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Home My WebLink AboutBLD2018-00278 - MECHANICALo t JEFFERSON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT 621 Sheridan Street I Port Townsend, WA 9836g 360-3794450 | email: dcd@co.jefferson.wa. us www. co.jefferson.wa. us/commdevelopment MEGHANIGAL AND DEMOLITION PERMI T PERM!T #: SITE ADDRESS APPLICANT SUBDIVISION: PARCEL NUMBER: CONTRACTOR: BLD18-00278 4360 OAK BAY RD PORT LUDLOW, 98365 MARCINE E CHRISTNER 4360 OAK BAY RD PORT LUDLOW WA 98365-9439 Received Date lssue Date 7t2t2018 7t2t2018 921301011 AIR FLO HEATING COMPANY INC 221 W CEDAR SEQUIM WA 98382 Contractor'sLicense AlRFL|.206DG Expires 4l2St2O2O PHONE: 360-437-2324 Block: Lot: Section: 30 Township: 2gN Ranqe: 1E PHONE: 360-683-3901 PROJECT DESGRIPTION: NEW MECHANTCAL - HEAT pUMp THIS PERMIT IS VALID FOR ONE YEARAND tS NOT RENEWABLE. THE FTNAL tNspEcflotL,MUST BE SCHEDULED AND PASSED wtrHtN THAT YEAR. THE EXPIRATION DATE IS7I2I2O19. REQUIRED INSPECTIONS I nstallation per Man ufactu rer Specifications/C TanULine/Appliance FinalApproval: BUILDING I NSPECTION HOT-LINE 379.4455. REQUESrS MUSr ttofi"="tfiLu,=.3fr"r',t#-T5r'iI"rT."r:;f+f,l$t"?EcrroN rs NEEDED \\tidemark\data\forms\F_BLD_Perm it_Propane. rpt HOT LINE AVAILABLE 24 HOURS A DAY 7t2t2018 Qr,rorNG PERMTT Appr,"^** Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 BLD18-00278 Review Type: NA PERMIT #: SITE ADDRESS OWNER: SUBDIVISION: PARCEL NUMBER BLD18-00278 4360 OAK BAY RD PORT LUDLOW, 98365 MARCINE E CHRISTNER 4360 OAK BAY RD PORT LUDLOW WA 98365-9439 921301011 Received Date: 71212018 PHONE: 360-437-2324 Block:Lot:Section: 30 Township: 29 N Range: 1E CONTRACTOR: REPRESENTATIVE AIR FLO HEATING COMPANY INC 221 W CEDAR SEQUIM WA 98382 Contractor'sLicense AlRFLl"206DG PHONE: 360-683-3901 Expires 412512020 PHONE PROJECT DESCRIPTION: NEW MECHANTCAL - HEAT pUMp TYPE OF WORK TYPE OF IMP VALUATION CODE EDITION: OCCUPANCY: OCCUPANCY: CONST TYPE: CONST WPE: SEWAGE DISPOSAL WATER SYSTEM: BEDROOMS: Exist: Prop: Total: NON MEC 2015 BATHROOMS: Exist: Prop: Total: SQUARE FOOTAGE: MAIN: ADD'L: HEAT BASE: UNHEATED: OTHER: GARAGE: DECK: Type HEAT TYPE: HEAT TYPE: # OF STORIES: SHORELINE: SETBACK: BANK HEIGHT: HTP Amount Paid By: Date: Receipt Permit Scanning Fee Total: $184.00 JJC $23.00 JJC 07t02t18 07t02t18 178219 178219 $207.00 Approved/Date APPROVED JUL / 2 2018 Jefferson CountY DCt \\tidamarlz\r{ala\farmc\tr Pl 11 Ann atr{ rnr '71)l1na 9 @ oo DEPAI{TMENT OF COMMUNITY D 621 Sheridao Strcct, l)ort 'I owrrsend, \\,c 9836ii 'l.cl: .16t1..1 j9. 4 -{5(l i ["ar: 360.31 t).1451 \\'t:b: u,urv.co. i. flcrion.*'.i.us,/comrnunin'tlrtd, rnrnerrt I'.' rnarl : dcd((ii c, r.ir:itcrs,,n.na.us I\{ECHANI CAL PERMIT APPLI CATION 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 sub Mechanical rmits are nera issued within 5 b ness ls this application for use in a Mobile / Manufactured Home? * lf Yes: A permit from Washington State Department of Labor and lndustries, E! Jefferson County, is required for appliances installed within a mobile/manufactured home. L&l - 360-417-2102* lf No: Complete this form and make an appointment to submit to Jefferson County Permit Tech 350-379-4450 General Site plan - showing propane tank, lines, and distance from tank to all existing structures. Complete first page and signature block only of Mechanical Permit Application A complete solar panel supplemental application. Assessor Tax Parcel Number: qA\ 50 t Ot\ Site Address and/or Directions to Property: 4360 Oak Bay Rd Port Ludlow, WA 98365 Access (name of street(s) from which access will be gained: Description of Work: lnstall Trane Series XR15 R410A Heat Pump System E-mail Address: AIRFLI-206DG 360-437-2324 Air Flo Heating 360-683-3901 E-mail Address: katy@airfloheating.com Marcine Christner 4360 Oak Bay Rd Port Ludlow, WA 98365 Expiration Date 04t25t2020 Name: Address: Phone #: Name: Phone #: License # MechanicalApphcation 1 Required Submittal ltems - for propane tank only Required Submittal ltems - for roof mount Solar Panel installation only (eround mount complete cAM) Receipt #:Date: #: For Department Use Only Related #s: Site Information Propertv Owner tlr-s 6] '{i rrtp g -tApplicant / Contractor: Authorized Aeent/Representative o o Electric Propane*Wood lnstallation manual must be on site at time of inspection or a re-inspection fee wil! be charged. By signing this application form, the owner/agent attests that the informalion provided herein, and in any attachm-ents, is'tru6 and correii 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 ag ree to that all activities I intend to undertake or complete associated with this pe rmit will be performed in complia federal, state and county laws and regulations and I agree to provide access and right of entry nd its employees, representatives or agents for the sole of the County's inte purpose of application review inspections request notice nt to enter upon the property nce with all applicable to Jefferson County a and any required later for visits related to this application a Property Signature Applicant may nd subsequent permit issuance Print Name Date lndicate (Below *Propane is prohibited in hazardous locations such as basements or pits or a nywhere "heavier-than-air" gas can unsafely collect. *Propane tanks over 125 gallons require a minimum setback of 1-0 ft. from property line and buildings, and a site plan must be submitted with the application showing the setbacks. lf propane tank is over 500 gallons, a site plan is required to accompany this application, and a separate Fire Code approval is also required. Quantity Fixture Type Description Fan Bath Fan and/or Exhaust Fan Clothes Dryer Clothes Dryer with Exhaust Vent Cook Stove Cook Stove, Range Hood Exhaust Fireplace - Gas Fireplace-Gas or Gas Log lnsert Fireplace - Wood Fireplace-wood, Wood Stove, or Pellet Stove 1 Electric Furnace Electric Furnace or HP +/- Ducting Propane (LP) Gas Furnace Propane Furnace +/- Ducting Water Heater - Gas Gas WH Vent and Combustion Air Gas Pipe System Gas Pipe System LPG/O|l Propane Tank LP Fuel Tank (# gallons 1 Heat Pump Generator Air Conditioner It *Additional fees may apply N{echanical Application 2 Heat Source V Heating oil l-l OFFICE USE ONLY Buildine Permit Fees MechaniCa I Permit fee (tank swap, woodstove, furnace, roof -solar panel, etc )Sraa.oo Propane - Lines, tank, and appliance (add'l 592.00) Proiect Scanning Fee 523.00 Total Fees* o_il _=_-4 -3_3_ _ ===7;7=i= )o: tJaflte co.221 West Cedor Slreel Sequim, WA 98382 360/ 68s-s90t 360/ 38s-5354 360/ 307-7822 FAX:683-3971 ,IVDOOR A'R SXPERTS Name: Marcine Christner Site Address: 4360 Oak Bay Road City: Port Ludlow WA Indoor Air Exyrcrts Date; 612612018 Proposal #: R1 06262018142233-1 www.ot Jara Reno rfloheoting com 98365 Consultant Billing Address: City: State: Phone:Zip: Base Sys{em: $14,026.00 Optbnal ltemsTotal: .rf# <$0.00> SalesTax: $1,262.Y System Total: $15,288.34 lnitial lnvestrnent $500.00 Balance: $14,788.34 Term: 72 Rate: 0olo Est Payment: $205.39 lnvestnent Type: promo 'v 13 z Net lnvestnent After Credit & Rebates $14,788.34srl."^J -\ffi>.o 52bA.3q ^/JI CY\qEL- -l 01 ,4\ry\l wcatrhl- this agreement I that I have read and Representative Date each page,terms and /poo**r\*Ssrr.Date r.fzc"ltB Page 1 oo +c tJa _-s?a-I u)