The URL can be used to link to this page

Home My WebLink AboutBLD2016-00185 - MECHANICAL • 4110 goN e0 JEFFERSON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT 621 Sheridan Street I Port Townsend, WA 98368 360-379-4450 I email: dcd@co.jefferson.wa.us �s6 iNolo www.co.jefferson.wa.us/commdevelopment MECHANICAL AND DEMOLITION PERMIT PERMIT#: BLD16-00185 Received Date 5/3/2016 SITE ADDRESS: 294983 HWY 101 Issue Date 5/3/2016 QUILCENE, 98376 APPLICANT: CHARLES H THRASHER PHONE: 7450 COYLE RD QUILCENE WA 98376-9677 SUBDIVISION: 9375 -CAMPBELL'S JOSEPHINE Block: Lot: PARCEL NUMBER: 937500602 Section: 24 Township: 27N Range: 2W 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: Install new 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 5/3/2017. REQUIRED INSPECTIONS: Installation per Manufacturer Specifications/CO2: Tank/Line/Appliance: Final Approval: Ga(147 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_Perm it_Propane.rpt 5/3/2016 •UILDING PERMIT APPLICAON BLD16-00185 Review Type: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT#: BLD16-00185 Received Date: 5/3/2016 SITE ADDRESS: 294983 HWY 101 QUILCENE, 98376 OWNER: CHARLES H THRASHER PHONE: 7450 COYLE RD QUILCENE WA 98376-9677 9375 -CAMPBELL'S JOSEPHINE SUBDIVISION: Block: PARCEL NUMBER: 937500602 Section: 24 Township: 27 N Range: 2Lot21P CONTRACTOR: AIR FLO HEATING COMPANY INC 221 W CEDAR PHONE: 360-683-3901 SEQUIM WA 98382 Contractor's License AIRFLI*206DG Expires 4/25/2016 REPRESENTATIVE: PHONE. PROJECT DESCRIPTION: Install new Heat Pump TYPE OF WORK NON SQUARE FOOTAGE: TYPE OF IMP MEC VALUATION MAIN: ADD'L: HEAT TYPE: HTP CODE EDITION: 2012 OCCUPANCY: HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: #OF STORIES: CONST TYPE: OTHER: CONST TYPE: GARAGE: SHORELINE DECK: SETBACK: SEWAGE DISPOSAL: BANK HEIGHT: WATER SYSTEM: BEDROOMS: BATHROOMS: Type Amount Paid Bv: Date: Receipt Exist: Exist Prop: Prop: Permit $170.00 HAC 05/03/16 162951 Total: Total: Scanning Fee $21.00 HAC 05/03/16 162951 Total: $191.00 Approved/Date APPROVE MAY 0 3 2016 Jefferson County DC \\firJomor4\r +n fnrrno RI Pl Ann Rlr! rn+ • • SONcb DEPARTMENT OF COMMUNITY DEVELOPMENT v4 G 621 Sheridan Streit,Port 2 ownscnd,W;A 98368 C� a I'd:360.379.4450 Fax:360.379.4431 Web:wwu-.co.je:fifer;on.wa.us%c'omfnunitt'det'elopment f:-mail:dcd(?t co.icttersi'n.wa.us ''V5(/1 N c3<° 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#: 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 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: q,;--7 S Cx.Dcoo--Z Site Address and/or Directions to Property: 293963 HWY 101 Quilcene, WA 98376 Access (name of street(s) from which access will be gained: Description of Work: Install Mitsubishi Ductless Heat Pump System Property Owner Name: Charles Thrasher Address: 7450 Coyle Road Quilcene, WA 98376 Phone #: (Chuck Thrasher) 765-4717 E-mail Address: rrt Applicant/Contractor: Authorized Agent/Representative Name: Air Flo Heating Phone #: 360-683-3901 E-mail Address: Christina@airfloheating.com License #: AIRFLI*206DG Expiration Date: 4/25/2018 Mechanical Application 1 • 0 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 with Exhaust Vent anywhere "heavier-than-air" Clothes Dryer ry gas can unsafety collect. Cook Stove Cook Stove, Range Hood Exhaust Fireplace-Gas or Gas Log Insert *Propane tanks over 125 Fireplace-Gas p Fireplace-Wood Fireplace-wood,Wood Stove, or gallons require a minimum Pellet Stove setback of 10 ft.from property line and buildings, Electric Furnace Electric Furnace or HP+/-Ducting 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: 1 over 500 gallons, a site plan is 1 Heat Pump Ductless Heat Pump required to accompany this application, and a separate Generator Fire Code approval is also Air Conditioner 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 require. :ter inspections._ Applicant may request notice of the County's intent to enter upon the property for visits relat:• to this applicat --6d subsequent permi 'ssuance. Property err. f // /� t9, . -, •. e• Or/S/ /7 .?1/19yDate: -(1� .2 / 411, OFFICE USE ONLY Building Permit Fees mechanical Permit fee (tank swap,woodstove,furnace,etc) $170.00 Propane—Lines,tank, and appliance (add'l $85.00) Project Scanning Fee $21.00 $191.00 Total Fees* *Additional fees may apply Mechanical Application 2 ., .., • 0 - - _- Al .4./4.nr\ 't;) •:::4": •,,,,i' --. • ......•...... ...c - •„.„ ... 47,..,,,, - --.77: ..o.0 '-:* . - , ;-- 4' .0 3,1. .._„•- titil .,,.„. - ir‘f) . 1-. -1/4„,,,.1 ' , q6v '• i ,-_,, ,. . ....., .,.,,, .0. ... . CA lk. me Zr ...? . ..,..3 - - - I-4 -• 4-z. se ',see St.st z LI ... „....„, a *- w ...s.. a -4-4 a id 'isc2, cX) - -" --,, ,•-, ,‘,:tta• -`` t „,-.„:_ i' 1,7 = ':-; I'm III 'a • . _ 1,..• , _ • 4 :s li • 1. , s Z 11. 141 •.skilts - , - I . f s ....- 4 ....,.... .0. \ `, -t-., , , bi ,t tr4 0 ,. 0 ..... ..., '11,45, re,Aff ; ,i,.-.1 etf,,,ef.- ze eee-' ts- ,i-ea, it) • ....,* F-- e• ft.. -- 7r,f .,...'... ;-'''''''' t.- a- - ..., 4 ....--, 3 ' ... L14 - ....I 9. ( ‘.. ••.. i N......) : i 1 474...., 1 1111, _ t . _ -2'- .. D icyz: a. .-..."'" 01 C : '' 7/';''. '' '‘ ''' '..k' A, _,.. ..1:, 1,----• V -....s....--, ..., 4".... .... ..$ iWre, _ -A J 3/4, 1 Z...- --.1-..'-; --ty Tte ee.,` Z...: ,,---•e' 717.- s, r. 4.... ., _i...... .... „:. . - v$ - ''. '•- -''- : ,,--,44. .6.-., ,,,,, ... =.r: -0, 'v• ,,-- .....z s) , a - , so :., ...., .1,.... , .= „,. , 4_ _ ,,,.... ,. ..„, - . ..._ - . .. , . „-- !,..,.- ,VI * i 0 ...•.4 r iNv --Z-7. ....or-- ,,,,--1 -- _ N....../ - , - te,-- .... ...7, / q -- ,.- CD .-- .. -.7/ -4' 9 m- s,-- 'I'4,- 2 '',... * ....-Y a •ii? e..2.) -,..., --...., .-N. ,_,. -..,... ........ ,._ •;-...- -) :".---.1 ,--t.. .... • 7,9 ---- Parcel Details Page 1 of 2 County Jefferson WASHINGTON Weather Station Database Tools A% Maps =Ai Webcam Home County Info Departments Search Parcel Number: 937500602 SEARCH Parcel Number: 937500602 Printer Friendly Owner Mailing Address: CHARLES H THRASHER 7450 COYLE RD QUILCENE WA98376-9677 Site Address: 294983 HIGHWAY 101 QUILCENE 98376 Section: 24 School District: Quilcene (48) Qtr Section: NW1/4 Fire Dist: Quilcene (2) Township: 27N Tax Status: Taxable Range: 2W Tax Code: 0320 Planning area: Quilcene (10) Sewer: Drainage: Bank: View 1: View 2: Zoning 1: RVC - Rural Village Center Zoning 2: Zoning 3: Sub Division: 9375 - CAMPBELL'S JOSEPHINE Assessor's Land Use Code: 5810 - Eating Places (Inc Serving Alch) Property Description: CAMPBELL'S JOSEPHINE ADDITION BLK 6, LOTS 1 THRU 7(ALL),8(E1/2) 18(E1/2), 19 & 20(ALL) & PTN S/VAC ST ADJ SUBJ TO REST COVT AFN#434518 Tax, A/V, Sales, Photos, and Permit Data Bldg Data Map Parcel Plats&Survev Septic Monitoring Info Jefferson County HOME I COUNTY INFO I DEPARTMENTS I SEARCH Best viewed with Microsoft Internet Explorer 6.0 or later le Windows - Mac http://www.co.jefferson.wa.us/assessors/parcel/parceldetail.asp?value=937500602 5/3/2016 AIR FLO HEATING COMPANY Ii Page 1 of 2 III Home Espanol Contact ISearch L&I I StARCH- A-Z Index Help My L&I Safety&Health Claims&Insurance Workplace Rights Trades&Licensing 0 Washington State Department of Labor & Industries IAIR FLO HEATING COMPANY INC I Owner or tradesperson 221 W CEDAR Principals S 0-683- WA 98382 BERSON,JOEL R,PRESIDENT 360-683-3901 CLALLAM County BENSON,TRICIA DELAINE,VICE PRESIDENT BEQUETTE,SANDRA A,VICE PRESIDENT BEQUETTE, MARK A,SECRETARY FULLAWAY,MICHAEL (End:04/01/2010) Doing business as AIR FLO HEATING COMPANY INC WA UBI No. Business type 600 347 761 Corporation Governing persons MARK BEQUETTE SANDRA BEQUETTE; ILicense I Verify the contractor's active registration/license/certification(depending on trade)and any past violations. Construction Contractor Active. Meets current requirements. License specialties Heating/Vent/Air-Conditioning and Refrig (HVAC/R) License no. AIRFLI*206DG Effective—expiration 03/07/1980—04/25/2018 Bond CBIC $6,000.00 Bond account no. SI5215 Received by L&I Effective date 02/05/2010 02/01/2010 Expiration date Until Canceled Insurance American Hallmark Ins Co of Te $1,000,000.00 Policy no. 44CL483619 Received by L&I Effective date 04/01/2016 04/25/2014 https://secure.lni.wa.gov/verify/Detail.aspx?UBI=600347761&LIC=AIRFLI*206DG&SAW= 5/3/2016