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HomeMy WebLinkAboutBLD2015-00356 - MECHANICAL •UILDING PERMIT APPLICA•N BLD15-00356 Review Type: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT#: BLD15-00356 Received Date: 10/15/2015 SITE ADDRESS: 20 SHORECREST CT PORT TOWNSEND, 98368 OWNER: MELVIN WHITE PHONE: 20 SHORECREST CT PORT TOWNSEND WA 98368-9541 9650 - KALA POINT 3-8 SUBDIVISION: Block: Lot: PARCEL NUMBER: 965000303 Section: 27 Township: 30 N Range: 11/) 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 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: 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 Bv: Date: Receipt: Approved/Date Permit $156.00 HAC 10/15/15 159311 APPROVED Total: $156.00 OCT 15 2015 Jefferson County DCC \\Iirlcmorkbloio\fnrmc\P 131 fl Ann Rid rnT In/I cnnlg � :\:'o • c�, DEPARTMENT OF COMMUNITY DEVELOPMENT �� e> 621 S6<ru3:nr ,Yon2"ti cu,cnd,WA 9836E I n L 3(01-9.44$0 I x 96u 179.4451 1 -C Web:\\uv. co.icarson.wii,icumcnuniadeveloPmcnt },mad dcd(a)cu,Lft u,UI'y i.u; q`gy/I N�C° 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 suffice-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#: jC)o t f Date. i Cl/ty/l) Related Application#s: Payment#: L/Cf—f(,,.,;j Is this application for use in a Mobile/Manufactured Home? * If Yes: A permit from Washington Sta�e Department of Labor and Industries, not Jefferson County, is required for appliances installed with n 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 LGeneral 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 /y Assessor Tax Parcel Number: "t t DOC),OS Site Address and/or Directions to Pro erty: ro `j 14 Ow, tirt c.F h- ,. t'Or-t fotAi INO oAkci IA q i.00 Access (name of street(s) from which ccess will be gained: Description of Work: 1 will cI SFU Pow kW teta 1111/4 -- U k I N IL EA al Property Owner _a , Name: , 1i4 Wr- Address: a'© bI Q,i� 1't - fEf f _O L4.1u Phone #: ,3VV., (9)aa > 3' E-mail Address: -0 m X K Applicant/ Contractor: Authorized Agent/Representative 7' Name: A/.6)01klr� fi �ILi { l, �r % llj Phone #: _� . /j�.- ti© i E-mail Addre s: kipot4 y1( . !LW1 1 License #: A V 4 F ' Ae 6VOa �C, Expiration Daze: t //7i to Mechanical Application 1 Heat Source Electric Heating Oil I I Propane* n Wood I� 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 unsafety 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, and a site plan must be Propane(LP)Gas Furnace Propane Furnace+/-Ducting 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 later inspections. Applicant may request notice of the County's intent to enter upon the property for visits related,. his applicatio —d subsequent permit issuance. Property Own _ Signature: S%I Print Name'A I E- �/�� f r :. Date: "0/7/i 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 $19.50 Total Fees* p Si" *Additional fees may apply. Mechanical Application 2 Heat Source Electric Ell Heating Oil Propane* ❑ Wood H Indicate Quantity and Fixture Types Below *Propane is prohibited in Quantity Fixture Type Description hazardous locations such as Fan Bath Fan and/or Exhaust Fan basements or pits or Clothes Dryer Clothes Dryer with Exhaust Vent anywhere "heavier-than-air" Cook Stove Cook Stove, Range Hood Exhaust gas can unsafety collect. Fireplace-Gas Fireplace-Gas or Gas Log Insert *Propane tanks over 125 Fireplace-Wood Fireplace-wood,Wood Stove,or gallons require a minimum Pellet Stove setback of 10 ft.from Electric Furnace Electric Furnace or HP+/- Ducting property line and buildings, Propane (LP) Gas Furnace Propane Furnace +/-Ducting and a site plan must be submitted with the Water Heater-Gas Gas WH Vent and Combustion Air application showing the Gas Pipe System Gas Pipe System LPG/Oil setbacks. If propane tank is Propane Tank LP Fuel Tank(#gallons: I over 500 gallons,a site plan is It Heat Pump required to accompany this Generator application, and a separate Air Conditioner Fire Code approval is also required. Installation manual must be on site at time of inspection or a re-inspection fee will be charged. By signing this application form, the owner/agent attests that the information provided herein, and in any attachments, is true and correct to the best of his, her or its knowledge. Any material falsehood or any omission of a material fact made by the owner/agent with respect to thi$ 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 end county laws and regulations and I agreeto provide access and right of entry to Jefferson County and its employes, representatives or agents for the sole prpose of application review and any required later inspections. Applicat may request notice of the County's intent to enter upon the property for visits related"' his applicatio _.,gid subsequent permit issuance. Property Own; /,�,. ll _ Signature: �� " ' ' Prihft Name'A f L- (dld r r e Date: /43/7/ Sr 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* � i l - `) *Additional fees may apply. Mechanical Application 2 ,F..yO" '0, JEFFERSON COUNTY , $ DEPARTMENT OF COMMUNITY DEVELOPMENT ,, jt Date: 't, ',t 3 Time Received: / o,5—/ (arr 'pm on Tue. Wed. Thur. Fri. Date: BLD: is- 3S(= Contact Name: Owner: Contact Number: 360 97-t"7 Address: A 0 5 7O v- cy.es 7t 7 /) r 206 Notes: _v0ggt c� 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 a a -"DISE This combination qualifies for a Federal Energy I CERTIFIED® Efficiency Tax Credit when placed in service www.anridlrectpty.otg between Feb 17, 2009 and Dec 31, 2014. Certificate of Product Rati n s AHRI Certified Reference Number: 6750234 Date: 10/8/2015 Product: Split System: Heat Pump with Remote Outdoor Unit-Air-Source Outdoor Unit Model Number: 4TWV8036A1 Indoor Unit Model Number: *AM8C0C36V31 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): 35000 EER Rating (Cooling): 13.00 SEER Rating,(Cooling): 18.00 Heating Capacity(Btuh) @ 47 F: 32200 Region IV HSPF Rating (Heating): 10.00 Heating Capacity(Btuh) @ 17 F: 25200 •Ratings followed by an asterisk(')indicate a voluntary rerale 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 products)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 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"Verity Certificate"link we make h`:c be[ter` 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.: 130887994928915045 • • ' V r � J N y AIR FLO HEATING COMPANY INC Page 1 of 3 • • Home Inicio en Espanol Contact Search L&I A-Z Index Safety Claims & Insurance Workplace Rights CIWashington 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 Heating/Vent/Air-Conditioning and Refrig (HVAC/R) License no. AIRFLI*206DG Effective-expiration 03/07/1980—04/25/2016 https://secure.lni.wa.gov/verify/Detail.aspx?UBI=600347761&LIC=AIRFLI*206DG&SAW= 10/15/2015 Parcel Details Page 1 of 2 Jefferson County WASHINGTON Weather Station Database Tools Maps Webcam Home County Irifo Deaartments Search Parcel Number: 1965000303 I SEARCH Parcel Number: 965000303 Printer Friendly Owner Mailing Address: MELVIN WHITE 20 SHORECREST CT PORT TOWNSEND WA98368-9541 Site Address: 20 SHORECREST CT PORT TOWNSEND 98368 Port Townsend 50 Section: 27 School District: ( ) Section: NW1 4 Fre Dist: Chimacum 1 Qtr / ( ) 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 #8 LOT 454 Tax, A/V, Sales, Photos, and Permit Data Bldg Data Map Parcel Plats&Survey Septic Monitoring Info Jefferson County HOME I COUNTY INFO I DEPARTMENTS I SEARCH 1 Best viewed with Microsoft Internet Explorer 6.0 or later 116 Windows- Mac http://www.co.j efferson.wa.us/assessors/parcel/parceldetail.asp?value=965000303 10/15/2015 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#: BLD15-00356 Received Date 10/15/2015 SITE ADDRESS: 20 SHORECREST CT Issue Date 10/15/2015 PORT TOWNSEND, 98368 APPLICANT: MELVIN WHITE PHONE: 20 SHORECREST CT PORT TOWNSEND WA 98368-9541 SUBDIVISION: 9650 - KALA POINT 3-8 Block: Lot: PARCEL NUMBER: 965000303 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, MELVIN WHITE PHONE: if different: 20 SHORECREST CT PORT TOWNSEND WA 98368-9541 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 10/15/2016. REQUIRED INSPECTIONS: Installation per Manufacturer Specifications/CO2: Tank/Line/Appliance: Final Approval: I bkb)is 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 11tidema rk\data\fo rms1F_BLD_Perm it_Propane.rpt 10/15/2015