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Home My WebLink AboutBLD2014-00309 - MECHANICAL LDING PERMIT APPLICATION BLD14-00309 Review Type: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT#: BLD14-00309 Received Date: 8/28/2014 SITE ADDRESS: 44 SPARROW CT PORT LUDLOW, 98365 OWNER: KENNETH R EVANS PHONE: CATHERINE A EVANS 44 SPARROW CT PORT LUDLOW WA 98365-9644 9905 SUBDIVISION: Block: Lot: PARCEL NUMBER: 990500015 Section: 17 Township: 28 N Range: 1E CONTRACTOR: BRENNAN HEATING &NC LLC PHONE: 206-248-7900 4601 S 134TH PL SEATTLE WA 98168 Contractor's License BRENNHA971 R9 Expires 7/13/2015 REPRESENTATIVE: PHONE: PROJECT DESCRIPTION INSTALL NEW HEAT PUMP TYPE OF WORK NON SQUARE FOOTAGE: TYPE OF IMP MEC MAIN: VALUATION ADD'L: HEAT TYPE: HTP 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 $152.00 SRE 08/27/14 151453 APPROVED Total: $152.00 APPROVED 2 8 2014 Jefferson County DC \\tidemark\data\forms\F_BLD_App_Bld.rpt 8/28/2014 • • co - JEFFERSON COUNTY erilikt DEPARTMENT OF COMMUNITY DEVELOPMENT `*4 621 Sheridan Street• Port Townsend•Washingtbn 98368 A. p,c .D,,ottcy, 360/379-4450. 360/379-4451 Fax www.co jefferson.wa.us/commdevelopment Master Permit Application MLA: P 'jed• ~ (I 'L a e sheets as ary)� • 0 E! ,-I,o -t Ii■ • Tax Parcel Number: q 0 5 b 00 i 5 Property Size: (acres/square feet) Site Address and/or Directions to Property: 0.r r a..L.) L-ac OO'C s- • Q. Vito Property Owner(s)of Record: a e_y Telephoneto 0. 434 • (Dq 0 Fax: email: Mailing Address: &p-- Applicant/Agent(if different from owner): tell,v`Adr, e Telephone too Q a Q• Fax: )c c 2 Ct O,n email:' i YY1't-C Mailing Address: What kind of Permit?(Check each box that applies ❑Building 0 Critical Areas Stewardship Plan ❑ Demolition Permit ❑Variance(Minor,Major or Reasonable Economic Use) mingle Family ❑Garage Attached/Detached ❑Conditional Use[C(a),C(d),or C]** ❑ Manufactured Home 0 Modular ❑Discretionary"D"or Unnamed Use Classification Special mri Faalities)* ❑ Change of Use ❑B Use O Address 0 Road Approach ❑Short Plat** ❑Home Business ❑Cottage Industry ❑Binding Site Plan'" ❑Propane ❑Long Plat'"' 0 Sign ❑Planned Rural Residential Development(PRRD)/Amendments*- O Mowed*Yes*Use Consistency Analysis El Plat Vacation/Alteration** 0 Stormwater Management ❑Shoreline Master Program Exemption/Permit Revisions** 0 Site Plan Approval Advance Determination(SPAAD)* 0 Shoreline Management Substantial Development** O 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 0 Tree Vegetation Request **Requires a Pre•Appiication Conference Please identify any other local,state or federal permits required for this proposal,If known: I ESl41ATION OF AGENT y�SJl1 I hereby designat= ) • OWNER SIGNATU•RI . A•A ■ _• Date: Q41 rt rot Nt By signing this :...' , 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 attorneys 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- required later inspections. staffs access and right of entry wil be assumed unless the applicant• County in writing at the time of th-app$cation that he or she 16 . prior notice. Q n Signature.= �. A♦�r 'L__ Date: y v`O� 1 4 The action 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 can file a lawsuit on behalf of an endangered species regarding your action(s) if you are in compliance the Jefferson County development code.The Applicant acknowledges that he,she or it holds individual and non rabjp respons inr Bring to and complying with the ESA. The Applicant has read this d' and nd dates it below. Sig �/�/<n o -�s_ Date: 'f G:\PermitCenter\###FORMS###\DRD FORMS\Master Parnit Application 5-29-08.to r • • BUILDER STATEMENT The signer of this statement does hereby certify that they are the Owners of the parcel referenced harsh,that they are not Hoensed contract=and that they will be assuming the responsfedlty of the General Contractor for the proposed project. Signature: Date: ENERAL CONTRACTOR OR F TURED HOME INSTALLER: PHONE: FAX: qt6t II- !mot` _ I 1 � MAILING ADDRESS: b 3 ‘ 111- 411 _ f t •a 1� � ♦- ►C CONTRACTOR'S LICENSE b'(J..N\xY ,, � t �i NS CO tYI NUMBER: NUMBER ARCHITECT/ENGINEER: PHONE ( ) FAX:( ) MAILING ADDRESS: EMAIL Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: ❑ New ❑ Wood Existing: ❑ Sewer ❑ iwtbon ❑ Steel proposed: Bank ❑Community System et'Akeration/Remodel ❑ Concrete Total: Height: ❑ Individual System ❑ Repair ❑ Masonry SEP Permit# ❑ Demolition ❑ Other. Bedrooms: Water Supply: Existing: Setback: ❑ Private well ❑ Two Party Tv pjat 0.S Proposed: ❑ Public C Total: Name of System: If this is = Commercial Protect you must answer the followin�t: Number of Parking Spaces: Current: Proposed: Number of QA Parking Spaces: Number of occupants(;ndudes 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 andlor Appliance Installation permit.mark all items below that aooly: i Underground Tank I Above ground Tank Size of Propane Tank:. I Heat Stove I Cook Stove I Woodstove i Fireplace Insert i Hot Walter Tarok i Peet Stove i Other Is this appliance beina installed In a Manufactured/Mobile Home?, Yes / No When applying fora permit to install a propane tank you must also submit a alts plan showing all of the buildings,all property lines,tank location and size,distances fro m the propane tank tae all Property lines,buildings and septic system components, including the reserve area. Square Footage Current Proposed : Main Floor Heated EH Bid An Review: 2"0 Floor Heated Consistency Review Other Heated Base fee: Mezzanine Additional Section: Heated Basement Pla i Check fee: l State Surcharge fee:Basement Other Unheated I Pot Water Review fee: Garage(Carport SUBTOTAL Decks 911/Rd Approach fee: Other TOTAL: $ Receipt Number: � r Cash/Check Number. ESTIMATED COST(REQUIRED) 5 Date: .Falrmar t value value of at labor and ma ibwtdatlof to awn Initials: G:\Pemutccnmr\###FORMS###\DRD FORMS\ivlasher Permit Application 529 OS.doc Parcel Details Page 1 of 2 • bv Jefferson County Home 1 County Info Departments Search Parcel Number: 990500015 1 SEARCH Parcel Number: 990500015 Printer Friendly Owner Mailing Address: KENNETH R EVANS CATHERINE A EVANS 44 SPARROW CT PORT LUDLOW WA98365-9644 Site Address: 44 SPARROW CT PORT LUDLOW 98365 Section: 17 School District:Chimacum (49) Qtr Section: NE1/4 Fire Dist: Port Ludlow (3) Township: 28N Tax Status: Taxable Range: 1E Tax Code: 0231 Planning area: Port Ludlow (7) Sub Division: 9905 - PORT LUDLOW NO. 4 Assessor'$ Land Use Code: 1100 - Residential - Single Unit Property Description: PORT LUDLOW NO. 4 LOT 15 Tax,A/V,Sales, Photos, and Permit Data Bldg Data Map Parcel Plats&Surveys Septic Monitoring Info '1:"2-#44:. Jefferson County ' HOME I COUNTY INFO I DEPARTMENTS I SEARCH Best viewed with Microsoft Internet Explorer 6.0 or later Windows - Mac http://www.co.jefferson.wa.us/assessors/parcel/parceldetail.asp?Parcel_NO=990500015 8/28/2014 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 $1,000,000.00 Policy no. 9820726 Received by L&I Effective date 06/10/2013 07/13/2007 Expiration date 07/13/2014 Savings No savings accounts during the previous 6 year period. Lawsuits against the bond or savings No lawsuits against the bond or savings accounts during the previous 6 year period. Tax debts https://secure.lni.wa.gov/verify/Detail.aspx?UBI=602346866&LIC=BRENNHA971R9&SAW= 5/8/2014 4g ON CO e. °?� JEFFERSON COUN DEPARTMEN F COMMUNITY DEVELOPM•T `cgsrtl x °$ Date: g/11/,24ime Received: 3. 36 a pm Mon. Tue. ed. Thur. Fria Date: % /TM' BLD: )4-0 p�4 Contact Name: I-l/Ada.,K. Owner: „ ./. , 4 Contact Number: 360 302- 5106 Address: ri/Mr,!7ZW� _ ,• Notes: L MVP' w air Pq C hi 5/C/e&46 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 y Setbacks Floor Foundation Wall Address Posted Block&Tile Ceiling JEFFERSON COUNTY ?t NO. 151 3 DATE `.2 �0/Z/ RECEIVED FROM i31ZI J,J�kll r 'rr�1c- j Aue f'v�t3flr<7"[c�.t�l.VG- / L.0 DESCRIPTION BARS# AMOUNT CURRENCY gLrDG 3.sSE-• Jsz o° GO t.,. COIN SCdK) p • ., T CHECKS R C iNeor 2 m /� 0 .4. 21 4- - „.4iii, .0 _< t / „3 � ��-t-Lu,s�� 4 0 2 �; -{�.�'rte. ? RECEIVED BY %�' 1 TOTAL , 17/ •°° • S��5°N `'moo JEFFERSON COU• q 5 tk j DEPARTMENT OF COMMUNITY DEVELOPMENT �SBf Ncis9 Date: ('q Time Received: 9: ?4' am/pm Mon. Tue. Wed. 0. Fri. Date: — t( BLD: `6C' ?°°' Contact Name: Owner: �,,t.),N) Contact Number: 360 4. - 31O Address: 4 ; X',,/I'1, to-c. c,,Ac- 206 Notes: c`' (A.--,.,.,... 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 Jefferson County Building Division Permit Number: BLD14-00309 Applicant: EVANS BUILDING PERMIT INSPECTION APPROVALS Applicable Code: 2012 International Building Codes To schedule inspections, call (360)379-4455 no later than 3:00PM the day before the inspection is needed. Requests received after 3:00 PM will not be scheduled for the next day's inspections. ELECTRICAL PERMITS are issued by the Washington State Department of Labor& Industries. The electrical permit must be signed off by the State Inspector prior to the County's Framing Inspection Inspection Item Date Approval Signature Notes Mechanical Systems q/ii/j INSTALL 2 1/2 TON HEAT PUMP A final inspection will not be scheduled until all of the following are completed and signed off by the applicable Department: • Building Permit Conditions are met • Septic Permit Final/Complete for any building containing plumbing • Land Use Conditions met and signed off • Public Works Permit Final(where applicable) FINAL INSPECTION 0/1e f FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED THIS PERMIT IS VALID FOR ONE YEAR efirtaktal BiiILI &i," S CONDITIONS for Building Permit# : II \\tidemark\data\forms\F_BLD_Permit_BIdg.rpt 8/28/2014 • BUILDING PERMIT Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 PERMIT#: BLD14-00309 Received Date: 8/28/2014 SITE ADDRESS: 44 SPARROW CT Issue Date 8/28/2014 PORT LUDLOW, 98365 Expiration Date 8/28/2015 OWNER: KENNETH R EVANS PHONE: CATHERINE A EVANS 44 SPARROW CT PORT LUDLOW WA 98365-9644 9905 SUBDIVISION: Block: Lot: PARCEL NUMBER: 990500015 Section: 17 Township: 28 N Range: 1E CONTRACTOR: BRENNAN HEATING &NC LLC PHONE: 206-248-7900 4601 S 134TH PL SEATTLE WA 98168 Contractor's License BRENNHA971 R9 Expires 7/13/2015 PROJECT DESCRIPTION: INSTALL NEW HEAT PUMP TYPE OF WORK NON SQUARE FOOTAGE: TYPE OF IMP MEC MAIN: VALUATION ADD'L: HEAT TYPE: HTP 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: Type Amount Paid By: Date: Receipt: BEDROOMS: BATHROOMS: Permit $152.00 SRE 08/27/14 151453 Exist: Exist: Total: $152.00 Prop: Prop: Total: Total: Directions to Site: HEALTH DEPARTMENT AND PUBLIC WORKS APPROVAL REQUIRED PRIOR TO FINAL INSPECTION THIS PERMIT IS VALID FOR ONE YEAR OR IT MUST BE PROPERLY RENEWED BUILDING INSPECTION HOT-LINE 379-4455. Request must be received by 3pm the day before the inspection is needed. Office Hours 9:00 am -4:30 pm MONDAY- THURSDAY HOT LINE AVAILABLE 24 HOURS A DAY