HomeMy WebLinkAboutBLD2021-00190 - MECHANICALJEFFERSON COUNTY
DEPARTMENT OF COMMUNITY DEVELOPMENT
621 Sheridan Street | Port Townsend, WA 98368
360-379-4450 | email: dcd@co.jefferson.wa.us
www.co.jefferson.wa.us/commdevelopment
MECHANICAL AND DEMOLITION PERMIT
BLD2021-00190
4/2/2021Issue Date
3/30/2021Received Date
PORT LUDLOW, 98365
SITE ADDRESS:
PERMIT #:
APPLICANT:
998500064PARCEL NUMBER:
Lot:Block:9985 - TIMBERTON VILLAGE PHASESUBDIVISION:
SANDRA MAC DONALD
113 TIMBER HEIGHTS DR
PORT LUDLOW WA 98365-8247
PHONE:
113 TIMBERTON HEIGHTS
Section: 17 Township: 28N Range: 1E
AIR FLO HEATING COMPANY INC
221 W CEDAR
SEQUIM WA 98382
360-683-3901PHONE: CONTRACTOR:
Contractor's License AIRFLHC009C8 Expires 3/1/2022
PROJECT DESCRIPTION: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 4/2/2022.
REQUIRED INSPECTIONS:
Installation per Manufacturer Specifications/CO:________________________________________________
_______________________________________________________________________________________
Tank/Line/Appliance:_______________________________________________________________________
_______________________________________________________________________________________
Final Approval:____________________________________________________________________________
________________________________________________________________________________________
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 4/2/2021
From:Department of Community Development
To:DCD Front Staff
Subject:Mechanical Permit - Sandra Mac Donald
Date:Tuesday, March 30, 2021 10:36:19 AM
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Department of Community
Development
Mechanical Permit
View full entry at CognitoForms.com.
Entry Details
IS THIS PARCEL WITHIN
UNINCORPORATED JEFFERSON
COUNTY?
Yes
IS THIS PERMIT FOR A MOBILE OR
MANUFACTURED HOME?No
IS THIS PERMIT APPLICATION FOR A
SOLAR PANEL INSTALLATION?No
DOES YOUR PROJECT INCLUDE ANY
FIXTURES WITH A NATURAL
GAS/PROPANE/OIL FUEL SOURCE?
No
BRIEF DESCRIPTION OF YOUR
PROJECT Install Trane Series XR15 R410A Heat Pump
System 3TON
Property Owner's Information
PARCEL #998500064
PROPERTY OWNER'S NAME Sandra Mac Donald
PROPERTY OWNER'S MAILING
ADDRESS 113 Timber Heights Dr, Pt Ludlow, Washington
98365
PROPERTY OWNER'S PHONE
NUMBER (360) 437-9620
PROPERTY OWNER'S EMAIL
ADDRESS ellie@airfloheating.com
ARE YOU CURRENTLY OR WILL YOU
BE WORKING WITH AN AGENT ON
YOUR BEHALF?
No
ARE YOU CURRENTLY OR WILL YOU
BE WORKING WITH A CONTRACTOR
FOR YOUR PROJECT?
Yes
HAVE YOU DETERMINED WHICH
CONTRACTOR YOU ARE USING FOR
THIS PROJECT?
Yes
Project Contacts
Contact 1
PROJECT CONTACT'S NAME Ellie Hubbard
PROJECT CONTACT'S COMPANY
NAME Air Flo Heating
PROJECT CONTACT'S MAILING
ADDRESS 221 W Cedar St, Sequim, Washington 98382
PROJECT CONTACT'S PHONE
NUMBER (360) 683-3901
PROJECT CONTACT'S EMAIL
ADDRESS ellie@airfloheating.com
ROLE IN THIS PROJECT Contractor
LICENSE #AIRFLI*206DG
EXPIRATION DATE 4/25/2022
Fees
MECHANICAL PERMIT FEE $194.00
PROPANE - LINES, TANK, AND
APPLIANCE (ADD'L $97.00)$0.00
PROJECT SCANNING FEE $24.00
TECHNOLOGY FEE $10.90
TOTAL FEES $228.90
CONFIRM UNDERSTANDING I understand
PRINT NAME Ellie Hubbard
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