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Home My WebLink AboutBLD2013-00261 013UILDING PERMIT APPLIC•ON BLD13-00261 Review Type: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT#: BLD13-00261 Received Date: 8/23/2013 SITE ADDRESS: 60 MEADE RD NORDLAND, 98358 OWNER: GARY A ROWE PHONE: 360-770-7766 CYNTHIA S ROWE PO BOX 1157 LA CONNER WA 98257-1157 MINNIHAN SHORT PLAT SUBDIVISION: Block: Lot: 1 PARCEL NUMBER: 921042008 Section: 4 Township: 29 N Range: 01 E CONTRACTOR: AIR FLO HEATING COMPANY INC PHONE: 360-683-3901 221 W CEDAR SEQUIM WA 98382 Contractor's License AIRFLI*206DG Expires 4/25/2014 REPRESENTATIVE: PHONE: PROJECT DESCRIPTION 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: Type Amount Paid By: Date: Receipt: Approved/Date Permit $228.00 MEB 08/23/13 142418 APPROVED Total: $228.00 1W AUG 232013 .Jefferson County DCD 1\firlcmnr41ri.4.%fnrme% PI Il Ann PIA rn+ 2/74/•)!11'2 C9 •ovJG+ r 66 144.VcD Cee► c issiottA4ND it-' `._^. 6orveik .02yvk. . .2 x a 5 il1/400,11) ` ye, ) (3-6-11-4 UA\ 1 I `d ILSE E89 09E 01A 2IIU WHSb :8 6102 92 3n J Contractors or Tradespeople l er Friendly Page Page 1 of 1 Electrical Contractor A business licensed by Lai to contract electrical work within the scope of its specialty. Electrical Contractors must maintain a surety bond or assignment of savings account.They also must have a designated Electrical Administrator or Master Electrician who is a member of the firm or a full-time supervisory employee. Business and Licensing Information Name AIR FLO HEATING CO INC UBI No. 600347761 Phone 3606833901 Status Active Address 221 W Cedar St License No. AIRFLHC009C8 Suite/Apt. License Type Electrical Contractor City Sequim Effective Date 2/28/2000 State WA Expiration Date 2/28/2014 Zip 983823320 Suspend Date County Clallam Specialty 1 Hvac/Rfrg Ltd Energy Business Type Corporation Specialty 2 Unused Parent Company Master Electrician INFORMATION License BERSOJR975LB Name BERSON,JOEL RAY Status Active Business Owner Information Name Role Effective Date Expiration Date BEQUETTE,MICHAEL 01/01/1980 FULLAWAY,MICHAEL 01/01/1980 LEVINSON, WILLIAM R Agent 01/01/1980 BEQUETTE,MARK A President 01/01/1980 BERSON, JOEL R Secretary 02/12/2010 BERSON,JOEL R Treasurer 02/12/2010 BEQUETTE,SANDRA A Vice President 01/01/1980 Bond Information IBondlBond Company Name Bond Account Number Effective Date Expiration Date Cancel Date Impaired Date Bond Amount Received Date 4 CBIC si6233 07/06/2010 Until Cancelled $4,000.00 05/19/2010 2 COLONIAL AM CAS 8 LPM4054452 07/06/2001 Until Cancelled 08/21/2010 $4,000.00 07/18/2001 SURETY OF MD Assignment of Savings Information No records found for the previous 6 year period Insurance Information No records found for the previous 6 year period Summons/Complaint Information Summons and Complaints are not filed with the department for this contractor type Warrant Information Warrants are not filed with the department for this contractor type Infractions/Citations Information Infraction/Citation Date RCW Code Type Status Violation Amount EDORN00206 3/28/2013 19.28.161(6)RCW ELECTRICAL CITATION Satisfied $250.00 https://fortress.wa.gov/lni/bbip/Print.aspx 8/23/2013 • • } C= o F-1 O C3 LL N _0 Z LL � O I-1 O C) o Cr) O - N CO ') Z O "O - CO CC O O L J -0 X C; "0 4.1 U) C U O = I- LLI O C) Z -I--I "0 I-1 O O CC •- 7 L L L U f� Q JC C) U U CC Z O >. 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I— Q „, . .. . . • N.) .‘elo_ 26,( JEFFERSON COUNTY St (3 14,,, ,,irte44 DEPARTMENT OF COMMUNITY DEVELOPMENT QjAiletN S`L -' f 4 621 Sheridan Street• Port Townsend•Wash 98368 v• n ilia 360/379-4450. 360/379-4451 Fax ' . www.cojefferson.wa.us/corrundevelopment x'13'is F G' Master Permit Application MLA: ,' Project Description(indude separate sheets as Mary): .a.s U a✓t-T kl SS Ire•- tp'�Q` 40,7- / , AA./uw.,,Mut/ .S,.iorzr P.,4-r; 64 APe RD., pup, D4A� , ,'4 Tax Parcel Number. 92,10v20.1:43 Property Size: 2—5” 4e.r•,s (a .Site Address and/or Directions to Property: 4 d ,s4 04rhie R o. ; A/DQAtA AJ.p, wA ^Property Owners)of Record: 44 .'f f Gy rrrN#4 IZO w0 Telephone: 366. '71O. 77440. Fax s d email: use cowl spry @ 9"4 I cart. Mailing Address: Po Sous /157 r, 44 C,,9.t.M.4ffie., Gaut nt.2S7 Applicant/Agent(if different from owner): Air o e9 'n5 Telephone:31t°•tag.*' 1 ROC to8$• 'IT' ems:ett rtea`m M1.'1 • C ?f1 ' Main Address: 2.Z 1 W. St• SeQturn 183e • ' What kind of Permit?(Check each box that applies Plan 00 Demolition Permit O Variance(Minor,Major or Reasonable Econ omlcUse) Single Family ❑Garage Attached/Detached 0 Conditional Use[C(a),C(d),or q-- Cl Manufactured Home 0 Modular ❑DiscreWeary Tr or Unnamed Use Classacalkm ❑ Commercial• O Spedai Use(Essential Public Facilities)" Cl Change of Use O Boundary Line Adjustment ❑ Address 0 Road Approach 0 Short Plat" ❑Home Business C]Cottage industry O Binding Site Plan" ❑Propane O Long Plat** O Sign ❑Planned Rural Residential Development(PRRD) - -• , ❑Allowed"Yes'Use Consistency Analysis O Plat Vacation/Alteration" Ci Sto nrwvater Management 0 Shoreline Master Program ExemptiorrlPennit Revisions" O Site Plan Approval Advance Determination(S PAM))• ❑Shoreline Management Substantial Development** 0 Temporary Use O Shoreline Management Variance • ❑Wireless Telecommunication* O Comprehensive Plan/UDC/Land Use District Map . O Forest Practices Act/Release of Six-Year Moratorium 0 Jefferson County Shoreline Master Prop=Amendment *May require aPre•Applicaton Conference 0 Tree Vegetation Request "Requites a Pie-Apppcadon Conference I ° Please ideality any other local,state or federal permits required for thla proposal,if known: • DESIGNATION OF AGENT I hereby design ate A i f T$0 *tear ten to act as my agent in matters relating to this application for pennit(s) OWNER SIGNATURE Date:___4 413 By signing this application form,the owner/agent attests that the Irdarmetlon prodded herein.and In any attachments,is true and coned**the• of his,her or its knowledge. Any material falsehood or any omisafbre of a matelot fact made by the ownealgentwith respect to this application •• may result in this permit being null and void. I Meier agree to save.I ndermBy and hold harmless Jefferson County against an liabilities,judgments,coat cods,reasonable attorney's fees and Browses which may in any way accrue gainst Jefferson County as a rest*of or in consequence of the granting of this permit I further agree to provide access and right of entry to JeffersonCourrty and its employees,representatives or agents for the sole purpose of ••t review and any required later inspections. Staffs access and right of entry wit be assumed unless the applicant 6Nonns the County in witting at time of**application Italie or nts prior notice. Signature: "s'`7�" Date: S//9/3 The action or actions 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 lake"of an endangered species as those terms are defined in the federal taw known as the 'Endangered Species Acv"or`ESA.'Jefferson County make*no assurances to the applicant that the actions that will be undertaken because this permit has been issued will not violate the ESA. Any tai,group or agency can Se a lawsuit on behalf of an endangered species regard% action(s)even if you are I n compliance with the Jefferson County development code.The Appficard adcnowledges that he she or holds •{ • and nan•transterable sletidy adhering to and complying with the ESA. The Applicant has read this disclaimer and signs and dates it• Signature: Dante: S1i101//3 GAPeassitCenterWeitirORMSge#WRD FOR1NS\Mnter Peaait.Apptiaowa 5.2948.doe AIR FLO HEATING COMPANY Check Number: 41149 4114 9 Jefferson County Building Department Amount Date Description 08/20/2013 Permit for Rowe 228.00 i • • • 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#: BLD13-00261 Received Date 8/23/2013 SITE ADDRESS: 60 MEADE RD Issue Date 8/23/2013 NORDLAND, 98358 APPLICANT: GARY A ROWE PHONE: 360-770-7766 CYNTHIA S ROWE PO BOX 1157 LA CONNER WA 98257-1157 1 SUBDIVISION: MINNIHAN SHORT PLAT Block: Lot: PARCEL NUMBER: 921042008 Section: 4 Township: 29N Range: 01E CONTRACTOR: AIR FLO HEATING COMPANY INC PHONE: 360-683-3901 221 W CEDAR SEQUIM WA 98382 Contractor's License AIRFLI*206DG Expires 4/25/2014 OWNER, GARY A ROWE PHONE: 360-770-7766 if different: CYNTHIA S ROWE PO BOX 1157 LA CONNER WA 98257-1157 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 8/23/2014. REQUIRED INSPECTIONS: 11...1s-r '- 4 Al Pint 11.dsTAt,C.A,-t^IC>t• O C r2/t 7 ,r3 ill GArz,. Zci 4,2- -tc., CALL BAC"( ze : rzEC-rRICAt- Pr_eMrt 1-1.?, FinalApproval: 7,3o)/LI 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 8/23/2013 4$ON co e,„ oa JEFFERSON COUN DEPARTMEN F COMMUNITY DEVELOPI IT //j 945w,I N0I I Date: IX1(6 Time Received: I ', ( C am/pm Mon. 44111 Wed. Thur. Fri. Date:KV 17 BLD: &(6 /3 Oc,2 4./ Contact Name: 6-OV'1 f aten„.{� Owner: C ei- ' Contact Number: 360/ 72o -7766 Address: 1 60 Meaty( 206 Notes: Ch,w.gr - 1 ad-Q7) CQh %,-) c At FC.- (m rPGQm, : (f\ibl' few(' to"ke_fpj4 4 - -e- doe c-1 ,() 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 * OvJurlee j e g-9��e % JEFFERSON COUNTY syt NG-CG+ DEPARTM OF COMMUNITY DEVELOIENT ite Date: '1 121 Time Received: C5/011 Mon. Tue.r Thur. Fri. rip //Y Date: 7/110 BLD: /3V Contact Name: Owner: Contact Number: 360 -7,70 7260 Address: m 206 Notes: ) 1,7�pr` i0 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 1 494 1 8 NO. _Ls a ‘4110t ) DATE COUNTY C0.4-(34A-`7 JEFFERSON C - c J /4-64'411,1 BARS# .... Air_ po CURRENCY COIN FROM RECEIVED co RDESCRIPTION •••1 Ci's ...iECi3 AMOUNT cis, 0 1 , m m c,.. ,..0 if iii if , RECEIVED BY TOTAL ... ._ tyll,,,--12) " 1 AIR FLO HEATING COMPANY Check Number: 41149 4114 9 Jefferson County Building Department Date Description Amount 08/20/2013 Permit for Rowe 228.00 4 •