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HomeMy WebLinkAboutBLD2015-00307 - MECHANICAL SUILDING PERMIT APPLICA•N BLD15-00307 Review Type: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD15-00307 Received Date: 9/4/2015 SITE ADDRESS: 231 CRAIG RD SEQUIM, 98382 OWNER: MESHA L MUNYAN PHONE: 360-390-8044 KEITH F WINTER 231 CRAIG RD SEQUIM WA 98382-8700 SUBDIVISION: Block: Lot: PARCEL NUMBER: 902042007 Section: 4 Township: 29 N Range: 2V1 CONTRACTOR: ALL WEATHER HTG & COOLING PHONE: 360-452-9813 302 KEMP STREET PORT ANGELES WA 98362 Contractor's License ALLWEHC150KU Expires 9/4/2015 REPRESENTATIVE: PHONE: PROJECT DESCRIPTIOIf NEW MECHANICAL PERMIT INSTALL DUCTLESS HEAT PUMP 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 By: Date: Receipt: •• ved/Date f� OV f Permit $156.00 SRE 09/04/15 159718 Total: $156.00 SEP /4 2015 Jefferson County DCL 1\f,rlomorlArl.fo1fnrn, \f- RI fl Ann Rlrl rnf Qu/)Ric • �c• • • VrSON C �wg o', DEP • ' MENT OF COMMUNITY DEVEL S ' i NT "G 621 Sheridan Street,Port Townsend,WA 98368 / Tel:360.379. 50 I Fax:360.379.4451 Web 01111 ' +• l m '1tk>?‘ 4Y E-mail: . •01 • - - c. . ! l/ I S&I NGS Sep M oCHANICAL PERMIT APPLICATI(�,�T F 4 2015 Steps in the Permit Process: T CFrC fFRSOy Mtij, -Review required submittal items to ensure all information is completed prior to submitting applicati NIIYD ' -Mechanical Permits can be mailed into our office-and do not require an appointment. "�CpUkyr,. -Fees are due at time of submittal, Mechanical permits are generally issued within 5 business days. For Department Use Only Receipt#: 1 � ) (� Date: OBJ L.)/I, Related Application#s: Payment#: I-3-S• 5 L ' 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: Site Address and/or Directions to Property: 0(3(. CccU J Q.c.l, bki to Access (name of street(s) from which access will be gained: Description of Work: 1064-0„ ajjcil, VR!0..A Pomp Property Owner Name: (r ef- hll..,, \lar\ w Address: ail cso.A Q-d� Phone #: 3 p— 530 '- E-mail Address: v m ,/ Please contactjA. orjiz-. Agen -sentative with project info. Property Owner Signature: Lad& ': Date: ') 6-45 Applicant/Contractor: Authorized Agent/Represent'tive Name: All Weather Heating & Cooling, Inc Phone #: 360-452-9813 • E-mail Address: billing a,allweathencc.gn License#: ALLWEHC150KU Expiration Date: 9/15 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 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: ) 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 t this application and subsequent permit issuance. Signature: ��i' / ti Print Name: m w nDate: —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 1 Total Fees* *Additional fees may apply. Mechanical Application 2 Parcel Details Page 1 of 2 • • Jefferson Counter . , F i .. A 2.,, i ,. Weather StationDatabase Tools ALL WEATHER HTG & COOLINGI C Page 1 of 3 • Home Inic.io en Espanol Contact Search L&I A-Z Index Safety Claims & Insurance Workplace Rights 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 MCKEOWN, THOMAS J JR, PRESIDENT CLALLAM County MCKEWON, IDA L, SECRETARY Doing business as ALL WEATHER HTG& COOLING INC WA UBI No. Business type 600 485 640 Corporation Governing persons IDA L 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. ALLWEHC150KU Effective—expiration 05/31/1985—09/07/2017 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 https://secure.lni.wa.gov/verify/Detail.aspx?UBI=600485640&LIC=ALLWEHC 150KU&SAW= 9/4/2015 ALL WEATHER HTG & COOLINoNC • Page 2 of 3 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 09/01/2016 Ohio Security Ins Co $1,000.000.00 Policy no. BAS56222477 Received by L&I Effective date 07/30/2015 09/01/2015 Expiration date 09/01/2016 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&I 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 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. 482,580-00 ........................ Doing business as ALL WEATHER HEATING &COOLING https://secure.lni.wa.gov/verify/Detail.aspx?UBI=600485640&LIC=ALLWEHC150KU&SAW= 9/4/2015 ALL WEATHER HTG & COOLING INC Page 3 of 3 Estimated workers reported • Quarter 2 of Year 2015"21 to 30 Wo ers" L&I account representative T5/STEPHANIE HENDERSON (360)902-6266 - Email: HSTE235@Ini.wa.gov Workplace safety and health Check for any past safety and health violations found on jobsites this business was responsible for. ©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=600485640&LIC=ALLWEHC 150KU&SAW= 9/4/2015 • • 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 #: BLD15-00307 Received Date 9/4/2015 SITE ADDRESS: 231 CRAIG RD Issue Date 9/4/2015 SEQUIM, 98382 APPLICANT: MESHA L MUNYAN PHONE: 360-390-8044 KEITH F WINTER 231 CRAIG RD SEQUIM WA 98382-8700 SUBDIVISION: Block: Lot: PARCEL NUMBER: 902042007 Section: 4 Township: 29N Range: 2W CONTRACTOR: ALL WEATHER HTG &COOLING PHONE: 360-452-9813 302 KEMP STREET PORT ANGELES WA 98362 Contractor's License ALLWEHC150KU Expires 9/4/2015 OWNER, MESHA L MUNYAN PHONE: 360-390-8044 if different: KEITH F WINTER 231 CRAIG RD SEQUIM WA 98382-8700 PROJECT DESCRIPTION: NEW MECHANICAL PERMIT Directions INSTALL DUCTLESS 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 9/4/2016. REQUIRED INSPECTIONS: Installation per Manufacturer Specifications/CO2: Tank/Line/Appliance: Final Approval: !"14fA5 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 11tidemark\data\forms\F_BLD_Permit_Propane.rpt 9/4/2015 UILDING PERMIT APPLICiN BLD15-00351 Review Type: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT#: BLD15-00351 Received Date: 10/13/2015 SITE ADDRESS: 74 WINDRIDGE RD CHIMACUM, 98325 OWNER: KAREN HAMALAINEN PHONE: PO BOX 695 CHIMACUM WA 98325 SUBDIVISION: Block: Lot: PARCEL NUMBER: 901275005 Section: 27 Township: 29 N Range: 1NP CONTRACTOR: PENINSULA HEAT INC PHONE: 360-681-3333 PO BOX 173 CARLSBORG WA 98324 Contractor's License PENINI*0440W Expires 10/16/2016 REPRESENTATIVE: PHONE: PROJECT DESCRIPTIO Install Ductless Heat Pump 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 10/13/15 159304 APPROVED Total: $156.00 OCT 13 2015 Jefferson County DCG M irinmorLlAo+alFnrmclF PI fl Ann Ria s �ni1' l9n1� • • <,,L3ON DATM OG 621EPSheridan RTS MENT,Port TOF ownsend,WCOA 98368MUNITY DEVELOPMENT W Tel:360.379.4450 I Fax;360.379.4451 -C Web:www.co.jefferson.wa.us/communitydevelopmen1 E-mail:dcd a(�co.iefferson.wa.us S4ING`c0 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 It: 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 1_ 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: 901 a-3-5OD55 Site Address and/or Directions to Property: 1-4- W/MYt d j t, C�nj nio.cuini W W V t.11 k i h CIk,,;pLcun, h2414 , So v t71- 7'u Wend✓(d3 Access (name of street(s) from which access will be gained: l )(A Ii tA3 Description of Work: 4 ns j.1c-tap-. of- a � If c SS t IDC1t1O Property Owner Name: MJ if 1-0LA)1.)EiI Address: T-0• Box (o'S Phone#: 360 - — 2 3 7-/ E-mail Address: Applicant/Contractor: Authorized Agent/Representative =+ Name: PE Al//Q2/(144- tfEill CO- Phone #: 40o - 60f- 3333 E-mail Address: pC/1.4tigt 194- tuI(ooL< License #: PEN/!V) ` Ot( 01A) Expiration Date: 10 f i/16 Mechanical Application 1 • • Heat Source Electric Heating Oil n Propane* n Wood u 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 ,/ D LP Fuel Tank(#gallons:/ ) over 500 gallons,a site plan is Heat Pump/PUC'/GS # 5 T Li verk-e . posit, , 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 o this ap. ica .on and subsequent permit issuance. Property Own:- Signature: wn=Signature: ' t Print Name: Date: 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* )7-r- . *Additional fees may apply Mechanical Application 2 N • • -.mak/Om- -"oar . - ommx Job#: Scale: 1 : 177 Performed for: Page 1 Karen Hamalainen Right-Suite®Universal 2015 74 Wind Ridge15.0.07 RSU07796 Chimacum 2015-Oct-02 14:50:18 ...oft HVAC\Projects1Hamalainen.rup Mail - Mary Lofstrom-Outlook https://outlook.live.com/owa/#path=/mail/inbox/rp • • Outlook Mail (Preview) Search Mail and People New Reply I Delete Archive Junk I Sweep Move to Folders Hamalainen 74 Windridge Chimacum. Permission Inbox 6 to Pull Permit Junk Email 1 Drafts Karen Hamalainen Reply Sent Items IS To:peninsulaheat@outlook.com; Fri 10/9/201512.46 AM Deleted Items 5 1,Karen Hamalainen,give Peninsula Heat permission to pull a Mechanical permit on my Archive behalf for 74 Windridge Rd,Chimacum WA,in regards to a heat-pump install. Bell and Futch Karen Hamalainen Callis Insurance CC Permits CC PUD Forms CC Rebates CC PUD Forms City of PA Rebates City of PT Correspondence Jeff PUD Rebate Reinsurance 1 SVC Financing Parcel Details Page 1 of 2 Jefferson County WASHINGTON Weather Station Database Tools01% Maps r atj Webcam Home county Info Deoortnlents Search Parcel Number: 901275005 SEARCH Parcel Number: 901275005 Printer Friendly Owner Mailing Address: KAREN HAMALAINEN PO BOX 695 CHIMACUM WA98325 Site Address: 74 WINDRIDGE RD CHIMACUM 98325 Section: 27 School District: Chimacum (49) Qtr Section: NW1/4 Fre Dist: Chimacum (1) Township: 29N Tax Status: Taxable Range: 1W Tax Code: 0211 Planning area: South Chimacum/Inland Valleys/Center (6) Sewer: Drainage: Bank: View 1: View 2: Zoning 1: RR-10 - Rural Residential Zoning 2: Zoning 3: Sub Division: Assessor's Land Use Code: 1100 - Residential - Single Unit Property Description: SHERWOOD FOREST LARGE LOT LOT E (REVISED) Tax,A/V, Sales. Photos, and Permit Data Bldg Data Mao Parcel Plats&Surveys Septic Monitoring Info Jefferson County HOME I COUNTY INFO I DEPARTMENTS I SEARCH 4000 Best viewed with Microsoft Internet Explorer 6.0 or later 013 Windows - Mac http://www.co.j efferson.wa.us/assessors/parcel/parceldetail.asp?value=901275005 10/13/2015 • PENINSULA HEAT INC • • Page 1 of 2 • • Home Inicio en Espanol Contact P jSearch L&I { -StAitek- • A-Z Index Help My Secure L&I SafetyClaims&Insurance Workplace Rights Trades&Licensing P 9 0 Washington State Department of Labor & Industries PENINSULA HEAT INC Owner or tradesperson PO BOX 173 Principals CARLSBORG,WA 98324 P 360-681-3333 LOFSTROM,KENNETH JOHN,PRESIDENT CLALLAM County LOFSTROM, MARY E,SECRETARY Doing business as PENINSULA HEAT INC WA UBI No. Business type 601 737 680 Corporation Governing persons KENNETH J LOFSTROM MARY E LOFSTROM; 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. PENINI*0440W Effective—expiration 09/16/1996-10/18/2016 Bond CBIC $12,000.00 Bond account no. SA4812 Received by L&I Effective date 07/02/2001 09116/2001 Expiration date Until Canceled Insurance Ohio Security Ins Co $1,000,000.00 Policy no. BKS 55013351 Received by L&I Effective date 03/16/2015 04126/2013 Expiration date 04/26/2016 Insurance history Savings No savings accounts during the previous 6 year period. Lawsuits against the bond or savings https://secure.lni.wa.gov/verify/Detail.aspx?UB1=601737680&LIC=PENINI*044OW&SAW= 10/13/2015 • • 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 #: BLD15-00351 Received Date 10/13/2015 SITE ADDRESS: 74 WINDRIDGE RD Issue Date 10/13/2015 CHIMACUM, 98325 APPLICANT: KAREN HAMALAINEN PHONE: PO BOX 695 CHIMACUM WA 98325 SUBDIVISION: Block: Lot: PARCEL NUMBER: 901275005 Section: 27 Township: 29N Range: 1W CONTRACTOR: PENINSULA HEAT INC PHONE: 360-681-3333 PO BOX 173 CARLSBORG WA 98324 Contractor's License PENINI*0440W Expires 10/16/2016 OWNER, KAREN HAMALAINEN PHONE: if different: PO BOX 695 CHIMACUM WA 98325 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 10/13/2016. REQUIRED INSPECTIONS: Installation per Manufacturer Specifications/CO2: Tank/Line/Appliance: Final Approval: /6/2,g//5"- 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 10/13/2015