Loading...
HomeMy WebLinkAboutBLD2014-00224 - MECHANICAL ILDING PERMIT 413U BRD1e 002 4 Jefferson County Department of Community. Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT#: BLD14-00224 Received Date: 6/25/2014 SITE ADDRESS: PORT LUDLOW, 98365 OWNER: SONYA L HARMON PHONE: 360-437-1286 51 N CHANDLER CT PORT LUDLOW WA 98365-9537 INNER HARBOR VILLAGE CONDO SUBDIVISION: Block: Lot: PARCEL NUMBER: 961600502 Section: 17 Township: 28 N Range: 01 E CONTRACTOR: FAST WATER HEATER COMPANY PHONE: 425-636-7054 12601 132ND AVE NE KI RKLAN D WA 98034 Contractor's License FASTWWH948BC Expires 1/4/2016 REPRESENTATIVE: PHONE: PROJECT DESCRIPTIOP REMOVE & REPLACE ELECTRIC WATER HEATER TYPE OF WORK NON SQUARE FOOTAGE: TYPE OF IMP MEC VALUATION MAIN: CODE EDITION: 2012 ADD'L: 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: 51-1111 Total: Prop: dfd tie ,. ,j Total: Total: (�/ Routing Date: -41i6 Type Amount Paid By: Date: Receipt: 11� ���t. Permit $152.00 JLA 06/25/14 148852 t / / ;ef71f Q Total: $152.00 / /0)7 9$/qt, r()- ay)? \\firlcmor4\rInfo\fnrme\F RI fl Ann Rid rnf R/9F/9f11A • 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#: BLD14-00224 Received Date 6/25/2014 SITE ADDRESS: 51 N CHANDLER CT Issue Date 7/3/2014 PORT LUDLOW, 98365 APPLICANT: SONYA L HARMON PHONE: 360-437-1286 51 N CHANDLER CT PORT LUDLOW WA 98365-9537 SUBDIVISION: INNER HARBOR VILLAGE CONDO Block: Lot: PARCEL NUMBER: 961600502 Section: 17 Township: 28N Range: 01E CONTRACTOR: FAST WATER HEATER COMPANY PHONE: 425-636-7054 12601 132ND AVE NE KIRKLAND WA 98034 Contractor's License FASTWWH948BC Expires 1/4/2016 OWNER, SONYAL HARMON PHONE: 360-437-1286 if different: 51 N CHANDLER CT PORT LUDLOW WA 98365-9537 PROJECT DESCRIPTION: REMOVE &REPLACE ELECTRIC WATER HEATER 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 7/3/2015. REQUIRED INSPECTIONS: Installation per Manufacturer Specifications/CO2: Tan k/Line/Appliance: 6(})-1-- el / 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 7/3/2014 Screen: 01 REAL PROPERTY MASTER Mode: INQUIRY Auto Roll : OFF Parcel # 000961600502 fleo Cd 282117407231 INNER HARBOR VILLAGE CONDO Nbhd Cd 3353 UNIT 5-B Loc ID * Taxpayer Cd HARM 2700 HARMON, SONYA L T/P Chg Dt 10/27/1999 * Title Owner T/P Chg Usr JODI Tax Code 0231 Status TX TAXABLE Land Use 1400 CONDOMIN-RES Affidavit 88078 Vol/Page / C/U Code COMPLETE ADDRESS WINDOW Taxpayer HARM2700 SONYA L HARMON 51 N CHANDLER CT PORT LUDLOW WA 98365-9537 Search Key CMD 6: End Window CMD 7: End of Job "70 i3) ANC 6 6uP kt-f- 2--2-1 JEFFERSON COUNTY d ea DEPARTMENT OF COMMUNITY DEVELOPMENT 621 Sheridan Street• Port Townsend•Washington 98368 360/379-4450 • 360/379-4451 Fax -34, Ail" www.co.jefferson.wa.us/commdevelopment t Master Permit Application MLA: P ject Description(include separate sheets as necessary): V Q qi •+�.pta/�.t elf y%t G fi 2(0-Qhr kS?akirf Tax Parcel Number: {6 f 6 P 0 d s 0 2 Property Size: (acres/square feet) Site Address and/or Directions to Property: Property Owner(s)of Record: Hal Wto' 1 j Sb Telephone:6V 1 " ' 1 r 1 Fax: email: Mailing Address: ✓ ct.4'I I'2 r r e- Applicant/Agent(if different from owner): i E C r A „Jr li a Telephone:4 M 6-'11)5 Y Fax: email: 0./ vs; ., .0 Mailing Address: What kind of Permit?(Check each box that applies ❑Building ❑Critical Areas Stewardship Plan ❑ Demolition Permit ❑Variance(Minor,Major or Reasonable Economic Use) Single Family ❑Garage Attached/Detached ❑Conditional Use[C(a),C(d),or Cj*" ❑ Manufactured Home ❑ Modular ❑Discretionary"D"or Unnamed Use Classification ❑ Commercial* ❑Special Use(Essential Public Facilities)*" ❑ Change of Use ❑Boundary Line Adjustment ❑ Address ❑Road Approach ❑Short Plat** ❑Home Business ❑Cottage Industry ❑Binding Site Plan** ❑Propane ❑Long Plat** ❑Sign ❑Planned Rural Residential Development(PRRD)/Amendments*" ❑Allowed"Yes"Use Consistency Analysis ❑Plat Vacation/Alteration" ❑Stormwater Management ❑Shoreline Master Program Exemption/Permit Revisions*" ❑Site Plan Approval Advance Determination(SPAAD)* ❑Shoreline Management Substantial Development** ❑Temporary Use ❑Shoreline Management Variance ❑Wireless Telecommunication* ❑Comprehensive Plan/UDC/Land Use District Map Amendment ❑Forest Practices Act/Release of Six-Year Moratorium ❑Jefferson County Shoreline Master Program Amendment *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: DESIGNATION OF AGENT I hereby designate to act as my agent in matters relating to this application for permit(s). OWNER SIGNATURE Date: 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 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 any required later inspections. Staff's access and right of entry will be assumed unless the applicant informs the County in writing at the time of the application that r h,� e wSnts prior notice. ©� � ^ ��I Signature: ( 1s,',r° Date: oC 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"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 been issued will not violate the ESA. Any individual,group or agency cart file a lawsuit on behalf of an endangered species regarding your action(s)even if you are in compliance with the Jefferson County development code.The Applicant acknowledges that he,she or it holds individual and non-transferable responsibility for adhering to and complying with the ESA. The Applicant has read this disclaimer and signs and dates it below. Signature: Date: G:\PemvtCenter\###FORMS###\DRD FORMS\Master Permit Application 5-29-08.doc 1 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 responsibility of the General Contractor for the proposed project. Signature: Date: GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAX: r Fks r W cT6 k �C.-e r bonwevt,ut _ ( tai 636 '7081 Nil 63 -)05--S--- `.✓d 5-" MAILING ADDRESS: �"�i �, (reek f�+,1�, 1 yV'it S I!' f*1/ +r EMAIL: fl�l.l� r l.W Yl c �tai •L %Y) CONTRACTOR'S LICENSE `•""U l 0144 p tI I__(b'1NS NUMBER: FicSrW fj qLt g 6(` 1 NUMBER ARCHITECT/ENGINEER: PHONE ( ) FAX:( ) MAILING ADDRESS: EMAIL Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: O New ❑ Wood Existing: ❑ Sewer n Addition ❑ Steel Proposed: Bank ❑ Community System X Alteration/Remodel ❑ Concrete Total: Height: ❑ Individual System ❑ Repair ❑ Masonry SEP Permit# ❑ Demolition ❑ Other: Bedrooms: Water Supply: Existing: Setback: ❑ Private well 0 Two Party Type of Heat: Proposed: 0 Public 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: 1 Underground Tank 1 Above ground Tank Size of Propane Tank: 1 Heat Stove 1 Cook Stove 1 Woodstove 1 Fireplace Insert 1 Hot Water Tank 1 Pellet Stove 1 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. S•uare Foota•e Current P ••osed -, _ q e.1 �_� ' /*�� t 3��...ea�,.� �' �xN �'G.,,s' ' 4s.:-3 5:r+e ,cMFi!°,, n#�.,.� 1�.?'!��"trtit`, v tufe Main Floor Heated �.-1 ;; c EH Bld App Review: 2""Floor Heated �`V Consistency Review: Other Heated ,- Base fee: Mezzanine fl . 'x, Additional Section: Heated Basement 41,0'_,."1 4 Plan Check fee: Unheated Basement . . 'f State Surcharge fee: r 3a rru�, #'.Y. Other Unheated Tf�. Pot Water Review fee: ; Garage/Carport ,� ,� — SUBTOTAL Decks ::,r pr `b: 911/Rd Approach fee: Other Wahl. TOTAL: $ ki;aZ , �'° 2' Receipt Number: "d4 Cash/Check Number: ESTIMATED COST(REQUIRED) Date: .Fair market value of all labor and materials foundation to finish Initials: ' G.\PermnCenter\###FORMS###\DRD FORMS\Master Permit Application 5-29-08.doc r • • i r • Form 838 WA 712013 Part 815-0-0-38 a+ ilk 'a - VATBR IOb# 7&Z/37 HRAISR?4ST OMPAAT Si.w...wn.r I.,..a.' Customer Satisfaction Form Your Installation Technician Today Was c re 4 10 Point Installation Quality Checklist 1. Was the new unit checked for water leaks? V� ' 6. Water lines purged? 4�'i{ Gas line soap tested for gas leaks? (� 7. Thermostat adjusted to 120 degrees? ,g4 3. Audible electric test? 94 8. Owners manual,warranty info,service stickers 4. Washing machine drain hose replaced if used? on tank? ,j 5. If gas was shut off,were other appliances relit a 9. Installation area left clean? and tested? /10.Technician answered all of your questions? We Strive to Provide You With "Perfect 10" Service 14*- Thank you for Your Business! ( r I'm the Regional Field Supervisor for Western Washington. During your service visit, P'` if you feel my technician did not earn a "10"and you are not 100%satisfied, I want to know about it. Please call or email me today. Steve Berkeley ` (425)636-7076 steveb@fastwaterheater.com - You may also receive a survey about our service. Please let us know how we did so that we can continue to provide you with the best customer service possible! Do You Participate in Online Review Forums? Online word of mouth is very important to us. If you review us online(Google,Angie's List, Insider Pages, etc.)—whether your review is good or bad—we will enter your name into a random drawing and once a month we will give away a free water heater. We also use online feedback to track our customer service performance by technician. If you use a review site that is anonymous—please send us a link to the review so we can keep track of our performance— good or bad. Send your review links to customersatisfaction @fastwaterheaters.com and we will put an entry into the random drawing for each review. I also use the reviews and scores for coaching our team and for improving our customer service performance. So, please send them on! Lastly, if you would not give us a perfect grade,then please call or e-mail me at the contacts above.We want to improve and we want your feedback. jle / 52.1)/a t Z,,e-07.on Customer Si ature Customer Pfinted Name Top-Fast Bottom-Customer FAST WATER HEATER COMPANY Page 1 of 6 1111111kk Washington State Department of ILA, Labor & Industries IFAST WATER HEATER COMPANY Owner or tradesperson 11715 N CREEK PARKWAY S, C-106 JORDAN,JEFFERY DAVID BOTHELL, WA 98011 425-814-8381 Principals KING County JORDAN, JEFFERY DAVID, PARTNER/MEMBER HANLEYBROWN, JASON, PARTNER/MEMBER Doing business as FAST WATER HEATER COMPANY WA UBI No. Business type 602 564 544 Limited Liability Company Parent company FWH ACQUISITION COMPANY LLC 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. FASTWWH948BC Effective—expiration 01/03/2006—01/04/2016 Bond DEVELOPERS SURETY&INDEM CO $12,000.00 Bond account no. 549792C Received by L&I Effective date 01/03/2006 01/01/2005 Expiration date Until Canceled Insurance American States Insurance Co $1,000,000.00 Policy no. 01C155607620 Received by L&I Effective date hups://secure.lni.wa.gov/verify/Detail.aspx?UBI=602564544&LIC=FASTWWH948BC&SAW= 6/25/2014 FWH ACQUISITION COMPANY LLC/DBA FAST WATER HEATER COMPANY 17354 JEFFERSON COUNTY • 6/30/2014 702137 SONYA 19.00 Please fax,email or call with a copy of the permit or permit number mailing the hard copy.Thanks! Phone:425-636-7084 Fax:425-636-7085 Email:sthapa @fastwaterheater.com FWH - PERMIT ACC 702137 SONYA"ADDITIONAL" 19.00 FWH ACQUISITION COMPANY LLC!DBA FAST WATER HEATER COMPANY 1 7289 JEFFERSON COUNTY • 6/18/2014 702137 HARMON 152.00 Please fax, email or call with a copy of the permit or permit number mailing the hard copy.Thanks! Phone:425-636-7084 Fax Email:sthapa @fastwaterheater.com FWH - PERMIT ACC 702137 HARMON 152.00 1,063� JEFFERSON COUNTY DEPARTMEI OF COMMUNITY DEVELOPSNT �, Date: ? 2s-Time Received: /9Z am/ r� on Tue. Wed. Thur. Fri. Date: '7-? BLD: 141— / Contact Name: Owner: Contact Number: 3603 7 Address: i7 /3 /V cizeitiate, C r 206 Notes: 44 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 • • 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#: BLD14-00224 Received Date 6/25/2014 SITE ADDRESS: 51 N CHANDLER CT Issue Date 7/3/2014 PORT LUDLOW, 98365 APPLICANT: SONYA L HARMON PHONE: 360-437-1286 51 N CHANDLER CT PORT LUDLOW WA 98365-9537 SUBDIVISION: INNER HARBOR VILLAGE CONDO Block: Lot: PARCEL NUMBER: 961600502 Section: 17 Township: 28N Range: 01E CONTRACTOR: FAST WATER HEATER COMPANY PHONE: 425-636-7054 12601 132ND AVE NE KIRKLAND WA 98034 Contractor's License FASTWWH948BC Expires 1/4/2016 OWNER, SONYA L HARMON PHONE: 360-437-1286 if different: 51 N CHANDLER CT PORT LUDLOW WA 98365-9537 PROJECT DESCRIPTION: REMOVE &REPLACE ELECTRIC WATER HEATER 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 7/3/2015. REQUIRED INSPECTIONS: Installation per Manufacturer Specifications/CO2: Tank/Line/Appliance: ICI Final Approval: 7/-211/// 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 7/3/2014 l JEFFERSO4111COUNTY DCD _ NO. 148858 DATE 117/0//A9/ ei RECEIVED FROM V► 144b - DESCRIPTION BA AMOUNT ..,:: - CURRENCY �"o �j�� 19, OD!! 'TCI CDIN CHECKS t 44/7 5 ,,..- : ' _,.-7-..,• :,0_•a+ ,, , ft,, ,4,t m ., ', ' . e/ Ce L.,„„„ ii! f utetA o RECEIVED BY tip' /hl/ TOTAL J/, OD JEFFERSO.COUNTY DcD • NO. 148852 DATE l®' )I RECEIVED FROM qfV1-f it-61-4,4131)/ Vin C 4-4-?-e/ DESCRIPTION BARS# AMOUNT CURRENCY p.44,,,,,,,,t- /5-z. n. < - COIN P �, /7� K m s IV A, C) RECEIVED BY TOTAL __1 .' 0