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HomeMy WebLinkAboutBLD2015-00018 - MECHANICAL • BUILDING PERMIT APPLIATION BLD15-00018 Review Type: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT#: BLD15-00018 Received Date: 1/21/2015 SITE ADDRESS: 7401 CAPE GEORGE RD PORT TOWNSEND, 98368 OWNER: DISCOVERY BAY GOLF COURSE /WEFORE LLC PHONE: 360-385-0704 CIO MIKE ASMUNDSON 7401 CAPE GEORGE RD PORT TOWNSEND WA 98368-9625 SUBDIVISION: Block: Lot: PARCEL NUMBER: 001311005 Section: 31 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 NEW MECHANCIAL PERMIT INSTALL DUCTLESS HEAT PUMP SYSTEM 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: SETBACK: DECK: 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 $152.00 SRE 01/20/15 154065 Permit $4.00 SRE 01/26/15 154073 APPROVE© Total: $156.00 JAN 262015 Jefferson County DCD \\tidemark\data\forms\F_BLD_App_Bld.rpt 1/26/2015 at -ii ' lo-n II V CMENT OF COMMUNITY DE Itreet,Port Townsend,WA 98368 �rl ,L C� C Q V C i''-1 150 I Fax:360.37).4451 ""_ /1) 4, Jefferson.wa.us/communtrydevelopment �� !I lI :o.iefferson.wa.us r1 JAN 2 0 2015 I, ii CHANICAL PERMIT APPLICATION 0`' 'ry Off V! Ci���� Y Di.�4l 0?k1ENT dC. . C �� all information is completed prior to submitting application. 1/0/ , ` �� office and do not require an appointment. W �r 11 ical permits are generally issued within 5 business days. D1� Receipt (.jos Date: 011,24/5 4 v 2 7� J I"Kerateu Appuwuvn rr4. .... 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 0 Required Submittal Items—for propane tank only n General Site plan—showing propane tank, lines, and distance from tank to all existing structures. V ' _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 CI) Assessor Tax Parcel Number: 0 01N 10O' Site Address and/or Directions to Property: 74-10I co,pe, (cLe09-t. RA. Access (name of street(s)from which access will be gained: Description of Work: .),(1. all dint es3 to 4 p OPiAp 3 pl-c m Property Owner Name: i Gold (Ot1(5�- i- Address: 7-j 1 c NC- (J(, g-c- o Phone#: '(po -58.s--O7c11 E-mail Address: -11 g_ Please contact Auth rized ent/Rxepresentative with project info. K �� 'Property Owner Signature: 1 Date: i b 4( ! /S Applicant/Contractor: Authorized Agent/Representative Name: All \C.M-VtLC l}eA:C11\.�\ N ()bt nJ Phone#: '� 3(po-yrjA- gg13 `.J E-mail Address: k.mJscou-A &11ko .Ih t License#: NLLWGHc.iso i(L) Expiration Date: 1-IA ' co 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 to his application and subsequent permit issuance. Signature: Print Name: 6AV...f\. If illi1Q.vtt5rl Date: 1—)S-1 OFFICE USE ONLY Building Permit Fees Mechanical Permit fee(tank swap,woodstove,furnace,etc) $152.00 Propane—Lines,tank, and appliance (add'I $76.00) Project Scanning Fee $19.00 Total Fees* *Additional fees may apply. Mechanical Application 2 ' ;I JAN 2 f, ?r15 Parcel Details • I Page 1 of 2 Jefferson County Home County info Departments Search Parcel Number. 1001311005 I I SEARCH I Parcel Number: 001311005 Printer Friendly Owner Mailing Address: WEFORE LLC C/O MIKE ASMUNDSON 7401 CAPE GEORGE RD PORT TOWNSEND WA98368-9625 Site Address: 7401 CAPE GEORGE RD PORT TOWNSEND 98368 Section: 31 School District: Port Townsend (50) Qtr Section: NE1/4 Fre Dist: Chimacum (1) Township: 30N Tax Status: Taxable Range: 1W Tax Code: 0111 Planning area: Quimper (2) Sub Division: Assessor's Land Use Code: 7400 - Recreational Marinas Golf Courses Property Description: S31 T30 R1W TAX #4 lax, A/V, Sales, Photos, and Permit Data Bldg Data Map Parcel lats&Surveys Septic Monitoring Info_ - - HOME I COUNTY INFO I DEPARTMENTS I SEARCH , Jefferson County , � < Best viewed with Microsoft Internet Explorer 6.0 or later 0 Windows - Mac http://www.co.jefferson.wa.us/assessors/parcel/parceldetail.asp?Parcel NO=001311005 1/21/2015 ALL WEATHER HTG & COOLING I.NC Page 1 of 2 • Washington State Department of Labor & Industries ALL WEATHER HTG & COOLING INC Owner or tradesperson 302 KEMP ST MCKEOWN,THOMAS J JR PORT ANGELES, WA 98362 360-452-9813 Principals CLALLAM County MCKEOWN, THOMAS J JR, PRESIDENT MCKEWON, IDA L, SECRETARY Doing business as ALL WEATHER HTG &COOLING INC WA UBI No. Business type 600 485 640 Corporation License jistratio ce ,_ / Ccn J:rending on trade) and any past violations. Construction Contractor Active. Meets current requirements. License specialties GENERAL License no. ALLWEHC150KU Effective—expiration 05/31/1985—09/07/2015 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 Bond history Insurance Liberty Mutual Ins Co $1,000,000.00 Policy no. 56222477 Received by L&I Effective date 09/02/2014 09/01/2014 Expiration date 09/01/2015 https://secure.lni.wa.gov/verily/Detail.aspx?UBI=600485640&LIC=ALL WEHC 150KU&SAW= 1/21/2015 ALL WEATHER HTG & COOLING INC Page 2 of 2 Insurance history i • 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. LSI 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 Estimated workers reported Quarter 3 of Year 2014"21 to 30 Workers" L&I account representative T1 /TYRONE COLEMAN (350)502-4807 - Email: COTI235@lni.wa.gov Workplace safety and health No inspections during the previous 6 year period. .nte Dept cf Labor& ' „.,, _o,e o is subject to the laws c`t -""r shngton. Ala Wasiur ten0 Ofirral 643e{iwgr5mtn4 t'e¢-SIIc 1/21/2015 • �. 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#: BLD15-00018 SITE ADDRESS: 7401 CAPE GEORGE RD Received Date 1/2 PORT TOWNSEND, 98368 Issue Date 1/266/X5 /205 APPLICANT: DISCOVERY BAY GOLF COURSE /WEFORE LLC C/O MIKE ASMUNDSON PHONE: 360-381-0704 7401 CAPE GEORGE RD PORT TOWNSEND WA 98368-9625 SUBDIVISION: PARCEL NUMBER: 001311005 Block: Lot: CONTRACTOR: Section: 31 Township: 30N Rave: 1W ALL WEATHER HTG &COOLING 302 KEMP STREET PHONE: 3E0-452-9813 PORT ANGELES WA 98362 Contractor's License ALLWEHC150KU Expires 9/4/2015 OWNER, DISCOVERY BAY GOLF COURSE /WEFORE LLC if different: C/O MIKE ASMUNDSON PHONE: 360-385-0704 7401 CAPE GEORGE RD PORT TOWNSEND WA 98368-9625 PROJECT DESCRIPTION: NEW MECHANCIAL PERMIT INSTALL DUCTLESS HEAT PUMP Directions SYSTEM 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 1/26/2016. REQUIRED INSPECTIONS: Installation per Manufacturer Specifications/CO2: Tank/Line/Appliance: Final Approval: IL ti (,. 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 1/26/2015