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HomeMy WebLinkAboutBLD2015-00337 - MECHANICAL UILDING PERMIT APPLICA•N BR eview T 3pe7 Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD15-00337 Received Date: 10/1/2015 SITE ADDRESS: 4071 PARADISE BAY RD PORT LUDLOW, 98365 OWNER: STEPHEN P PORTER PHONE: 4071 PARADISE BAY RD PORT LUDLOW WA 98365-9241 SUBDIVISION: Block: Lot: PARCEL NUMBER: 821262010 Section: 26 Township: 28 N Range: 1E CONTRACTOR: AIR FLO HEATING COMPANY INC PHONE: 360-683-3901 221 W CEDAR SEQUIM WA 98382 Contractor's License Al RFLI*206DG Expires 4/25/2016 REPRESENTATIVE: PHONE: PROJECT DESCRIPTIOt Install Heat Pump and Air Handler TYPE OF WORK NON SQUARE FOOTAGE: TYPE OF IMP MEC MAIN: VALUATION ADD'L: HEAT TYPE: HTP 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 HAC 10/01/15 159232 APPROVED Total: $156.00 OCT / 1 2015 Jefferson County DCL \Uirinw.ddAl•lalfnrrr,& RI fl Cr., Rld rnf 1n/I1')i ■ • • (\l--C)oN c o DEPARTMENT OF COMMUNPT'Y DEVELOPMENT 671 . hciidan Srrc, 'urt1 wnscnd.WA 98368 �7J, 1 c is 360 179 4450 as: 160.179 4451 . I -C \\CI).vcvVv' CO.ICtiL ,,n.vca c sIcunxinunicyclo c1 ipmalt 1';rn Ii! di&(t .)ac kl c t m.-yv a.0 !l "" � � ill N(- � 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#: i sci ts3z Date: jefi/J, Related Application#s: Payment#: tie/7 C-. 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 ,. il 'l' Iy HGeneral 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: `ZJ .' I ea la ' 10 Site Address nd/or Directions to Property: 401- I P 4/ 0 r s� . t,/ . o -j- l�v.0Low (A el gztfl5 _ _ I ccess (name of street(s) from which access will be gained: Description of Work: tyls j1 0 t A id&( OA Vg.. 1 N lifeid Property Owner Name: 6J-t- 14„cd1 Qoy".i.vir Da � Address: 40� I paa.d.1 `Al t 4 . . tn Phone #: 90 ,7/ii.q g G, E-mail Address: m Applicant/ Contractor: Authorized, : •nt/Representative L, Name: � w�� _ .4- ' I, - L ( t ) 4 Phone #: �j J/ - r E-mail Address: eettli4J , t-6/1 License#: Awe- 0L t Ate 1019 ©L� Expiration Date: 1/ / 0-p tip . Mechanical Application 1 • Heat Source Electric El Heating Oil [1 Propane* [] Wood L 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 related to this application and subsequent permit issuance. Property Own _ Signature: ( • Print Name: ( (,� Date: q- OFFICE USE ONLY Building Permit Fees Mechanical Permit fee (tankswp waodstove.furnace,etc) $156.00 Propane— Lines, tank, and appliance (add'I $78.00) Project Scanning Fee $19.50 Total Fees* ( ' l *Additional fees may apply. Mechanical Application 2 • �, 1, JEFFERSON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT / r �0 (3 Time Received: /6( �"lh'm Mon. Tue. Wed. Thur. Fri. Date: aa�/ Date: BLD: , 5J 7 ( Contact Name: ? Contact Number: 360 t2k a l`0 7 Owner: 206 Address: 0 1 1 ' �' .1' / le Notes: i&/ /9 Framing Foundation Plumbing g Propane Tank Mechanical Framing Under ground Furance Setbacks Under-ground g Footing Rough In Air Seal Above ground Gas Hydronic Exterior shear Oil Stemwall Exterior lines Straps Hot Water Htr Interior shear Interior lines Ducts Ventilation Appliance Post Hole Underfloor Gas/Wood stove - Man-Homes Insulation an Homes Final Inspection Setbacks Floor Wall Address Posted Foundation Ceiling Block &Tile AIR FLO HEATING COMPANY I. Page 1 of 2 Home Inicio en Espanol Contact Search L&I SEARCH A-Z Index Help My Secure t&I Safety Claims&Insurance Workplace Rights Trades&Licensing inWashington State Department of Labor & Industries AIR FLO HEATING COMPANY INC Owner or tradesperson 221 W CEDAR Principals SEQUIM,WA 98382 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 Ref rig (HVAC/R) License no. AIRFLI'206DG Effective—expiration 03107/1980—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 i 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= 10/1/2015 Parcel Details • Page 1 of 2 • Jefferson Count Y NASHINGTON Weather Station Database Tools Maps � Webcam Home Count', Info Decortments Seoidi Parcel Number: 821262010 SEARCH Parcel Number: 821262010 Printer Friendly Owner Mailing Address: STEPHEN P PORTER 4071 PARADISE BAY RD PORT LUDLOW WA98365-9241 Site Address: 4071 PARADISE BAY RD PORT LUDLOW 98365 Section: 26 School District: Chimacum (49) Qtr Section: NW1/4 Fire Dist: Port Ludlow (3) Township: 28N Tax Status: Taxable Range: 1E Tax Code: 0231 Planning area: Paradise Bay (8) Sewer: Drainage: Bank: View 1: View 2: Zoning 1: RR-5 - Rural Residential Zoning 2: Zoning 3: Sub Division: Assessor's Land Use Code: 1100 - Residential - Single Unit Property Description: S26 T28 R1E TAX 6 (ENLGD BY TAX 9) BOUND BY BLA #89303 AND TL TAX K3 Tax, A/V, Sales. Photos, and Permit Data Bldg Data Mao Parcel Plats &Surveys Septic Monitoring Info Jefferson COUPIY HOME 1 COUNTY INFO 1 DEPARTMENTS 1 SEARCH Best viewed with Microsoft Internet Explorer 6.0 or later is Windows - Mac http://www.co.j efferson.wa.us/assessors/parceUparceldetail.asp?value=821262010 10/1/2015 • • 360/ 683-3901 360/ 385-5354 /s CO. 221 W 360/ 307-7822 H A ING West Cedar Street Sequim, WA 98382 FAX: 683-3971 INDOOR AIR EXPERTS www.airfloheating.com September 21, 2015 Stephen Porter 4071 Paradise Bay Road Port Ludlow, WA I propose the following: Provide and install Trane XL Hyperion variable speed air handler Provide and install Trane XV20i heat pump Install Trane thermostat XL950 Test ducting per Washington State Energy Code Mechanical permit Labor to install Warranty 1 year labor, 10 years on parts and 12 year compressor $12358.00 $ 1112.22 sales tax $13470.22 $ 1000.00 Trane Rebate $12470.22 Proposal valid for 90 days Thank you, �� .�� G�' '.."`" Mark Eveland Authorized: .�- Purchaser agrees to pay fifty percent(50%)before project is permitted and the maining fifty percent (50%)upon completion of installation,.That any unpaid sums due hereunder shall be subject to a service charge of one and one-half percent(1'h%)per month and all reasonable attorney's fee's incurred. All material is guaranteed to be as specified.All work to be completed in a workmanlike manner according to standard practices.Any alteration or deviation from above specification involving extra charge over and above the estimate.Our workers are fully covered by Workmen's Compensation Insurance. Purchaser agrees that Seller retains title to equipment/materials furnished until final payment is made. Contractor License.#AIRFLI*206DG This combination qualifies for a Federal Energy ��"°�� % C E RTI F I E D® Efficiency Tax Credit when placed in service between Feb 17, 2009 and Dec 31, 2014. www.ahridirectory.org Certificate of Product Ratings AHRI Certified Reference Number: 6749943 Date: 9/24/2015 Product: Split System: Heat Pump with Remote Outdoor Unit-Air-Source Outdoor Unit Model Number: 4TWV0036A1 Indoor Unit Model Number: *AM8C0C36V31 Manufacturer: TRANE Trade/Brand name: TRANE Series name: XV20I 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 W W. a h r i d t r e c t o r y 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.ahridirectory.org. TERMS Ac CONDITONS This Certificate e 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 www.ahridirectory.org,click on"Verify Certificate"link wz makc Ilte bet er° 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. 130875992783036088 ©2014 Air-Conditioning,Heating,and Refrigeration Institute CERTIFICATE NO.: • • • I i 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#: BLD15-00337 Received Date 10/1/2015 SITE ADDRESS: 4071 PARADISE BAY RD Issue Date 10/1/2015 PORT LUDLOW, 98365 APPLICANT: STEPHEN P PORTER PHONE: 4071 PARADISE BAY RD PORT LUDLOW WA 98365-9241 SUBDIVISION: Block: Lot: PARCEL NUMBER: 821262010 Section: 26 Township: 28N 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 OWNER, STEPHEN P PORTER PHONE: if different: 4071 PARADISE BAY RD PORT LUDLOW WA 98365-9241 PROJECT DESCRIPTION: Install 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 10/1/2016. REQUIRED INSPECTIONS: ,f Installation per Manufacturer Specifications/CO2: yee M/-� Sp�C S f/riIS ,7/ Tank/L..e/Applianc- 9J /C//ci/,. i/ Final Approval: Oil -re( frvta,1 (D/g7/56,/ 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_B LD_Perm it_P ropane.rpt 10/1/2015