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HomeMy WebLinkAboutBLD2017-00221 - MECHANICAL • • "''� ON ��� JEFFERSON COUNTY 4 -1; DEPARTMENT OF COMMUNITY DEVELOPMENT 621 Sheridan Street I Port Townsend, WA 98368 't_' 2 360-379-4450 I email: dcd@co.jefferson.wa.us �sF�r N________(23 �- www.co.jefferson.wa.us/commdevelopment MECHANICAL AND DEMOLITION PERMIT PERMIT #: BLD17-00221 Received Date 5/22/2017 SITE ADDRESS: 140 BALDWIN RD Issue Date 5/22/2017 NORDLAND, 98358 APPLICANT: DAVID E SELF PHONE: 360-385-2617 CAROL J SELF PO BOX 419 PORT HADLOCK WA 98339-0419 SUBDIVISION: Block: Lot: PARCEL NUMBER: 921093021 Section: 9 Township: 29N Range: 1 E CONTRACTOR: AIR FLO HEATING COMPANY INC PHONE: 360-683-3901 221 W CEDAR SEQUIM WA 98382 Contractor's License AIRFLI*206DG Expires 4/25/2018 PROJECT DESCRIPTION: NEW MECHANICAL- HEAT PUMP AND AIR HANDLER 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 5/22/2018. REQUIRED INSPECTIONS: Installation per Manufacturer Specifications/CO: Tank/Line/Appliance: A - g - / 7 "7' ' " Final Approval: 6 8 17 .fr1417 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 5/22/2017 �UILDING PERMIT APPLICA NB0221 Review TTypype: NA Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD17-00221 Received Date: 5/22/2017 SITE ADDRESS: 140 BALDWIN RD NORDLAND, 98358 OWNER: DAVID E SELF PHONE: 360-385-2617 CAROL J SELF PO BOX 419 PORT HADLOCK WA 98339-0419 SUBDIVISION: Block: Lot: PARCEL NUMBER: 921093021 Section: 9 Township: 29 N Range: 1E CONTRACTOR: AIR FLO HEATING COMPANY INC PHONE: 360-683-3901 221 W CEDAR SEQUIM WA 98382 Contractor's License AIRFLI*206DG Expires 4/25/2018 REPRESENTATIVE: PHONE: PROJECT DESCRIPTION: NEW MECHANICAL - HEAT PUMP AND AIR HANDLER 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 05/22/17 169790 Prop: Prop: Total: Total: Scanning Fee $23.00 JJC 05/22/17 169790 Total: $203.00 Approved/Date APPROVED MAY 22 2017 Jefferson Count Y DCD \\ti, nn rIArintn\fnrrnc\F RI Il Ann PH rn4 F/99/7117 • • ,_,soN (-, DEPARTMENT OF COMMUNITY DEVELOPM ', �,,,,' (jG� 621 Sheridan Street,Port Townsend,WDA 98368 "1 el.360.379 .4450 Fax:360.379.4451 LI ,tea , I ,, ✓q,,; -C Web.www.co.iefferson.wa.us/commumtydevelopment <v e� c` I? mail:dcd(C1�co.jcffcrson.wa.usr,;-,I,,4, . 16'f71 N G� "*.'i6b //if /I MECHANICAL PERMIT APPLICATION Cb 'r Steps in the Permit Process: /� -Review required submittal items to ensure all information is completed prior to submitting application. t}r, -Mechanical Permits can be mailed into our office-and do not require an appointment. Q -Fees are due at time of submittal, Mechanical permits are generally issued within 5 business days. For Department Use Only Receipt# G `. Date Related Application#s: Payment 9 a m #:" 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 Ke,, „_v :\'''''',.. a General Site plan —showing propane tank, lines, and distance from tank to all existing structures. Required S bmtta Items-for roof mount Solar Panel installation only(ground mount complete CAM) I Complete first page and signature block only of Mechanical Permit Application. A complete solar panel supplemental application. Site Information " .. alAssessor Tax Parcel Number: (Y3 0 'al \'' Site Address and/or Directions to Property: 140 Baldwin Road Access (name of street(s) from which access will be gained: Description of Work: Install One Heat Pump&One Air Handler Property Owner Name: David&Carol Self �s r Address: 140 Baldwin Road Nordland,WA 98358 2 Phone #: 360-385-2617 E-mail Address: , Applicant/Contractoii'Authorized Agent/Representative ' Name: Air Flo Heating Phone #: 360-683-3901 E-mail Address: Christina©airfloheating.com I, License #: AIRFLI"206DG Expiration Date: 4/2018 „ Mechanical Application 1 • • Heat Source. Electric Heating Oil Propane* Wood Indicate Quantity Of NEW 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 1 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 1 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 r- .ted to this ap lication and subsequent permit issuance. Property n: Si* Christina Overby Signatur: ► tint Name: Date: OFFICE USE ONLY 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 $23.00 Total Fees* , *Additional fees may apply. Mechanical Application 2 __ ,, __. _...... F_ . • t.\ o4,..,, ',,,Tp,,,,,, ' ! ' 4'k '' Ill .4'Aid '44:•1 T' 177'. ierx, c---- 4 Pct 14w1%--. ,,,, P> -4.. ti TO i r"- ____________ ..____ _ . , . ,,,, 11,SON r,„ , _ i ! — 6,4/5I 019 VV1 a1.... I i _....... i . i la f t.--- ,,, v_iele> 2 !---1, . I F.... . . .__ 73,147-s : , ..t, i i __._ ... /510 i?ce Iciviii.‘ i''.41 .0 01.e-oil Lt 1.,) ( ti / I AIR FLO HEATING lthHard 2b A7?ane: May 10, 2017 David and Carol Self L 'J .� p 140 Baldwin Rd 1N.44„,, 4' Nordland, WA 98358 . ii°V111! Option 1 �F Provide and install the following: 0t,, • Trane XV-18-A Heat Pump OOHa, • Trane Variable Speed Air Handler " o(;ko • Trane XL 950 Tstat • Remove Old Equipment and dispose • Line set • Electrical Hook up • Permits Price $ 12387 Plus tax $1600 off price cash rebate or 72 Month 0% financing Option 2 Same system with Trane XR-17A, Trane Tstat Price $11830.00 Plus tax $1600 off price cash rebate or 72 Month 0% financing O•tion e system with Trane XR-15B, Trane Tstat Price $9738.00 Plus tax $1500 off price cash rebate or 72 Month 0% financing Thank You, Gary Bequette Purchaser agrees to pay fifty percent(50%)before project is permitted and the remaining fifty percent(50%)upon completion of installation That any unpaid sums due hereunder shall be subject to a service charge of one and one half percent(1.5%)per month and all reasonable attorney's fees incurred.All material is guaranteed to be as specified. All work to be completed in a workmanlike manner according to standard practices. Any alteration or deviation from above specification involving extra charge over and above the estimate. Our workers are fully covered by Workman's Compensation Insurance.Purchaser agrees that seller retains title to equipment/materials furnished until final payment is made. Contractor License#AIRFLI8206DG Jfi Accepted by �.(.�/tAi i .r�/i -Date t.�; /2 221 West Cedar Street Sequim,WA 98382 360-683-3901