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BLD2014-00362 - MECHANICAL
UILDING PERMIT APPLICION BLD14-00362 Review Type: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT#: BLD14-00362 Received Date: 10/8/2014 SITE ADDRESS: 123 BEACH DR NORDLAND, 98358 O , OWNER: THOMAS D WEINER PHONE: LINDA L WEINER 123 BEACH DR NORDLAND WA 98358-9601 9525 SUBDIVISION: Block: Lot: PARCEL NUMBER: 952500005 Section: 8 Township: 29 N Range: 1E CONTRACTOR: AIR FLO HEATING COMPANY INC PHONE: 360-683-3901 221 W CEDAR SEQUIM WA 98382 Contractor's License AIRFLI*206DG Expires 4/25/2016 REPRESENTATIVE: PHONE: PROJECT DESCRIPTION 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: outing Date: Type Amount Paid By: Date: Receipt: Approved/Date Permit $152.00 SRE 10/08/14 151590 Total: $152.00 APPROVE OCT -g st4 J, rwarncrtlt565 eraCUQLA. r gA ID/9 ILI \\tidemark\data\forms\F_BLD_App_Bld.rpt 10/8/2014 S LDI Z JEFFERSON COERITY DEPARTMENT OF CO M UNT ITTY 621 Sheridan Street•Port Townsend-Washing xn 88368 . 36W379.4450. 360/379.4451 Fax ww w.roielFeraort.vva. Master Permit Application MLA: Project Description(include sheets as :..,. : ik Ir a, - - -la! • . in.<•. .t _ . .� _or Tax Panel Number g5}5 oc)0c'j 0,i— (ors bet) Site Address and/or Directions to Property: Property Owner(s)of Record: 0 1•3\ Is:jc . `►�Sr'_— Telephone: ?,(( ,`• I t I a Fax earesi TU: _ Mailing Address: 1 3 -( , 1■ i i I Sg3-4-, A,apfi�IU (if different from omen: Q�_ ..PO ,Telephone 4O-Vd3-390 I F a x: 3/eO—!i —A5''7/ e m e l t • : . ,' _ :� !Mang Address: " What kind of Permit?(Check each box that apples 0Emlidkg 0 Critical Areas Stewardship Plan O Demolition Pam* 0 Variance Qatar,Major or Reasonable Economic Use) ❑Single FaNy 0 Gage Meted i Detached O Conditional Use[C(a).C(d),or t " O Manulactured Home 0 Modular 0 Disoretlonery17 or Unnamed Use Classlloadon O Commercial• 0 Special Use(Essential Public Facades)•- ❑ Change of Use 0 Botetdfsy Use Adjustment O Address 0 Road Approach 0 Short Plat•• ❑Home Business 0 Collage industry 0 Btnxling Site Plan"• 0 Propane 0 Long Plat" o Sign 0 Penned Rim*Residential Development(t'RROYArntendme nts" 0 Allowed'Yes"Use Consistency Analysis 0 Plat Vacedorstidention•` 0 Sb nn atler Management 0 Shoreline Master Rogow BuenploniPennit Revisions" 0 Site Plan Approval Advance Debsnnination(SPAM))° 0 Shorans Management Substential Developmerd" € o o �Variance Wireless Tr Complehendve Pland/DCA and Use UMW k ,Amendment O Forest Preotioes AdiRatease of S'br-Year Mondorkm ❑Jefferson County Shoreline Master Program Amendment `Miry minks a Pro-Applaraoe Cbaf renal 0 Tree Vegetation Request ••parolesa Pee,i(pafi_rion taonbreeree P lease Identify any other local.elate or federal permits ragtired for this proposal,tf known: DESKINA1104 OF ALIT I hereby d e s i g n er s M a l t e s e )- ` OWNER S1WalITUIlE it C Data. �j- ( I. By at *N anti oPPI1010111 form,the awairfeeent auras that aka W—t- ba p.Mded llama.and in any attachments,is true and correct to the bast of his,her or its turn rdedpe. My mate.aloaoed or any oaiesion of a ataledd feet made by the owner agent with rasped beds applotdiou ambit may result hi this wellbeing nen and void. I further epee to save,kidarntnay and hold he n iese Jeaamon Comfy against al sibs,Judgments,wart oasts.mesons his aaansy's fees and expenses which may he any way accrue tumbrel bassos Candy as a meek afar in corssrawnce of eta grananp of this Dolma. I further apse to provide amass aid right of entry tO JrMson sad is empbyses,wpnesen4ues or agents for the sole purpose of application mime and any - amass and A D M of e n t r y*U b e assumed u n l e s s the s p o k e d intones**County in vatting at the time tithe _,f_' he or she 2 f, [ j S_astme• a i✓�"` late: r! V 2 ( / The aelbn or aaaons.Append nt wa enderbie as a melt dile beee roe OM penal may nagallvely impact ease one or mar tMeasrwd or endangered epodes and could deed le a potential Via'of an eraanpaed species as arose leans as daised hi ihs adage tame lumen as le 'Endangered Species Act or'ESA."Jeaeasat County makes no aseaarnoss to the endorse that the actions sad will be andsdiikef bemuse ails psere has been issued wan not Adds as ESA. My Wielded.group or agsrngr canes a Jamul on behalf of an endangered species alpetdbg your *climb)awn If you is carnelian=with Mrs • County dew eloprrnarnt code.The Apploant asthenia gas oat ha,she or a folds indkdu+l t LZ. , •with the ESA. The Appian has read are • y,, and •, and. It below, K eat d 1afrnaPeou�tA¢PbwemS BRdae ;' L� 5 �\` Cr \ Ratlyt #' 1S‘ 990 c 43c3l 1 1� - r Rol DEpT.nc[',gl.-_1N',1 Y n , 2 -. Ner )10 •-• � / a 5eAch Dr; ....... W ..... , tr-- 9. 0 (ti \\q , tatS0 7:„ G „17. 5.) t ogc 6 KO 6 Mir ■ (66) &4 ■ CI (. AU iti a 4 I M ■ Ji ii , . 1' 4 iE LkSO OU'VTY DEPT OF CC PO T n) -1 AIR FLO HEATING CO INC Page 1 of 2 il • • 0 Washington State Department of Labor & Industries AIR FLO HEATING CO INC Owner or tradesperson 221 W CEDAR ST SEQUIM,WA 98382 3320 BEQUETTE, MICHAEL 360-683-3901 Principals CLALLAM County BEQUETTE, MICHAEL FULLAWAY, MICHAEL BEQUETTE, MARK A, PRESIDENT BEQUETTE, SANDRA A, VICE PRESIDENT BERSON, JOEL R, SECRETARY BERSON, JOEL R, TREASURER LEVINSON, WILLIAM R, AGENT Doing business as AIR FLO HEATING CO INC WA UBI No. Business type 600 347 761 Corporation License Verify the contractor's active registration/license/certification (depending on trade)and any past violations. Electrical Contractor Active. Meets current requirements. License specialties HVAC/RFRG License no. AIRFLHCOO9C8 Effective—expiration 02/28/2000—02/28/2016 Designated administrator BERSON,JOEL RAY Active. Meets current requirements. License type License no. Master Electrician BERSOJR975LB Bond CBIC $4,000.00 Bond account no. si6233 Received by L&I Effective date 05/19/2010 07/06/2010 https://secure.lni.wa.gov/verify/Detail.aspx?UBI=600347761&LIC=AIRFLHC009C8&SAW= 10/8/2014 AIR FLO HEATING CO INC Page 2 of 2 SExpiration date 5 Until Canceled Bond history Savings No savings accounts during the previous 6 year period. License Violations Infraction no. EDORN00206 Satisfied Violation date RCW/WAC 03/28/2013 19.28.161(6)RCW Violation city Violation amount Sequim $250.00 Type of violation ELECTRICAL CITATION Description Failure of the electrical contractor to accurately verify electrical training hours on an Affidavit of Experience. 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. 351,432-00 Doing business as AIR FLO HEATING COMPANY INC. Estimated workers reported Quarter 2 of Year 2014"21 to 30 Workers" L&I account representative T1 /FEARAED FEROZE (360)902-4797-Email: FERH235 @Ini.wa.gov Workplace safety and health Check for any past safety and health violations found on jobsites this business was responsible for. Citation issue date 07/24/2012 Violations Inspection no. 315954529 Location 125 Horizon View Dr. Sequim,WA 98382 ©Washington State Dept.of Labor&Industries.Use of this site is subject to the laws of the state of Washington. Access Wlrgtt 4**,11E'-k' fi%fit'Ak!P7I7T tfi Wes_k, https://secure.lni.wa.gov/verify/Detail.aspx?UBI=600347761&LIC=AIRFLHC009C8&SAW= 10/8/2014 Parcel Details Page 1 of 2 • • IA,: ., ,4,,,r, , e er 0 un y ‘,,,,, ei ,,,.::„ f s n Co 11. LI 1 ''. -.." Home e- County Info `. Departments Search Parcel Number: 952500005 SEARCH Parcel Number: 952500005 Printer Friendly Owner Mailing Address: THOMAS D WEINER LINDA L WEINER 123 BEACH DR NORDLAND WA98358-9601 Site Address: 123 BEACH DR NORDLAND 98358 Section: 8 School District:Chimacum (49) Qtr Section: SE1/4 Fire Dist: Chimacum (1) Township: 29N Tax Status: SNR/DSBL Range: 1E Tax Code: 0211 Planning area: Marrowstone (3) Sub Division: 9525 - FULLER'S ACRES 1ST ADD. Assessor's Land Use Code: 1100 - Residential - Single Unit Property Description: FULLER'S ACRES 1ST ADD LOT 5 Tax,A/V, Sales, Photos,and Permit Data Bldg Data Map Parcel Plats&Surveys Septic Monitoring Info -- a Jefferson County HOME I COUNTY INFO I DEPARTMENTS i SEARCH '' Best viewed with Microsoft Internet Explorer 6.0 or later Windows- Mac http://www.coj efferson.wa.us/assessors/parcel/parceldetail.asp?Parcel_NO=952500005 10/8/2014 40 °oo JEFFERSON COUNP dk dr r iiii),.., DEPARTMENT OF COMMUNITY DEVELOPMENT 49serN°z(3} Date: /IV) 4/i'4nme Received: 05 am/pm Mon. ue. Wee. T ur. Fri. Date: � ,. .1 BLD: , ��,3 ji Contact Name: eJYkt 4 el' Owner: _,---17.—.---_.7___ IAA ` Contact Number: 360 ma Address: EXIj i_ v .M A) /f i 4' 206 Notes: s 4 s ,_mot '/ % / �' / /1/ e.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: BLD14-00362 Applicant: WEINER 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 j FINAL FINAL Building (tv A final inspection will not be scheduled until 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. K FINAL INSPECTION M T BE APPROVED PRIOR TO BUILDING BEING OCCUPIED THIS PERMIT IS VALID FOR ONE YEAR • • CONDITIONS for Building Permit# : II \\tidemark\data\forms\F_BLD_Permit BIdg.rpt 10/8/2014 MOW • BUILDING PERMIT • Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 PERMIT#: BLD14-00362 Received Date: 10/8/2014 SITE ADDRESS: 123 BEACH DR Issue Date 10/8/2014 NORDLAND, 98358 Expiration Date 10/8/2015 OWNER: THOMAS D WEINER PHONE: LINDA L WEINER 123 BEACH DR NORDLAND WA 98358-9601 9525 SUBDIVISION: Block: Lot: PARCEL NUMBER: 952500005 Section: 8 Township: 29 N Range: 1 E CONTRACTOR: AIR FLO HEATING COMPANY INC PHONE: 360-683-3901 221 W CEDAR SEQUIM WA 98382 Contractor's License AIRFLI*206DG Expires 4/25/2016 PROJECT DESCRIPTION: 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 10/08/14 151590 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