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Home My WebLink AboutBLD2019-00534 - MECHANICALD o JEFFERSON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT 621 Sheridan Street I Port Townsend, WA 98368 360-379-4450 | email: dcd@co.jefferson.wa.us www. co.jefferson.wa. us/com mdevelopment MECHANIGAL AND DEMOLITION PERMIT PERMIT #: SITE ADDRESS: APPLICANT SUBDIVISION: PARCEL NUMBER CONTRACTOR: BLD19-00534 261 YARR RD PORT HADLOCK, 98339 RONALD & JAYNE MISKO 261 YARR RD PORT HADLOCK WA 98339-9779 Received Date lssue Date 12t2t2019 12t2t2019 921073012 ALL WEATHER HEATING & COOLING INC 302 KEMP ST PORTANGELES WA98362 Contractor'sLicense ALLWEHCl50KU Expires 911212021 PHONE: 425-315-6528 Block: Lot: Section: 7 Township: 29N Ranqe: 1E PHONE: 360-452-9813 PROJECT DESCRIPTION: NEW MECHANICAL- INSTALL DUCTLESS HEAT PUMP THIS PERMIT IS VALID FOR ONE YEAR AND IS NOT RENEWABLE. THE FINAL INSPECTION MUST BE SCHEDULED AND PASSED WTTHIN THAT YEAR. THE EXPIRATION DATE 'S 121212020. REQUIRED INSPECTIONS: lnstallation per Manufacturer Specifications/CO: TanULine/Appliance FinalApproval ,?1'7-t' BUILDING INSPECTION HOT-LINE 3794455. 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 \\tidemark\data\forms\F_BLD_Perm it_Propane. rpt HOT LINE AVAILABLE 24 HOURS A DAY 1212t2019 G,ro,NG PERMTT APPr,"orl*BLD19-00534 Review Type: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: SITEADDRESS: OWNER: SUBDIVISION: PARCEL NUMBER: BLD19-00534 261 YARR RD PORT HADLOCK, 98339 RONALD & JAYNE MISKO 261 YARR RD PORT HADLOCK WA 98339-9779 921073012 Block: Section: 7 Township: 29 N Received Date: 121212019 PHONE: 425-315-6528 Lot: Range: 1E CONTRACTOR REPRESENTATIVE: ALL WEATHER HEATING & COOLING INC 302 KEMP ST PORTANGELES WA98362 Contractor'sLicense ALLWEHCl50KU Expires PHONE: 360452-9813 9t12t2021 PHONE: PROJECT DESCRIPTION: NEW MECHANICAL- INSTALL DUCTLESS HEAT PUMP TYPE OF WORK TYPE OF IMP VALUATION CODE EDITION: OCCUPANCY: OCCUPANCY: CONST TYPE: CONST TYPE: 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: Amount Paid Bv: Date: Receipt Permit Scanning Fee Tech Fee $188.00 MRB $24.00 MRB $10.60 MRB 12t02t19 12t02t19 12t02t19 1 88883 1 88883 188883 Approved/Date APFROVED DEC O 2NE Jefferson County DCD Total:$222.60 \\tirlamarlz\da{a\farmc\tr al h Ann Ald rnl 4)t)trnao oo DEPARTMENT OF COMMUNITY DEVELOPMENT 621 Shcritian Sttcct, Ikrrt'lirwnscnd, \\'-\ 98368 ' l'cl: 36A 31 9.4450 I lfax: 360.319.1451 Wcb: www.c,,.icffcrson.wa.us/communit) dcvck rprnt,rrt I'.-rnail: dcd@c, r.irifcrson.wa.us LE=t MECHANICAL PERMIT APPLI CATI,6d/DEri 2 i.orq ll E-; 7lrSteps in the Permit Process: -Review required submittal items to ensure all information is completed prior to su applicat -Mechanical Permits can be mailed into our office-and do not require an appointment -Fees are due at time of submittal, Mechanical its are era issued within 5 business d ls this application for use in a Mobile / Manufactured Home?* lf Yes: A permit from Washington State Department of Labor and lndustries, not Jefferson County, is required for appliances installed within a mobile/manufactured home. L&l- 360-417-2702* lf No: Complete this form and make an appointment to submit to Jefferson County Permit Tech 360-379-4450 Required Submittal ltems - for propane tank only General Site plan - showing propane tank, lines, and distance from tank to all existing structures. Required Submittal ltems - for roof mount Solar Panel installation only (ground mount comptete cAM) Receipt #Date: P #: For Department Use Only Related n#s Site lnformation Assessor Tax Parcel Number: site Address and/or Directions to property: Llal Yarr gd. [,trt $aAtot tt- Access (name of street(s) from which access will be gained: \Ctt f W Description of Work Property Owner Name: Address: Phone #:4L$'3r5^ bSLB E-mailAddress @t-ea !mv =Applicant / Contractor: Authorized Agent/Representative Name: Phone #: License # All Weather Heating & Cooling 360-452-981 3 E-mail Address: billing@allweatherhc.com Expiration DateALLWEHCl50KU 9120 Mecharucal Application 1 Complete first page and signature block only of Mechanical Permit Application. A complete solar panel supplemental application. lnstrill dvattasS hc^ts O.rmo svrJto-l Heat Source Electric Propane*Wood I_l O lnstallation 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. o Own //-zt-t ?Signature nt Name lndicate Quantity of NEW Fixture Types Below *Propane is prohibited in hazardous locations such as basements or pits or anywhere " heavier-than-air" gas can unsafely collect. *Propane tanks over l-25 gallons require a minimum setback of L0 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 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/Oil Propane Tank LP Fuel Tank (# gallons t Heat Pump Generator Air Conditioner OFFICE USE ONLY Building Permit Fees Mechanical Permit fee (tank swap, woodstove, furnace, roof -solar panet, etc )Srss.oo Propane - Lines, tank, and appliance (add'l $94.00) Project Scanning Fee Sz+.oo Technology Fee - 5% Total Fees* *Additional fees may apply MechanicalApplication 2 l-f, Heating oir l-l cERTIFICATE NO.: 1321s180e288657321 AHRI Certified Reference Number :201755943 AHRI Type : HRCU-A-CB-O Series Name : M-Series Outdoor Unit Brand Name : Mitsubishi Electric Outdoor Unit Model Number: M)C-4C36NA2 lndoorType : Non-Ducted lndoor Units Date:11-25-2019 Model ::) IL t'lrn 2 20tg Rated as follows in accordance with the latesl edition of ANSIIAHRI 2101240 with Addenda 1 and 2,of Unitary Air-Conditioning & Air-Source Heat Pump Equipment and subject to rating accuracy by AHRI-sponsored, independent, Cooling Capacity (95F) : 35400 EER (95F) : 9.40 SEER : 19.20 High Heat (47F) : 36000 Low Heat (17F):22200 HSPF:11.00 Sold in? : USA testing: t"Active" Model Status are those that an AHRI Certirication Program Participant is currently producing AND selling or offering for sale; OR new models that are being marketed but are not yet being produced."Production Stopped" Model Stalus are those that an AHRI Certification Program Participant is no longer producing BUT is still sellino or offerino for sale. Ratin6s that areiccompanied bv WAS indicate an involuntarv re-rate. The new oublished ratino is shown alono with the orevious {i-e. WAS} ratino- DISCLAIMER AHRI does not endorse the product(s) listed on this Certificate and makes no representations, warranties or guarantees as to, and assumes no responsibility for, the product(s) listed on this Certificate. AHRI expressly disclaims all liability for damages of any kind arising out ofthe use or performance ot the product(s), or the unauthorized alteration ot data listed on this Cerlificate. Certified ratings are valid only for models and contigurations listed in the directory at www,ah ridirectory.org. TERMS AI{D CONOITIONS This Certificate and its contents are proprietary products of AHRI. This Certificate shall only be used tor individual, personal and confidential reference purposes. The contents o, this Certificate may not, in whole or in part, be reprodu6ed; copied; disseminated; entered into a computer database; or otherwise utilized, in any form or manner or by any means, except lor the user's individual, personal and confidential reference. CERTIFICATE VERI FICATIOI{ The intormation for the model cited on this certificate can be verified at www.ahrldirectory.org, click on "verify Certiticate' link we make lifb better-and enter the AHRI Certified Reference Number and the date on which the certificate was issued, which is listed above, and the Certificate No., which is listed at bottom right. @201 9Air{onditioning, Heating, and Refrigeration lnstitute AIR-CONDITIONING, HEATING, & REFRIGERANON'NSTITUTE AIIPI crRTtFlED' www.ahridirectory.org Certificate of Product Ratings Active .tI {;Fo It\) =f?,4r 63,€ ?sIIp? 1 7n-l I \ _.+.{ \ \ Frr n{' , --)-