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HomeMy WebLinkAboutBLD2014-00252 - MECHANICAL SJILDING PERMIT APPLICAN Review Type: Jefferson County Department of Community Development BLDI4-00252 621 Sheridan Street Port Townsend, WA 98368 PERMIT#: BLD14-00252 Received Date: 7/18/2014 SITE ADDRESS: 430 SOUTHPORT LN PORT TOWNSEND, 98368 OWNER: PATRICIA L FITZGERALD PHONE: 360-301-6190 JON R VOELKER 430 SOUTHPORT LN PORT TOWNSEND WA 98368-9336 SUBDIVISION: Block: Lot: T 25+ PARCEL NUMBER: 901081022 Section: 8 Township: 29 N Range: 1V1 CONTRACTOR: ALL WEATHER HTG &COOLING PHONE: 360-452-9813 302 KEMP STREET PORT ANGELES WA 98362 Contractor's License ALLWEHC150KU Expires 9/4/2015 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: IRouting Date: Type Amount Paid By: Date: Receipt: AP Permit $152.00 SRE 07/18/14 148892 Total: $152.00 JUL 18 2014 Jefferson County DCD 1 .. \\tidemark\data\forms\F_BLD_App_Bld.rpt 7/18/2014 All Weather Heating&Cooling Inc. 27365 Jefferson Co. Dept. of Comm. Development 7/17/2014 COG-DIR:575 • Permits & Fees Permit for Voelker A5914 171.00 Business Checking Fir Permit for Voelker A5914 171.00 , ii__Ciii-'2,52___ ..,cgdN V� °o JFFFIPRSON COUNTY w DEPARTMENT COMMUNITY DEVELOPMENT g. 621 Sheridan Street 1 Port Townsend,WA 98368 I Web:vr .co.jefferson.wa.usicommunitydevelapment %, ,e Tel:360.379.4450 I Fax:360.379.4451 (Email:dcd@co.jefferson.wa.us Building Permits&Inspections I Development Consistency Review I Long Range Planning 1 Watershed Stewardship Resource Center Master Permit Application MLA: Project Description(include separate sheets as necessary): Install heat pump Tax Parcel Number: 901081022 Property Size: (acres/square feet) Site Address and/or Directions to Property: 430 Southport Lane Port Townsend, WA 98368 °� / Property Owners)of Record: John Voelker 4 Pq?11/s, 1-nr16E,2 6 / / Telephone:360-301-6190 Fax: email: /4/ 0/ 09:144/ Mailing Address: 430 Southport Lane Applicant/Agent(if different from owner): Telephone: 360-452-9813 Fax: 360452-5177 email: kmckeown@allweatherhc.com Mailing Address: 302 Kemp Street Port Angeles,WA 98362 What kind of Permit?(Check each box that applies ❑Lot or Road Segregation 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 CI** ❑ Manufactured Home ❑ Modular ❑ Discretionary"D"or Unnamed Use Classification ❑ Commercial* ❑Special Use(Esse art: •lic Facilities)** ❑ Change of Use ❑Boundary Line Ad r�t-� Address ❑ Road Approach ❑Short Plat**ID / Q O Home Business Cottage Industry 0 Binding Site Pla L CC, r ID Propane 0 Long Plat** , 0 Sign ❑Planned Rural - tial Rve lopment(PRR� d :nts** 0 Allowed"Yes"Use Consistency Analysis ❑Plat Vacation/'I f r- n** '/ 1 Q Stormwater Management 0 Shoreline Ma ter • •'.ram Exemption/Pg� Rev -$O - 0 Site Plan Approval Advance Determination(SPAAD)* ❑Shoreline M ageme - •stantial Develo men ❑Temporary Use ❑Shoreline M-r agewit Vice,.' «r ❑Wireless Telecommunication* ❑Comprehensive •tan/1itettrom.1so Au ,, , : dment ❑Forest Practices Act/Release of Six-Year Moratorium ❑Jefferson County Shoreline - -IT .., m Amend •nt *May require a Pre—Application Conference ❑Tree Vegetation Request pmFlllf' **Requires a Pre-Application Conference Please identify any other local,state or federal permits required for this proposal,if known: & CO All Weather Heatin OtTtI NATION OF AGENT I hereby designate 9 Y to act as my agent in matters relating to t 's appfcation for permit(s). X OWNER SIGNATURE / - /44 Date: 7 05- /7 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 re uired later inspections. Staff's access and right of entry will be assumed unless the applicant inf rms e County in writing at the time of the appljty io a a or she wants prior notice. X Signature: • Date: 7/r 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 can file a lawsuit on behalf of an endangered species regarding your i action(s)even if are in co liance with the Jefferson County development code.The Applicant acknowledges that he she or it holds individual X and non-transf lepon ility for adhering to and complying with the ESA. The Applicant has read this discla' er d signs and dates it below. X Signature: �/ Date: 7,5,E 07/24/2013 0 A -4r BUILDER STATEMENT p The signer of this st n does hereby certify that they are the Owners of the parcel referenc herein,that they are not licensed contractors and that they will be assn th spo sibili the General Contractor for the proposed project. J X Signature: • Date: -ifI�f{ T ' GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAX: (360-391-6190 ( ) MAILING ADDRESS: 430 Southport Lane EMAIL: CONTRACTOR'S LICENSE WAINS NUMBER: NUMBER ARCHITECT/ENGINEER: PHONE (360-311-6190 FAX:( ) MAILING ADDRESS: 430 Southport Lane EMAIL Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: ❑ New ''Wood Existing: ❑ Sewer ❑ Addition ❑ Steel Proposed: Bank ❑ Community System ❑ Alteration/Remodel ❑ Concrete Total: Height: ❑ Individual System ❑ Repair ❑ Masonry SEP Permit# ❑ Demolition ❑ Other: Bedrooms: Water Supply: Existing: Setback: ❑ Private well ❑ Two Party Typg of Heat: Proposed:Total: ❑ Public k`r_ Name of System: If this is a Commercial Proiect 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: Underground Tank Above ground tank Size of Propane Tank: Heat Stove Cook Stove Woodstove Fireplace.nsert rehtO i evot' . - knaT retaWtoH I Is this appliance being installed in a Manufactured/Mobile Home? Yes / No f When applying for a permit to install a propane tank you must also submit a site plan, • • •l i all property lines,tank location and size,distances from the propane tank to all property lines,b i " and se. . v s f ..mpongnts, including the reserve area. 4 v ,/,- / '�: Square Footage Current Proposed For Office Use Only " AmouI R evision f 1 Main Floor Heated EH Bld App Review. 4/7 i`2"0 Floor Heated Consistency Review: OFCO ��?ONOOU Other Heated Base fee: IC)2 ry0 ►0/''VNT Mezzanine Additional Section: 1 1 •U(� Heated Basement Plan Check fee: Unheated Basement State Surcharge fee: Other Unheated Pot Water Review fee: Garage/Carport SUBTOTAL Decks 911/Rd Approach fee: Other TOTAL: $ \--7 I • 00 Receipt Number: L l L Cash/Check Number: ESTIMATED COST(REQUIRED) Date: i E}L>� •Fair market value of all labor and materials foundation to finish W/ IL Initials: c 07/24/2013 Page 1 o1 2 ALL WEATHER HTG & COOLING INC Ya g Washington State Department of Labor & industries ALL WEATHER HTG & COOLING INC Owner or tradesperson 302 KEMP ST MCKEOWN,THOMAS J JR PORT ANGELES, WA 98362 360-452-9813 Principals CLALLAM County MCKEOWN, THOMAS J JR, PRESIDENT MCKEWON, IDA L, SECRETARY Doing business as ALL WEATHER HTG &COOLING INC WA UBI No. Business type 600 485 640 Corporation ILicense 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. ALLWEHC150KU Effective—expiration 05/31/1985—09/07/2015 Bond TRAVELERS CAS&SURETY CO $12,000.00 Bond account no. 104990651 Received by L&I Effective date 08/14/2007 09/01/2007 Expiration date Until Canceled Bond history Insurance Continental Western Ins Co $1,000,000.00 Policy no. CWP2951319 Received by L&I Effective date 08/30/2013 09/01/2011 Expiration date 09/01/2014 ALL WEATHER HTG & COOLING INC Page 2 of 2 Insurance history • • 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. L&I Tax debts No L&I tax debts are recorded for this contractor license during the previous 6 year period, but some debts may be recorded by other agencies. License Violations No license violations during the previous 6 year period. 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. 482,580-00 Doing business as ALL WEATHER HEATING &COOLING Estimated workers reported Quarter 1 of Year 2014"11 to 20 Workers" L&I account representative T1 /TYRONE COLEMAN (360)902-4807-Email: COTI235 @Ini.wa.gov IWorkplace safety and health No inspections during the previous 6 year period. ©Washington State Dept.of Labor&Industries. Use of this site is subject to the laws of the state of Washington. Aces Wialiington Parcel Details Page 1 of 2 • • 1-t„, t arJefferson County E : Home : County Info $ Departments / Search Parcel Number: 901081022 SEARCH Parcel Number: 901081022 Printer Friendly Owner Mailing Address: PATRICIA L FITZGERALD JON R VOELKER 430 SOUTHPORT LN PORT TOWNSEND WA98368-9336 Site Address: 430 SOUTHPORT LN PORT TOWNSEND 98368 Section: 8 School District: Port Townsend (50) Qtr Section: NE1/4 Fire Dist:Chimacum (1) Township: 29N Tax Status: Taxable Range: 1W Tax Code: 0111 Planning area: Discovery Bay (5) Sub Division: Assessor's Land Use Code: 1101 - Residential - MH W/Land Property Description: S8 T29 R1W TX 26 1/8 INT IN TX 25 TL TAX N W/EASE Tax,A/V, Sales, Photos, and Permit Data Bldg Data Map Parcel Plats&Surveys Septic Monitoring Info 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=901081022 7/18/2014 JEFFERSON COUNTY '� NO. 148592 DATE .1-1 COUNTY 1 RECEIVED FROM �� ■ ��'`-�- . DESCRIPTION r.,�,,B•ARS#''` AMOUNT CURRENCY(k41 (v S �S�' COIN , � of o�-Z f.�3�s 2 --I m C) 0 Vie, ) ~.4. RECEIVED BY je' TOTAL IT1-- 5 ee sON co JEFFERSON CO. • gG 40R DEPARTMENT OF COMMUNITY DEVELOPMENT - - �' 5 Date: '�' ( r('3/ Time Received: It r pm Mon. Tue. Wed. Thur. Fri. 1 / Date: ta' 5- BLD: Jy'_ £502 Contact Name: Owner: V V Lay' Contact Number: 360 2 ggy3 Address: Lt1 see e 206 Notes: 1/1"(- 4 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 - ON—, ---- 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#: BLD14-00252 Received Date 7/18/2014 SITE ADDRESS: 430 SOUTHPORT LN Issue Date 7/18/2014 PORT TOWNSEND, 98368 APPLICANT: PATRICIA L FITZGERALD PHONE: 360-301-6190 JON R VOELKER 430 SOUTHPORT LN PORT TOWNSEND WA 98368-9336 T 25+ SUBDIVISION: Block: Lot: PARCEL NUMBER: 901081022 Section: 8 Township: 29N Range: 1W CONTRACTOR: ALL WEATHER HTG &COOLING PHONE: 360-452-9813 302 KEMP STREET PORT ANGELES WA 98362 Contractor's License ALLWEHC150KU Expires 9/4/2015 OWNER, PATRICIA L FITZGERALD PHONE: 360-301-6190 if different: JON R VOELKER 430 SOUTHPORT LN PORT TOWNSEND WA 98368-9336 PROJECT DESCRIPTION: Install NEW 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 7/18/2015. REQUIRED INSPECTIONS: Installation per Manufacturer Specifications/CO2: K 8/.q/1/ is . Final Approval: -Cca41 rte✓, #5/11/ 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 7/18/2014 • e ri,ad Q c) 71 Qy