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HomeMy WebLinkAboutBLD2014-00367 - MECHANICAL • BLD14-00367 BUILDING PERMIT APPLICON Review Type: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT#: BLD14-00367 Received Date: 10/10/2014 SITE ADDRESS: 40 GARTEN RD PORT LUDLOW, 98365 OWNER: MERRILL E HODGES PHONE: 360-437-9979 CHARLOTTE M HODGES PO BOX 2907 POULSBO WA 98370-2907 SUBDIVISION: Block: Lot: PARCEL NUMBER: 821344001 Section: 34 Township: 28 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 DESCRIPTIOF NEW HEAT PUMP SYSTEM REPLACE EXISTING HEAT PUMP SYSTEM 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 10/10/14 151595 APPROVED Total: $152.00 OCT 10 nom,,# Jefferson County DCL \\tidemark\data\forms\F_BLD_App_Bld.rpt 10/10/2014 lli r: I I 114 C=) C,J I I--- CL • t--! ; -'- - 0 c._ Ii • 2 Co , Ic 1 aig ••■ ....,...\6 1 - 1 (2_ ---„....,..,_, ... . - 0 ) _......... .....__. _ ----"---.----"7/----- i' \-------------------/-- \ 0 .,' _ • I tiffaiik\r*. JE FFERSON COUNTY i DEPARTMENT OF COMMUNITY DEVELOPMENT 621 Sheridan Street• Port Townsend•Washiington 98368 360/379-4450• 360/379-4451 Fax • �, www.co jefferson.wa.us/commdevelopment Master Permit Application MLA: Project Description(include separate sheets as necessary): • {.Q p kat.G -x•'s'ri n c t-ta .k pv.r.P ` mStt,wN . . Tax Parcel Number. BZ.t 3 9M 00 I Property Size: (acreslSquare feet) Site Address and/or Directions to Property: E( s I v 140 C, ratan ► f of . . Property Owner(s)of Record:, tat rr+►► -Y _ • ,, ■ _- J Telephone: '1Y1 ' a►a 1 at Fax is - 9 2Q14 - . Mailing Address: p.n ..PS otc Aa OOn , o.t►S bO °t`. 3`7 U OCT 1, Applicant/Agent(if different from owner): OUx f k.> tie. .r r n S _ • Telephone: 3►pO-305- S 3 PA Fax email: • , NNW Mailing Address: W..C M 9 . DEPT t":11; !^ ►�� Mtivi' ' What kind of Permit?(Check each box that applies ❑Building ❑Critical Areas Stewardship Plan 0 Demolition Permit ❑Variance(Minor,Major or Reasonable Economic Use) ❑Single Family 0 Garage Attached/Detached ❑Conditional Use[C(a).C(d).or C}'"" • ❑ Manufactured Home 0 Modular ❑Discretionary or Unnamed Use Classification ❑ Commercial* ❑Special Use(Essential Public Facilities)" • ❑ Change of Use 13 Boundary Line Adjustment • 0 Address 0 Road Approach 0 Short Plat"* . ❑Home Business 0 Cottage Industry 0 Binding Site Plan*" ❑Propane O Long Plat** ❑Sign ❑Planned Rural Residential Development(PRRDyAmendments"" - 0 Allowed'Yes"Use Consistency Analysis 0 Plat Vacation/Aferation*" ❑Stormwater Management ❑Shoreline Master Program Exemption/Permit Revisions" ❑Site Plan Approval Advance Determination(SPAAD)* 0 Shoreline Management Substantial Development" 0 Temporary Use 0 S 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 'Reaches a Pre•Apppcation Conference Please Identify any other local,state or federal permits required for this proposal;If known: DESIGNATION OF AGENT I hereby designate � Cki.e. to act as my agent in matters relating to this application for permit(s). Owxaz SIGNATURE � �1�•r ��/� Date: /c) —r / • By signing this application form,the ewner/agent edtests that the Infom ation 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 requi.:. later inspections. , .and right of entry wilt be assumed unless the applicant informs the County time of: : , that he%she, - in at the Signature:�..,/../%. i 41r t4t0J Date: /v CO-�� �rr- 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 fiie a lawsuit on behalf of an endangered species regarding your action(s)even If . are In compliance with the Jefferson County development code.The Applicant acknowledges that he,she or It holds individual Signature: .044 f � � complying with the ESA The Applicant has disda�mmer 6 signs dates it below. 1 /� G: \### \DRDPORMS\MasocrPeani<.Appliarion5- .doe CA./ gC51)6•13). • Parcel Details • Page 1 of 2 • I -'2,-: ''''' , i f rsu un y '' ' , -: e e n o r-91-7,4;7,:,lit-,,- -,-,' :--,,,,k,„ :, ,,,,,Ak -4,iz::= 37:::::- : ''-iiETE:-T,t-:47,--,-; ':t11-7177--iir ,,,'': 7,57-2-z: m Home 4-. County Info -Departments Search Parcel Number: 821344001 SEARCH Parcel Number: 821344001 Printer Friendly Owner Mailing Address: MERRILL E HODGES CHARLOTTE M HODGES PO BOX 2907 POULSBO WA98370-2907 Site Address: 40 GARTEN RD PORT LUDLOW 98365 Section: 34 School District:Chimacum (49) Qtr Section: SE1/4 Fire Dist: Port Ludlow (3) Township: 28N Tax Status: Taxable Range: 1E Tax Code: 0231 Planning area: Paradise Bay (8) Sub Division: Assessor's Land Use Code: 8800 - Designated Forest Land Property Description: S34 T28 R1E NESE(LS W1/2 SESWNESE AND LESS SWSWNESE) Tax,AN, Sales, Photos, and Permit Data Bldg Data Map Parcel Plats&Surveys Septic Monitoring Info Jefferson County HOME 1 COUNTY INFO I DEPARTMENTS 1 SEARCH Best viewed with Microsoft Internet Explorer 6.0 or later 10 Windows - Mac http://www.co.j efferson.wa.us/assessors/parcel/parceldetail.asp?Parcel_NO=821344001 10/10/2014 AIR FLO HEATING CO INC Page 1 of 3 • • 0 , Washington State Department of Labor & industries AIR FLO HEATING CO INC Owner or tradesperson 221 W CEDAR ST BEQUETTE, MICHAEL SEQUIM,WA 98382-3320 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= 10/10/2014 AIR FLO HEATING CO INC Page 2 of 3 • Expiration date • Until Canceled COLONIAL AM CAS&SURETY OF MD $4,000.00 Bond account no. LPM4054452 Received by L&I Effective date 07/18/2001 07/06/2001 Cancelation date 08/21/2010 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 $250.00 Type of violation ELECTRICAL CITATION Description Failure of the electrical contractor to accurately verify electrical training hours on an Affidavit of Experience. Workers' comp Do you know if the business has employees?If so, verify the business is up-to-date on workers' comp premiums. L&I Account ID Account is current. 351,432-00 ................................ Doing business as AIR FLO HEATING COMPANY INC. Estimated workers reported Quarter 2 of Year 2014"21 to 30 Workers" L&I account representative T1 /FEARAED FEROZE(360)902-4797-Email: FERH235©Ini.wa.gov Workplace safety and health Check for any past safety and health violations found on jobsites this business was responsible for. Citation issue date 07/24/2012 Violations Inspection no. 315954529 Location 125 Horizon View Dr. Sequim,WA 98382 https://secure.lni.wa.gov/verify/Detail.aspx?UBI=600347761&LIC=AIRFLHC009C8&SAW= 10/10/2014 AIR FLO HEATING CO INC Page 3 of 3 S ©Washington State Dept.of Labor&industries.Use of this site is subject to the laws of the state of Washington. Access https://secure.lni.wa.gov/verify/Detail.aspx?UBI=600347761&LIC=AIRFLHC009C8&SAW= 10/10/2014 �g ox ���e JEFFERSON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT g9SArx-°$ Date: ii _____ Time Received: ?-78 'pm Mon. We . Thu r. Fri. Date: I I /4- /4- BLD: 14—/Cb?)67 Contact Name: it_ r ` Owner: D61 $ Contact Number: 360 , E/ 761 Address: 0 C� - 206 Notes: HPf ' Y.e pia. 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 a • Jefferson County Building Division Permit Number: BLD14-00367 Applicant: HODGES 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 // /g Fia-2 FINAL FINAL Building 16 of,® /' 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 it twig, OP-6, FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED THIS PERMIT IS VALID FOR ONE YEAR • • BUILDING PERMIT Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 PERMIT#: BLD14-00367 Received Date: 10/10/2014 SITE ADDRESS: 40 GARTEN RD Issue Date 10/10/2014 PORT LUDLOW, 98365 Expiration Date 10/10/2015 OWNER: MERRILL E HODGES PHONE: 360-437-9979 CHARLOTTE M HODGES PO BOX 2907 POULSBO WA 98370-2907 SUBDIVISION: Block: Lot: PARCEL NUMBER: 821344001 Section: 34 Township: 28 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 PROJECT DESCRIPTION: NEW HEAT PUMP SYSTEM REPLACE EXISTING HEAT PUMP SYSTEM 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 10/10/14 151595 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 JEFFERSON COUNTY 0 C'i0 NO. 1515Q5 DATE 10 o )4 c RECEIVED FROM Ow Tto Clrn i DESCRIPTION I BARS# , AMOUNT CURRENCY 47.4. =" t 1 52.r �: COIN CHECK 430x3 2 o 11711 .41MATZIOMMI RECEIVED BY linlifelrigMEEIP TOTAL I , ,