DR. �.ZSc gpytct PP IX b•27L F�45 "-y JEFFERSON COUNTYcQ DR gO'04 L DEPARTMENT OF COMMUNITY DEVELOPMENT f �s'rH r V 0.° Date: Ce 3 Time Received: /Pm to . Tue. Wed. Thur. Fri. Date: 6,--a BLD: lfj 1 77 Contact Name: Owner: Contact Number: 360 .575? GVao Address: // P/f JRIJV [_. 206 Notes: Foundation Plumbing Framing Propane Tank Mechanical Setbacks Under-ground Framing Underground Furance Footing Rough In Air Seal Aboveground 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 Setbacks Final Inspection Floor Foundation Wall Address Posted Block&Tile Ceilin • 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#: BLD15-00172 Received Date 5/27/2015 SITE ADDRESS: 11 DANBURY CT Issue Date 5/27/2015 PORT TOWNSEND, 98368 APPLICANT: KATHLEEN E DEVANNEY PHONE: 360-379-6400 MARIA E MENDES JTWROS 11 DANBURY CT PORT TOWNSEND WA 98368-9522 442+ SUBDIVISION: 9650 - KALA POINT 3-8 Block: Lot: PARCEL NUMBER: 965000052 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, KATHLEEN E DEVANNEY PHONE: 360-379-6400 if different: MARIA E MENDES JTWROS 11 DANBURY CT PORT TOWNSEND WA 98368-9522 PROJECT DESCRIPTION: NEW MECHANICAL PERMITS Directions INSTALL NEW HEAT PUMP 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 5/27/2016. REQUIRED INSPECTIONS: Installation per Manufacturer Specifications/CO2: 4C,k ,4/8/45, Tank/Line/Appliance: N� Final Approval: O/` A G, 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 5/27/2015 JEFFERSON COUNTY O1 I NO. 7/DATE 5/ 5 RECEIVED FROM friA k 17t /2j2.7/ ' C ' DESCRIPTION ARS# AMOUNT CURRENCY 15/ .44. / COIN S ca4,3 5® d n #43/6 al 0 iLV6"?I'S P6141V 441/ t(Ct'A' E ii a-J/6, . 0 0 10.s p r ieali parr/ d / 1 �J e i RECEIVED BY �L 7 . , /,//i!� TOTAL � / 5s