Loading...
HomeMy WebLinkAboutBLD2014-00095• SJILDING PERMIT APPLICATION B 0095 Ree view view Type: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT#: BLD14-00095 Received Date: 3/18/2014 SITE ADDRESS: 1315 LINGER LONGER RD QUILCENE, 98376 OWNER: JAMES P HODGSON PHONE: 360-316-1131 MARJORIE C HODGSON PO BOX 457 QUILCENE WA 98376-0457 SUBDIVISION: Block: Lot: PARCEL NUMBER: 702251007 Section: 25 Township: 27 N Range: 02 W CONTRACTOR: BRENNAN HTG &NC LLC PHONE: 206-248-7900 4601 S 134TH PL SEATTLE WA 98168 Contractor's License BRENNHA971R9 Expires 12/29/2015 REPRESENTATIVE: PHONE: PROJECT DESCRIPTIOI" INSTALL DUCTLESS HEAT PUMP TYPE OF WORK NON SQUARE FOOTAGE: TYPE OF IMP MEC MAIN: VALUATION ADD'L: HEAT TYPE: CODE EDITION: 2012 HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: #OF STORIES: OCCUPANCY: 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: r7)��$ Type Amount Paid By: Date: Receipt: Approved/Date Permit $152.00 JLA 03/14/14 148463 Total: $152.00 APPROVED Jefferson County DCL \\4irlomor4\rlo4o\fnrr..e\F RI fl Ann PIA rn+ Z/lR/7f11A 1315 Ivo Lor izd Quilcemc G Q 9' day \\A hew ducticaka yuntp IocalMh 1EOFEOVE D-)) , MAR 1 4 2014 LI JEFFERSON COUNTY DEPT.OF COMMUNITY DEVELOPMENT Screen: 02 REAL PROPERTY MASTER Mode: INQUIRY Auto Roll : OFF Parcel # 000702251007 N d Cd 2570 S25, S26, S35, 4,6 T2 Legal Description S25 T27 R2W LT 1(S100 ' E OF CO RD) SUBJ TO BONNE PW EASE COMPLETE ADDRESS WINDOW Taxpayer HODG7000 JAMES P HODGSON MARJORIE C HODGSON PO BOX 457 QUILCENE WA 98376-0457 Search Key CMD 6: End Window CMD 7: End of Job 6- -=21 L-1 -; 5 410 lea N C O JEFFERSON COUNTY ,r DEPARTMENT OF COMMUNITY DEVELOPMENT ' . 621 Sheridan Street• Port Townsend•Washington 98368 360/379-4450. 360/379-4451 Fax '3f�N www.co.jefferson.wa.us/commdevelopment Master Permit Application MLA- ..1 ." ;_;_- Proj n(include a as neces ay): ' r F_______„.. l v v �It : 1ckss 4 m Tax Parcel Number •d oc •0 Property Size: I 11:-----. MA tac�sl�q fleet)I Site Address and/or Directions to Property: I J `,31 q" 'I n g t-r . k � 'Q 01 Q01 )c-c r-i JEFFERSON COON Property ner(s)of Record: '1 * A on r t ITY DEVELOPMENT Telephone�k0 0 • • • Fax: email: Mailing Address: O ttL)s V i 1 -c. 0. s l ApplicanU nt(if different from owner): + ' • Telephone: 0ko oZ g ° fA ax: e.— . = t email_ Olt 1 . • ‘ kt.041 Mailing Address: •0 S -L V-0, e t ko = •Co 1 ' What kind of Permit?(Check each box that applies ❑Building ❑C ❑ Demolition Permit ❑V- _. ingle Family ❑Garage Attached/Detached ❑C. ❑ Manufactured Home ❑ Modular ❑D" ❑ Commercial* ❑S ❑ Change of Use ❑B ❑ Address ❑Road Approach ❑S ❑Home Business ❑Cottage Industry ❑B ❑Propane ❑L ❑Sign ❑ " ❑Allowed'Yes"Use Consistency Analysis ❑ • ❑Stormwater Management ❑ ' ❑Site Plan Approval Advance Determination(SPAAD)* ❑ . ❑Temporary Use ❑ • ❑Wireless Telecommunication* ❑ ❑Forest Practices Act/Release of Six-Year Moratorium ❑ *May require a Pre—Application Conference ❑ Please identify any other local,state or federal permits - DE N N I hereby designate OWNER SIGNATURE By signing this application form,the owner/agent attests that the information his,her or its knowledge. Any material falsehood or any omission of a m-. 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,reason= =, - - 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. • •-access and right of entry to Jefferson County and its employees,representatives or agents for the sole purpose of application review and a iced later inspections. Staff access and right of entry will be assumed unless the applicant informs County in writing at the time of the a it n that l�or she wants .0lice. Signature: , i�. A ••A I" Date: �, The action • •ns 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._-- <:ued will not violate the ESA. Any individual,group or agency can file a lawsuit on behalf of an endangered species regarding your action(s)--'_ , are in compliance with th• J�e•fferson County development code.The Applicant adcnowledges that he,s or it holds individual and no _ -.e responsibility for adh-• ' `and compyi•• the ESA. The Applicant has read this disclaims and a dates it below. Signature. `..�4A��lt♦, Date: 'j I I 1 G:\PermitCent r\###FORMS###\DRD FORMS\Muter Permit Application 5-29-08.doc S - . : ..:� ` • • 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 resporsblity of the General Contractor for the proposed prqject- Signature: Date: ENERAL CONTRACTOR OR NUFACTURED HOME INSTALLER: PHONE: FAX: t • (g©#P q(65 0 5 MAILING ADDRESS: b '5 11 l .r x `y I: s& _ i i .i. :s 1: . 1L! CONTRACTORS LICENSE \Dti( • • '4,..IL / I # it F NS Co m NUMBER: NUMBER ARCHITECT/ENGINEER: PHONE ( ) FAX:( ) MAILING ADDRESS: EMAIL Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: ❑ New ❑ Wood Existing: 0 Sewer ❑ Addition ❑ Steel Proposed: Bank ❑ Community System o Alteration/Remodel ❑ Concrete Total: Height: ❑ individual System O -Repair ❑ Masonry SEP Permit# ❑ Demolition ❑ Other. Bedrooms: Water Supply: Existing: Setback: 0 Private well 0 Two Party Type pf Heat: Proposed: ❑ Public 1 • E t e C... Total: Name of System: If this is a Commercial Protect 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: WIN you have Food Service? Yes / No If this is a Propane Tank andlor 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 aopliance being installed in a Manufactured/Mobile Home? Yes I No When applying fora 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, including the reserve area. ::::: � ate ' —�a � • are Foote,; Current - Vii? _ _ Main Floor Heated EH Bid App Review: ra Floor Heated - _' - 1 Consistency Review: Other Heated ,f - Base fee: Mezzanine 1 Additional Section: Heated Basement �' Plan Check fee: Unheated Basement •. : : State Surcharge fee: Other Unheated Pot Water Review fee: Garage/Carport ,.AL-o-. =,- -11=4;.r, SUBTOTAL Decks r _° - 911/Rd Approach fee: Other a " ' TOTAL: $ a A Receipt Number: -� _ Z - Cash/Check Numbe uJjJ - ESTIMATED COST(REQUIRED) a 00 Date: �It11 •Fair market value of all labor end materials • •-,• to finish -■ Initials: .. f i t . JEFFERSON COUNTY G:\PetmtCenter\###FORMS###\DRD FORMS\MasterPamit Application s-29-084oc .-UFPT.OFCOMMUNITYDE'/ELOPMENT BRENNAN HEATING& A/C LLC Page 1 of 3 • • 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 Doing business as BRENNAN HEATING&A/C LLC WA UBI No. Business type 602 346 866 Limited Liability Company Governing persons DARRINPERDAHL 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, BRENNHA971R9 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 https://secure.lni.wa.gov/verify/Detail.aspx?UBI=602346866&LIC=BRENNHA971R9&SAW= 3/18/2014 BRENNAN HEATING & A/C LLC Page 2 of 3 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 during the previous 6 year period. Tax debts No tax debts during the previous 6 year period. License Violations Infraction no. PPEJP00330 Satisfied Violation date ROW 09/14/2012 18.106.020 Violation city Violation amount $ Seattle $250.00 Type of violation PLUMBER INFRACTION Workers' comp Do you know if the business has employees? If so, verify the business is up-to-date on workers' comp premiums. L&I Account ID Account is current. 803,761-08 Doing business as ,• BRENNAN HEATING&AIR CONDIT Estimated workers reported Quarter 4 of Year 2013"76 to 100 Workers" L&I account representative T1 /FEARAED FEROZE (360)902-4797 -Email: FERH235©Ini.wa.gov https://secure.lni.wa.gov/verify/Detail.aspx?UBI=602346866&LIC=BRENNHA971R9&SAW= 3/18/2014 • • Jaimie How From: Mary Blain <mblain @co jefferson.wa.us> Sent: Friday, March 14,2014 9:13 AM To: Jaimie How Subject: permit scanning fee Jaimie, Just opened an application to install a ductless heat pump at 1317 Linger Longer Rd and the scanning amount of$19 was not included. Please send payment to the address below or you are welcome to make a payment at http://www.co.iefferson.wa.us/commdevelopment/Credit%20Card.htm Once payment is received, I'll be happy to process this permit. Thanks! Mary Blain Permit Technician Dept of Community Development 621 Sheridan St Port Townsend,WA 98368 ph: 360-379-4452 fax: 360-379-4451 mblain @co.iefferson.wa.us All email to or from this email address may be subject to the Public Records Act contained in RCW 42.56. Additionally, all email to and from the county is captured and archived by Information Services. Original Message From: Mary Blain Sent: Friday, February 07,2014 11:19 AM To: 'Jaimie How' Subject: RE:J.C. new permits Jaimie, No additional fee is needed at this time. I've processed this last one without the added fee. Just be aware that in the future,the$19 scanning will need to be included in the fees paid. Mary Blain Permit Technician 1 Dept of Community Development • • 621 Sheridan St Port Townsend,WA 98368 ph: 360-379-4452 fax: 360-379-4451 mblain@co.iefferson.wa.us All email to or from this email address may be subject to the Public Records Act contained in RCW 42.56. Additionally, all email to and from the county is captured and archived by Information Services. Original Message From:Jaimie How [mai lto:iaimie@brennanheating.com] Sent: Friday, February 07,2014 9:36 AM To: Mary Blain Subject: RE:J.C. new permits Mary, Ok, I sent another one out this week. There was nothing in those permits you referenced when they were mailed to us last week. Do I need to send another check for the$19?? Thank you, Jaimie How Permit Coordinator Brennan Heating and A/C (206) 248-7900 Office (206)248-7905 Fax ----Original Message From: Mary Blain [mailto:mblain@co.iefferson.wa.us] Sent: Friday, February 07, 2014 9:31 AM To:Jaimie How Subject:J.C. new permits Hi Jaime, Attached are two permits recently mailed to us by Brennan Heating. I wanted to touch bases with you and let you know that starting January 1st Jefferson County DCD instituted a new scanning fee for all permits, including mechanical permits. This scanning fee is$19 making a permit for heat pumps and furnaces$171. We have processed the two attached permits without the scanning fee but going forward please include it with all applications. 2 Thank you, Mary Blain Permit Technician Dept of Community Development 621 Sheridan St Port Townsend,WA 98368 ph: 360-379-4452 fax:360-379-4451 mblain @co.iefferson.wa.us All email to or from this email address may be subject to the Public Records Act contained in RCW 42.56. Additionally, all email to and from the county is captured and archived by Information Services. 3 0 0 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#: BLD14-00095 Received Date 3/18/2014 SITE ADDRESS: 1315 LINGER LONGER RD Issue Date 3/18/2014 QUILCENE, 98376 APPLICANT: JAMES P HODGSON PHONE: 360-316-1131 MARJORIE C HODGSON PO BOX 457 QUILCENE WA 98376-0457 SUBDIVISION: Block: Lot: PARCEL NUMBER: 702251007 Section: 25 Township: 27N Range: 02W 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 OWNER, JAMES P HODGSON PHONE: 360-316-1131 if different: MARJORIE C HODGSON PO BOX 457 QUILCENE WA 98376-0457 PROJECT DESCRIPTION: INSTALL DUCTLESS 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 3/18/2015. REQUIRED INSPECTIONS: Installation per Manufacturer Specifications/CO2: - Tank/Line/Appliance: Final Approval: q)2-4)q 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 3/18/2014 gp 4gON f as JEFFERSON COUNTY Q9 .N k0 DEPARTMENT OF COMMUNITY DEVELOPMENT Date: teda Time Received: ne, am' • Mo Tue. Wed. Thur. Fri. VC - G'� Date:BLD: ^ �� Contact Name: Owner: t I S1 Yit.m.,, Contact Number: 360 Address: 5 �—� �-- 206 ' ��� Notes: 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.