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Home My WebLink AboutBLD2015-00316 - MECHANICAL • • 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#: BLD15-00316 Received Date 9/16/2015 SITE ADDRESS: 32 OAK SHORE CT Issue Date 9/16/2015 PORT TOWNSEND, 98368 APPLICANT: THEODORE H GIFFORD PHONE: LINDLEYA GIFFORD 32 OAK SHORE COURT PORT TOWNSEND WA 98368 SUBDIVISION: 9650 - KALA POINT 3-8 Block: Lot: PARCEL NUMBER: 965000180 Section: 27 Township: 30N Range: 1W CONTRACTOR: ALL WEATHER HTG & COOLING PHONE: 360-452-9813 302 KEMP STREET PORT ANGELES WA 98362 Contractor's License ALLWEHC150KU Expires 9/4/2017 OWNER, THEODORE H GIFFORD PHONE: if different: LINDLEYA GIFFORD 32 OAK SHORE COURT PORT TOWNSEND WA 98368 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 9/1612016. REQUIRED INSPECTIONS: Installation per Manufacturer Specifications/CO2: Tank/Line/Appliance: Final Approval: 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\fo rms1F_BLD_Perm it_Propane.rpt 9/16/2015 litUILDING PERMIT APPLICA•N BLD15-00316 Review Type: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT#: BLD15-00316 Received Date: 9/16/2015 SITE ADDRESS: 32 OAK SHORE CT PORT TOWNSEND, 98368 OWNER: THEODORE H GIFFORD PHONE: LINDLEY A GIFFORD 32 OAK SHORE COURT PORT TOWNSEND WA 98368 9650 - KALA POINT 3-8 SUBDIVISION: Block: Lot: PARCEL NUMBER: 965000180 Section: 27 Township: 30 N Range: 1V 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 DESCRIPTION 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 09/16/15 159184 APPROVED Total: $156.00 SEP 6 2015 Jefferson County DCC UtiriemarlArlvtolfnrme\I PI fl Ann Rlrl rnt 0/1R/9111A 0 • SON C �ti� OG DEPARTMENT OF COMMUNITY DEVELOPMENT 4---',-; 621 Sheridan Street,Port Townsend,WA 98368 ti -e,' Tel:360,3794450 Fax:360.379.4451 Web: ./..... .'I 's I .e - .uu ..'. .. . ..n'. E-mail:dcd@.co.ieffcrson.wa.us 6).HI N G' 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#: j t)9 i It/ Date: 9/110//5 Related Application#s: Payment#:7_43. 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: 9 (D J t.ADID)e° Site Address and/or Directions to Property: 3, 004. Shc*t C 't Access (name of street(s) from which access will be gained: Description of Work: jn7)j-mit f(pSS {u¢01 Pump gySci-tVY1 Property Owner c Name: -110...). Lt n&icy (J1i .. &t,ccl co Address: 3c1 no,,l_ Shue CA--• ° s) Phone #: pp- 3701- y g(-) E- ail Ad Tress: rn m -I- Please contact Auth. ed Agent/Repr•sentativ- with project info. K 71 Property Owner Signature: I - g r r . / Date: 9 , ! './ Applicant/Contractor: Authorized Agent/Representative J's Name: All Weather Heating & Cooling, Inc 1 Phone #: 360-452-9813 E-mail Address: billing@allweathencc.g2 C3'? License#: ALLWEHC150KU Expiration Date: 9/16 c� 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(tt 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 to this application� and subsequent permit issuance. Signature:.7/ / //4., -1 Print Name: Karen McKeown Date:(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* *Additional fees may apply. Mechanical Application 2 Parcel Details • • Page 1 of 2 Jefferson County WASHINGTO -. . _Weather Station -s Database Tools Maps Webcam Home County Info Departments Search Parcel Number: 965000180 SEARCH Parcel Number: 965000180 Printer Friendly Owner Mailing Address: THEODORE H GIFFORD LINDLEY A GIFFORD 32 OAK SHORE COURT PORT TOWNSEND WA98368 Site Address: 32 OAK SHORE CT PORT TOWNSEND 98368 Section: 27 School District: Port Townsend (50) Qtr Section: NW1/4 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 #5 LOT 368 Tax, A/V, Sales, Photos, and Permit Data Bldg Data Mao Parcel Plats&Surveys Septic Monitoring Info a Jefferson County HOME I COUNTY INFO I DEPARTMENTS I SEARCH doof Best viewed with Microsoft Internet Explorer 6.0 or later ISWindows - Mac http://www.co.jefferson.wa.us/assessors/parcel/parceldetail.asp?value=965000180 9/16/2015 ALL WEATHER HTG& COOLI C • Page 1 of 2 Home Inicio en Espanol Contact Search L&I I UZI A-Z Index Help My Secure L&I Safety Claims&Insurance Workplace Rights Trades&Licensing CoWashington State Department of Labor & Industries ALL WEATHER HTG & COOLING INC Owner or tradesperson 302 KEMP ST PORT ANGELES.WA Principals 360-452-9813 Halverson,Dustin J,PRESIDENT CLALLAM County Sparks,Jeanne M,SECRETARY MCKEOON,THOMAS J JR,PRESIDENT (End:09/04/2015) MCKEWON,IDA L,SECRETARY (End:09/04/2015) Doing business as ALL WEATHER HTG&COOLING INC WA UBI No. Business type 600 485 640 Corporation Governing persons IDA L MCKEOWN THOMAS J JR MCKEOWN; License Verify the contractors 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 05/3111985—09/07/2017 Bond TRAVELERS CAS&SURETY CO $12,000.00 Bond account no. 104990651 Received by L&I Effective date 08/1412007 09/01/2007 Expiration date Until Canceled Bond history Insurance Ohio Security Ins Co $1,000,000.00 Policy no. BKS56222477 Received by L&I Effective date 08/07/2015 09101/2015 Expiration date https://secure.lni.wa.gov/verify/Detail.aspx?UBI=600485640&LIC=ALLWEHC150KU&SAW= 9/16/2015