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Home My WebLink AboutBLD2017-00224 - MECHANICAL • • 0-- co JEFFERSON COUNTY �. DEPARTMENT OF COMMUNITY DEVELOPMENT 621 Sheridan Street I Port Townsend, WA 98368 ,� r � 360-379-4450 I email: dcd@co.jefferson.wa.us 'ysFr1 NCs- - www.co.jefferson.wa.us/commdevelopment MECHANICAL AND DEMOLITION PERMIT PERMIT#: BLD17-00224 Received Date 5/24/2017 SITE ADDRESS: 730 GARDINER BEACH RD Issue Date 5/24/2017 SEQUIM, 98382 APPLICANT: KENNETH HENSHAW PHONE: 360-460-8945 MARILYN HENSHAW 730 GARDINER BEACH RD SEQUIM WA 98382-8709 SUBDIVISION: Block: Lot: PARCEL NUMBER: 002273025 Section: 27 Township: 30N Range: 2W CONTRACTOR: ANGELES HEATING LLC PHONE: 360-460-2314 3256 E HIGHWAY 101 PORT ANGELES WA 98362 Contractor's License ANGELH1972LE Expires 6/5/2019 PROJECT DESCRIPTION: NEW MECHANICAL- HEAT PUMP 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 5/24/2018. REQUIRED INSPECTIONS: Installation per Manufacturer Specifications/CO: Tank/Line/Appliance: Final Approval: ,(f)))1/ k,e 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 5/24/2017 •UILDING PERMIT APPLICAJNR B eD1 w Y0 0 N2A4 Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD17-00224 Received Date: 5/24/2017 SITE ADDRESS: 730 GARDINER BEACH RD SEQUIM, 98382 OWNER: KENNETH HENSHAW PHONE: 360-460-8945 MARILYN HENSHAW 730 GARDINER BEACH RD SEQUIM WA 98382-8709 SUBDIVISION: Block: Lot: PARCEL NUMBER: 002273025 Section: 27 Township: 30 N Range: 2V1 CONTRACTOR: ANGELES HEATING LLC PHONE: 360-460-2314 3256 E HIGHWAY 101 PORT ANGELES WA 98362 Contractor's License ANGELHI972LE Expires 6/5/2019 REPRESENTATIVE: PHONE: PROJECT DESCRIPTION: NEW MECHANICAL - HEAT PUMP TYPE OF WORK NON SQUARE FOOTAGE: TYPE OF IMP MEC MAIN: VALUATION ADD'L: HEAT TYPE: CODE EDITION: 2015 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: Type Amount Paid By: Date: Receipt Exist: Exist: Permit $180.00 JJC 05/24/17 169799 Prop: Prop: Scanning Fee $23.00 JJC 05/24/17 169799 Total: Total: Total: $203.00 Approved/Date APPROVED MAY 2 4 2017 Jefferson County DCD \\+irlcmnrlArh+n\forme\G RI Il Ann Rid rn+ F/9A/91117 • • C74SON e DEPARTMENT OF COMMUNITY DEVEL T � 621 Sheridan Street,Port Townsend,WA 98368 W Tel:360.379.4450 Fax:360.379.4451 /1/4".4.0, C Web:www.co.jefferson.wa.us/communitydevelopment E-mail:dcdnco.jefferson.wa.us �SW N C9� 4% MECHANICAL PERMIT APPLICATION ti� Steps in the Permit Process: ®�41n -Review required submittal items to ensure all information is completed prior to submitting application. 'YQ 040 -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#: '.9-077 Date: I 9-1-4 Related Application#s: Payment#: LC 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 roof mount Solar Panel installation only(ground mount complete CAM) Complete first page and signature block only of Mechanical Permit Application. A complete solar panel supplemental application. Site Information Assessor Tax Parcel Number: � -,� C)g-b Site Address and/or Directions to Property: 6-,9-e4 ) .&'-e, /}- Zt", R) h meA j jj-0 '30 e/1 -5-- W—A e1 vD j&)o - J- S / o-e - V-Oe. Access (name of street(s) from which access will be gained: Description of Work: J(Ac,-1ej_C b44,91 Pi4p I14J itc2�� Property Owner Name: _ A) "11,C 1}t1 W az Address: Phone #: 3 6 D 17'4 o '99c E-mail Address: Applicant/Contractor: Authorized Agent/Representative Name: C� / ' .�4Pj ,„2 ht.ivr Phone#: �6 J 6D-3 % E-mail Address:- . 6 it ,Ahji License#: 1,1 y.,t'h q").___LZ7 Expiration Date: 009 Mechanical Application 1 • • teat e 10 77NP. '4101111,' t 4lhi,f ��hTl Electric V Heating Oil Propane* [1 Wood Indicate Quantity of N ire Types Belo PA w Propane is prohibited in Quantity Fixtut TVOe 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 J 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 Ownier- � " Signature: / /'til_) Print Name: ?-0 f> r U( L-e . Date:S Jam?X111/7 OFFICE USE ONLY 40 Building Permit Fees Mechanical Permit fee (tank swap,woodstove,furnace,roof-solar panel,etc) - $180.00 !--- Propane—Lines, tank, and appliance (add'I $90.00) Project.Scanning Fee 7 $23.00 Total Fees* *Additional fees may apply. Mechanical Application 2