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Home My WebLink AboutBLD2014-00156 03UILDING PERMIT APPLICANON BLD14-00156 Review Type: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT#: BLD14-00156 Received Date: 5/2/2014 SITE ADDRESS: 30 MCCURDY LN PORT LUDLOW, 98365 OWNER: DOUGLAS F FARRAR PHONE: 360-265-1265 30 MCCURDY LN PORT LUDLOW WA 98365-9612 PORT LUDLOW NO. 2 AREA 3 SUBDIVISION: Block: Lot: PARCEL NUMBER: 990603127 Section: 9 Township: 28 N Range: 01 E CONTRACTOR: BRENNAN HTG &NC LLC PHONE: 206-248-7900 4601 S 134TH PL SEATTLE WA 98168 Contractor's License BRENNHA971 R9 Expires 12/29/2015 REPRESENTATIVE: PHONE: PROJECT DESCRIPTIOI INSTALL 3 TON HEAT PUMP TYPE OF WORK NON SQUARE FOOTAGE: TYPE OF IMP MEC VALUATION MAIN: CODE EDITION: 2012 ADM.: HEAT TYPE: OCCUPANCY: HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: #OF STORIES: OTHER: CONST TYPE: GARAGE: SHORELINE: CONST TYPE: DECK: SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: WATER SYSTEM: BEDROOMS: BATHROOMS: Exist: Exist: Prop: Prop: Total: Total: Routing Date: Type Amount Paid By: Date: Receipt: Approved/Date Permit $152.00 JLA 05/02/14 148621 Total: $152.00 \firlomarO lafo\fnrmo\F RI Il Ann RLf rnf F/9/9f11A . (3 ..,) 1 L -\ Sp fox cal JEFFERS COUNTY (- _■ ' ,� DEPARTMENT OF COMMUNITY DEVELOPMENT 41 r e• 621 Sheridan Street• Port Townsend •Washington 98368 A • 360/379-4450 • 360/379-4451 Fax SKIN www.co.jefferson.wa.us/commdevelopment Master Permit Application MLA: Project esc ption(i ude eparate s Bets as ne ssary): In tt — Y �vj P� Tax Parcel Number: 19 0 3I 7.7 Property Size: (acres/square feet) Site Address and/or Directions to Property: E , ()nG L DV' L- ' cx LEA\ b Q s Lob Property Owner(s)of Record: Ocx.)C{la 1 '0.-r r(LA" Telephone: ' 'tot • le,... • I a lo.. Fax• email: Mailing Address: J('A..L.- a S St Applicant/Agent(if different from owner): •• AA %.4.41 ...-!. A. Telephone: O 4 `\Y7-. i. Moo email: AA' Q7►' .L.L I�Q • Mailing Address: q b\ S or t 30 &. r 61 g a 1 ' g cowl What kind of Permit?(Check each box that applies ❑Building El Critical Areas Stewardship Plan ❑ Demolition Permit O Variance(Minor,Major or Reasonable Economic Use) ��=Single Family ❑Garage Attached/Detached El Conditional Use[C(a),C(d),or C]** ❑ Manufactured Home ❑ Modular El Discretionary"D"or U-•- ed Use Classification ❑ Commercial* ❑Special Use(Essenti.,l,, li -- "i'es)** ❑ Change of Use ❑Boundary Line Adju ❑ Address ❑ Road Approach ❑Short Plat*" / cell ,/� O Home Business ❑Cottage Industry O Binding Site Plan* /L� ❑Propane ❑Long Plat* ❑Sign ❑Planned Rural R--' De;� pmmnt(PRRD)/Ame i ** ❑Allowed"Yes'Use Consistency Analysis El Plat Vacation/Alt • x/71 O Stormwater Management ❑Shoreline Maste Progr n Exemption/ er igtt n evisi• ❑Site Plan Approval Advance Determination(SPAAD)* ❑Shoreline Man••ement Subs'' '- Development O Temporary Use 0 Shoreline Manag- -Aiy• ='SON ❑Wireless Telecommunication' ❑Comprehensive Plan/UD nt i6L h.„..1 a Map Amen•ment ❑Forest Practices Act/Release of Six-Year Moratorium 0 Jefferson County Shoreline Master - !° .i,1 edme *May require a Pre—Application Conference ❑Tree Vegetation Request **Requires a Pre-Application Conference Please identify any other local,state or federal permits required for this proposal, if known: °-V D:SIGNATION OF AGENT I hereby designate le, t/tA/lrr'11.1./i'1 i Vito act as my agent in matters relating to thi appli Lion or permit(s). OWNER SIGNATUR A .70A-A0 .t► ------..,_..)t Date: L ,Q q�/ l� By signing this appli•q 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 this permit being null and void. I further agree to save,indemnify and hold harmless Jefferson County against all liabilities,judgments,court costs,reasonable attorney's fees and expenses which may in any way accrue against Jefferson County as a result of or in consequence of the granting of this permit. I further 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 an•fired later inspections. '<taffs access and right of entry will be assumed unless the applicant informs the Coun in writing at the time of the a v - ■ that-he or she wan p'or notice. 4 f /�/� i Signature: "" rk/ A A 1�err►11l- Date: �1 of`1 / ` ff 1 The action o Mons Applicant will undertake as a result of the issuance of this permit may negatively impact upon one or more threatened or endangered species and could lead to a potential"take"of an endangered species as those terms are defined in the federal law known as the "Endangered Species Act"or"ESA."Jefferson County makes no assurances to the applicant that the actions that will be undertaken because this permit has b issued will not violate the ESA. Any individual,group or agency can file a lawsuit on behalf of an endangered species regarding your action(s) en i you are in compliance wish the Jefferson County development code.The Applicant acknowledges at he, he o it holds individual and non-transfe ble responsibility for adh g to and complying with the ESA. The Applicant has read this 's la ,a 4 l n and dates it below. Si nature:\ / a A/ y `.`-" 1J, Date: (,t ri° G:\PermitCenter\###FORMS###\DRD FORMS\Master Permit Application 5-29-08.doc • • BUILDER STATEMENT The signer of this statement does hereby certify that they are the Owners of the parcel referenced herein,that they are not licensed contractors and that they will be assuming the responsibility of the General Contractor for the proposed project. Signature: Date: & x\ j -r\RAL CONTRACTOR OR ANUFACTURED HOME INSTALLER: PHONE: FAX: .c \ 'c I Qo ? oo c a q t MAILING ADDRESS:�\1 3 \ _ ,$ EMAIL: 1 ik , 1 A,A. �. A.. ,,,..4...1 do CONTRACTOR'S LICENSE \ ' e.xy 4, • --4...k f • ! It i,LV3INS Go,rn NUMBER: NUMBER ARCHITECT/ENGINEER: PHONE ( ) FAX:( ) MAILING ADDRESS: EMAIL Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: O New ❑ Wood Existing: ❑ Sewer ❑ _Addition 0 Steel Proposed: Bank ❑ Community System Alteration/Remodel ❑ Concrete Total: Height: ❑ Individual System ❑ Repair ❑ Masonry SEP Permit# ❑ Demolition ❑ Other: Bedrooms: Water Supply: Existing: Setback: Li Private well 0 Two Party Ty of Heat: Proposed: 0 Public UCk_S Total: Name of System: If this is a Commercial Project you must answer the following: Number of Parking Spaces: Current: Proposed: Number of ADA Parking Spaces: Number of occupants(includes owners,tenants,employees,etc) Current Proposed IBC Occupancy: IBC Type of construction: Will you have Food Service? Yes / No If this is a Propane Tank and/or Appliance Installation permit,mark all items below that apply: I Underground Tank I Above ground Tank Size of Propane Tank: I Heat Stove I Cook Stove I Woodstove I Fireplace Insert I Hot Water Tank I Pellet Stove I Other Is this appliance being installed in a Manufactured/Mobile Home? Yes / No When applying for a permit to install a propane tank you must also submit a site plan showing all of the buildings,all property lines,tank location and size,distances from the propane tank to all property lines,buildings and septic system components, includin• the reserve area. '� I 111 i,v I�t "�i?7�.a i17 7'�'"��"{){ t `'� W }4c�� rr,-� r; �' � 3 o- z :�w � L �Y '�" t gr `t �s m S•uare Foota•e Current Proposed F> 1, �`?1�-1= c2. , �� 6Rt�dV g � ti1 S�i a °lir 1 i�'m �'� L �e?,Il+t r ,�.�,� Main Floor Heated `1-A, ,, EH Bld App Review: 2"0 Floor Heated r 1 VAIN! Consistency Review: /� S� it. Other Heated 'rI i} "I Base fee: /L� C'/t_. = i f - l l i Mezzanine z`. 1 t} Additional Section: lumps t ///i/ in Mt Heated Basement s ,,,, Plan Check fee: a V ` i Unheated Basement r ,i,,,: %;t,1 State Surcharge fee: �fipj n � ..-_, ; / Other Unheated '�', ;m, Pot Water Review fee: 0,6!'/i Garage/Carport 'a4 •1 ,e, SUBTOTAL "" Decks °: �t 911/Rd Approach fee: I iirfr; Other ` 1411',a r ' TOTAL: $ igrzok Receipt Number: f 'Z 1 , , p 't+'7,4+ Cash/Check Number: ESTIMATED COST(REQUIRED$ '34 B0 Date: ,T, •Fair market value of all labor and materials foundation to finish J''14 Initials: G:\PermitCenter\###FORMS###\DRD FORMS\Master Permit Application 5-29-08.doc „ , . • • BRENNAN PROPOSAL HEATING & AIR CONDITIONING 4601 South 134th Place Seattle,WA 98168 (206)248-7900 1-877 -BRENNAN • FAX(206)248-7905 . Lic#BRENNHA971119 Date: 3/20/14 Updated 4/11/14 Project: Douglas Farrar Address: 30 McCurdy Ln City, State&Zip Port Ludlow 98365 Phone: 360-265-1265 Costco Store 4 13 PROPOSED SYSTEM IS AS FOLLOWS: Deliver and install Lennox AHRI Certified Heat Pump System.Brennan licensed electrician to supply all necessary electrical circuits to equipment.Tie into existing ductwork to be pressure tested for leakage.Tie into existing furnace. Supply and install Honeywell Vision Pro 8000 with outdoor sensor. Supply outdoor equipment pad. All labor and material included to complete to code.All permits included. *****Bid valid if installed by April 30fh***** Costco Cash Card$700!Costco Executive Earnings Contribution$215 EQUIPMENT: Lennox XP14-036 3TON Heat Pump 9.5HSPF O .6 . WARRANTY: 1 Year Labor Warranty/3 Year Craftsmanship Warranty/10 Year Part Wan- l product r-:rr- ',#5:-.._, MATERIAL/LABOR 6800.00 44' PERMITS 355.00 �� 0�'?>, SUBTOTAL 7155.00 7 -... "-... TAX 643.95 o s O TOTAL $7,798.95 nyC U. ' ; / y� ,' (Costeo Cash Card -700.00) '��,, (3%Executive Earnings -215.00) (NET INVESTMENT $6,883.95) 2O /br We Propose hereby to furnish material and labor-complete in accordance with above specifications • • All material is guaranteed to be as specified. All work is to be complete in a substantial ASBESTOS.Visible or unforeseen,which may be disturbed during the proposed scope of workmanlike manner according to the specifications submitted per standard practice. our work,shall be the sole responsibility of the customer. Execution of proposed work shall Any alteration or deviation learn above specifications involving extra costs will be executed not proceed until ALL ASBESTOS is removed in an approved manner. • ionly upon written orders,and will become an extra charge over and above the estimate. Thank you for allowing as to review your HVAC needs. Acceptance of Proposal- I hereby authorize the above work and agree to pay the amount set forth in this proposal.I agree to the terms and conditions of this contract. l reserve the right to cancel this agreement within(3)three work days of the below date unless work has commenced.Customer will be responsible for any collection and/or attorney fees is payment is not made. Authorized Signature �yype e' Date of Acceptance: 414 2OIy Signature f��.. 2420 7ethi)jel}2, ..1 I • .,.. . • • VI Pc(9itt5 farm r , 30 ptc,,,,,,j1La a, pork Luillow WA qr3k6 • drIgtwol , 4300039 : . [ 1 1 • ti......„.............--------.............----------------r- 16' H1 . . , , . . . APR 3 , . 'I 2014 Cc') --- Eivi BRENNAN HEATING & A/C LLC Page 1 of 2 • • 0 Washington State Department of Labor & Industries BRENNAN HEATING & A/C LLC Owner or tradesperson 4601 S 134TH PL ERDAHL, DARRIN PAUL SEATTLE, WA98168 206-248-7900 Principals KING County ERDAHL, DARRIN PAUL, PARTNER/MEMBER Doing business as BRENNAN HEATING&A/C LLC WA UBi No. Business type 602 346 866 Limited Liability Company License Verify the contractor's active registration/license/certification (depending on trade) and any past violations. Construction Contractor Active. Meets current requirements. License specialties GENERAL License no. BRENNHA971 R9 Effective—expiration 12/29/2003-12/29/2015 Bond FEDERATED MUTUAL INS CO $12,000.00 Bond account no. 9127230 Received by L&I Effective date 11/04/2004 12/22/2004 Insurance Federated Mutual Ins Co $1,000,000.00 Policy no. 9820726 Received by L&I Effective date 06/10/2013 07/13/2007 Expiration date 07/13/2014 Savings No savings accounts during the previous 6 year period. Lawsuits against the bond or savings No lawsuits against the bond or savings accounts during the previous 6 year period. Tax debts https://secure.lni.wa.gov/verify/Detail.aspx?UBI=602346866&LIC=BRENNHA971R9&SAW= 5/2/2014 Screen: 01 REAL PROPERTY MASTER Mode : INQUIRY Auto Roll : OFF Parcel # 000990603127 Qeo Cd 282109207231 PORT LUDLOW NO. 2 AREA 3 Nbhd Cd 3334 LOT 127 Loc ID * Taxpayer Cd FARR 1075 FARRAR, DOUGLAS F T/P Chg Dt 4/17/2003 * Title Owner T/P Chg Usr JODI Tax Code 0231 Status TX TAXABLE Land Use 1100 RES-SINGLE Affidavit 97019 Vol/Page / C/U Code COMPLETE ADDRESS WINDOW Taxpayer FARR1075 DOUGLAS F FARRAR 30 MCCURDY LN PORT LUDLOW WA 98365-9612 Search Key CMD 6: End Window CMD 7: End of Job • • • • • MECHANICAL AND DEMOLITION PERMIT Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 PERMIT#: BLD14-00156 Received Date 5/2/2014 SITE ADDRESS: 30 MCCURDY LN Issue Date 5/2/2014 PORT LUDLOW, 98365 APPLICANT: DOUGLAS F FARRAR PHONE: 360-265-1265 30 MCCURDY LN PORT LUDLOW WA 98365-9612 SUBDIVISION: PORT LUDLOW NO. 2 AREA 3 Block: Lot: PARCEL NUMBER: 990603127 Section: 9 Township: 28N Range: 01E CONTRACTOR: BRENNAN HTG &A/C LLC PHONE: 206-248-7900 4601 S 134TH PL SEATTLE WA 98168 Contractor's License BRENNHA971R9 Expires 12/29/2015 OWNER, DOUGLAS F FARRAR PHONE: 360-265-1265 if different: 30 MCCURDY LN PORT LUDLOW WA 98365-9612 PROJECT DESCRIPTION: INSTALL 3 TON HEAT PUMP Directions To Site: 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 5/2/2015. REQUIRED INSPECTIONS: Installation per Manufacturer Specifications/CO2: Tank/Line/Appliance: Final Approval: )41.-- ,7--)/51/, 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 5/2/2014 ^�Q4sox coG t JEFFERSON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT Date: y J1L Time Received: 91 b ICapm Mon. 0 Wed. Thur. Fri. Date: 5A 3/15/ BLD: 14- Obj j'/ Contact Name: Owner: Contact Number: 360 Lb$_ 1145 Address: 34) !1C C&4Rv'r Res LkDL 206 Notes: 1414-1- • u►w' Foundation Plumbing Framing Propane Tank Mechanical Setbacks Under-ground Framing Under ground Furance Footing Rough In Air Seal Above ground Gas Stemwall Hydronic Exterior shear Exterior lines Oil Straps Hot Water Htr Interior shear Interior lines Ducts Post Hole Ventilation Appliance Underfloor Gas/Wood stove Man-Homes Insulation Final Inspection Setbacks Floor Foundation Wall Address Posted Block&Tile Ceiling • Inspections are required to be called in by 3:00 pm to receive an inspection the next day. Do to staffing issues, at this time,we cannot guarantee that you will receive an inspection the next day. day. Unless you receive a call from us, assume we will arrive on your requested inspection day. • You may leave an inspection request 24 hours a day, and Inspections are available from Monday through Friday. We cannot determine the time we will arrive in advance. However, if you call our office the morning of your inspection,around 9:00 a.m.,we can give an estimate of when the inspector will arrive. Our general office phone number is 360 379-4450. An approved set of plans are to be on site with building permit for all inspections. If permit and plans are not on site at time of inspection, a re-inspection fee must be paid prior to re-scheduling another inspection. If no access, no inspections will be performed,and a re-inspection fee must be paid prior to re-scheduling another inspection. • Inspectors will not access a home that has personal affects inside when the owner is not present. • Commercial projects require 24 hour notice for inspection. JEFFERSON COUNTY NO. 148621 /\ ,, . t DATE -5o-i RECEIVED FROM } `O.V 1 7 (qY DESCRIPTION BARS# AMOUNT CURRENCY _t? ),57_,. � COIN tg- .,. ' i-,..-,tcr- rir iNtr- Q lic5Lf 0 c 0 c 0 0 RECEIVED BY <zjiA- TOTAL V7 E -