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HomeMy WebLinkAboutBLD2014-00403 - MECHANICAL UILDING PERMIT APPLICAN Review Type: Jefferson County Department of Community Development BLD14-00403 621 Sheridan Street Port Townsend, WA 98368 PERMIT#: BLD14-00403 Received Date: 10/29/2014 SITE ADDRESS: 46 NANTUCKET PL PORT TOWNSEND, 98368 OWNER: KARL T&LINDA M KOSTENBADER PHONE: 360-379-8867 2023 E SIMS WY#370 PORT TOWNSEND WA 98368-6905 9650 SUBDIVISION: Block: Lot: PARCEL NUMBER: 965000019 Section: 27 Township: 30 N Range: 1V■ CONTRACTOR: BRENNAN HEATING &A/C 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 AND ELECTRIC WATER HEATER TYPE OF WORK NON SQUARE FOOTAGE: TYPE OF IMP MEC MAIN: VALUATION ADD'L: HEAT TYPE: 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 10/29/14 151673 t � `xF ` Total: $152.00 LIi ,L;ilil: DCL \\tidemark\data\forms\F_BLD_App_Bld.rpt 10/29/2014 r 49 c�� JEFFERSON COUNTY 4014-qo 3 ■•••• offiNk 4 DEPARTMENT OF COMMUNITY DEVELOPMENT 621 Sheridan Street• Port Townsend •Washington 98368 4t, ,, 360/379-4450 • 360/379-4451 Fax q 400 www.co.jefferson.wa.us/commdevelopment OP Master Permit Application MLA: Project aescription(inclu.e .eparate s eets as npcessary): rt Q C-C, IL. t! 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I C- W(-kr L' Tax Parcel Number: I lliing Property Size: (acres/square feet) Site Address and/or D'ections o Property: Property • . e s)of -eco �•r1 �[ 7�WT E Telephone: . i/ 4 d2+� Fax: email: ! =��g T� %Ul)Yl ':.al Mailing Address: ,_ O..M A 3 lock � Applicant/A•ent(if diff-re t from owner): • �� ��'r�, I. • ei ktidi�n Telephone._ i s ._ a = i Fax: - r t + fi 6 Amail: O ( YYIt i' '"[ • Mailing Address: `� M ' �� �'� Co m What kind of Permit?(Check each box that applies ❑Building ❑Critical Areas Stewardship Plan ❑ Demolition Permit ❑Variance(Minor,Major or Reasonable E• e) .„.1R"-Single Family ❑Garage Attached/Detached ❑Conditional Use[C(a),C(d),or CI** 1J ❑ Manufactured Home ❑ Modular ❑Discretionary"D"or Unnamed Use CIa- ' 0 ." n ❑ Commercial* ❑Special Use(Essential Public Facilitie % / C� �j ❑ Change of Use ❑Boundary Line Adjustment ) V /' ❑ Address ❑ Road Approach ❑Short Plat'"` f f ❑Home Business ❑Cottage Industry ❑Binding Site Plan** 2 ❑Propane ❑Long Plat'" 9 l / ❑Sign ❑Planned Rural Residential Develo•ment(PF/R9)/Amendments'"' ❑Allowed"Yes"Use Consistency Analysis ❑Plat Vacation/Alteration** DEp JET): ""` ❑Stormwater Management ❑Shoreline Master Program Exemption/•e t'.=;. •i'Yt00 ❑Site Plan Approval Advance Determination(SPAAD)* ❑Shoreline Management Substantial Developmen �tv irpri,.c. ❑Temporary Use ❑Shoreline Management Variance 0,v.v ❑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: till DE`IGNATION OF AGENT I hereby designate ., .4•4' / ._4. ^_ •e ct as my agent in matters relating to thi applica Ii on`f permit(s). - Date: I O�d`Q "t OWNER SIGNATURE � Leta I . ,.ice\ _ — By signing this appli•=ti• 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 agr=- to 'rovide access and right of entry to Jefferson County and its employees,representatives or agents for the sole purpose of application review and ny re•uired later inspections. tafrs access and right of entry will be assumed unless the applicant inf rms the oun in writing at the time of th‘ap.' n that he or she w: ,rior notice. 0 n l) �f r Date: V�Or pt / "`111 Signature: Ir a■A A ..,a� - The action '�ctions 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 pecies Act"or"ESA."Jefferson County makes no assurances to the applicant that the actions that will be undertaken because this permit has e 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) en f you are in compliance wi the Jefferson County development code.The Applicant acknowledges th t he,she r it holds individual and non-,rans ble responsibility for h ring to and complying with the ESA. The Applicant has read this d' c15 raft ig s,anctjdates it below. Signatur Date: 1 G:\PernutCenter\###FORMS###\DRD FORMS\Master Permit Application 5-29-08.doc r J rJ 4 1 L �- ece( 4- ! t • • 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: ENERAL CONTRACTOR OR ANUFACTURED HOME INSTALLER: PHONE: FAX: _ (' O 0 (i (r6lo "l o t MAILING ADDRESS: II 3 \ �C:ei:1ima'=- INS !_ •• / ' -•- =a' • C. fYl CONTRACTOR'S LICENSE h .e xvx\ .: --AA NUMBER: �NUMBER ARCHITECT/ENGINEER: PHONE ( ) FAx:( ) MAILING ADDRESS: EMAIL Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: O New ❑ Wood Existing: 0 Sewer ❑ Al.dition ❑ Steel Proposed: Bank 0 Community System Alteration/Remodel 0 Concrete Total: Height: ❑ Individual System ❑ Repair 0 Masonry SEP Permit# ❑ Demolition 0 Other: Bedrooms: Water Supply: Existing: Setback: i-i Private well ❑ Two Party Type of Heat: Proposed: 0 Public ( C. Total: Name of System: If this is a Commercial Protect 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 I 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. AIT ' . S•uare Foota•e Current Pro osed ':.1•2 ,4�,..�,.. ,1. ,. Main Floor Heated ... EH Bld App Review: 2 ' Floor Heated X ii qw. Consistency Review: ,, �' Base fee. rSZ�00 Other Heated x a ;I 'ir ,i,‘..„-,4; L'i. 'ra, } a H a ' Additional Section: vp Mezzanine + li Heated Basement h% , r q , 1 t Plan Check fee: Unheated Basement x � R 4� State Surcharge fee: Other Unheated a`117,,T a '' Pot Water Review fee: — ` ' Garage/Carport i:� ,. 4,gk. SUBTOTAL I t 1, z 7 q ' Dp Decks ,4, I A�: , 911/Rd Approach fee: Other Y, .1 TOTAL: $ �. � � � 4 ICI � Receipt Number: r,1 ti, ,, x=, Cash/Check Number: T14 ESTIMATED COST(REQUIRED) Date: St I , r ' C - -- V _ .Fair market value of all labor and materials foundation to finish Initials: i DI 2-1/I I li OCT 2 9 2014 1U L. 1 G:\PermitCenter ###FORMS###\DRD FORMS Permit Application 5-29-08.doc \ JEFFERSON COUNTY DEPT.OF COMMUNITY DEVELOPMENT Parcel Details Page 1 of 2 S trAt r At Jeffer Home County Info : Depertments eorch Parcel Number: 965000019 I SEARCH Parcel Number: 965000019 Printer Friendly Owner Mailing Address: KARL T & LINDA M KOSTENBADER 2023 E SIMS WY #370 PORT TOWNSEND WA98368-6905 Site Address: 46 NANTUCKET PL PORT TOWNSEND 98368 Section: 27 School District: Port Townsend (50) Qtr Section: NE1/4 Fire Dist:Chimacum (1) Township: 30N Tax Status: Taxable Range: 1W Tax Code: 0111 Planning area:Tri-Area (4) Sub Division: 9650 - KALA POINT 3-8 Assessor's Land Use Code: 1100 - Residential - Single Unit Property Description: KALA POINT #3 LOT 161 SUB] TO EASE Tax,A/V, Sales, Photos,and Permit Data Bldg Data Map Parcel Plats&Surveys Septic Monitoring Info ° i 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 N0=965000019 10/29/2014 BRENNAN HEATING&A/C LLC Page 1 of 5 i Washington State Department of Labor & industries I BRENNAN HEATING & A/C LLC Owner or tradesperson 4601 S 134TH PL ERDAHL, SEATTLE,WA 98168 RDAHL, DARRIN P 206-248-7900 Principals KING County ERDAHL, DARRIN P, 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. Electrical Contractor Active. Meets current requirements. License specialties GENERAL License no. BRENNHA962DU Effective—expiration 03/31/2004—03/31/2016 Designated administrator Active. Hohenstein,James L Meets current requirements. License type License no. Electrical Administrator HOHENJL906C6 Bond FEDERATED MUTUAL INS CO $4,000.00 Bond account no. 9127229 Received by L&1 Effective date 11/04/2004 12/22/2004 Expiration date Until Canceled Savings No savings accounts during the previous 6 year period. License Violations Infraction no. EMURD00580 Satisfied Violation date RCW/WAC https://secure.lni.wa.gov/verify/Detail.aspx?UBI=602346866&LIC=BRENNHA962DU&SAW= 10/29/2014 BRENNAN HEATING& A/C LLC Page 2 of 5 09/19/2014 19.28.101 RCW Violation city Violation amount SEATTLE $100.00 Type of violation ELECTRICAL CITATION Description Improper use of a Class B work permit. Electrical installation is outside the scope of a Class B work permit,the class B work permit is not valid. (See also WAC 296-46B-901,and WAC 296-46B-908). Infraction no. EHUMI00307 Satisfied Violation date RCW/WAC 10/03/2013 19.28.101 RCW Violation city Violation amount SEATTLE $2,000.00 Type of violation ELECTRICAL CITATION Description Failing to get an inspection or obtain an electrical/telecommunications work permit or post a provisional electrical work permit prior to beginning the electrical/telecommunication installation or alteration as referenced in WAC 296-46B-901. Infraction no. EMOMJ00566 Satisfied Violation date RCWNVAC 06/17/2013 19.28.101 RCW Violation city Violation amount Seattle $250.00 Type of violation ELECTRICAL CITATION Description Failing to get an inspection or obtain an electrical/telecommunications work permit or post a provisional electrical work permit prior to beginning the electrical/telecommunication installation or alteration as referenced in WAC 296-46B-901. Infraction no. EBJOR00308 Satisfied ........................... Violation date RCW/WAC 10/09/2012 19.28.101 RCW Violation city Violation amount SEATTLE $1,000.00 Type of violation https://secure.lni.wa.gov/verify/Detail.aspx?UBI=602346866&LIC=BRENNHA962DU&SAW= 10/29/2014 BRENNAN HEATING& A/C LLC Page 3 of 5 ELECTRICAL CITATION Description Failing to obtain or post an electrical/telecommunications work permit prior to beginning the electrical/telecommunication installation or alteration as referenced in WAC 296-46B-900 (3)(6),effective after 12/30/2008 see WAC 296- 46B-901. . .........._......................_... Infraction no. EBOES00672 Satisfied Violation date RCW/WAC 03/16/2012 19.28.101 RCW Violation city Violation amount SEATTLE $1,000.00 Type of violation ELECTRICAL CITATION Description Failing to obtain or post an electrical/telecommunications work permit prior to beginning the electrical/telecommunication installation or alteration as referenced in WAC 296-46B-900 (3)(6),effective after 12/30/2008 see WAC 296- 46B-901. Infraction no. EMOMJ00371 Satisfied Violation date RCW/WAC 10/05/2011 19.28.101 RCW Violation city Violation amount Seattle $500.00 Type of violation ELECTRICAL CITATION Description Failing to request an inspection within 3 business days after completion of the installation or 1 business day after energizing, whichever occurs first as referenced in WAC 296-46B-900(10)(a),effective after 12/30/2008 see WAC 296-46B-901(10)(a). Infraction no. EMOMJ00373 Satisfied Violation date RCW/WAC 10/05/2011 19.28.101 RCW Violation city Violation amount Seattle $500.00 Type of violation ELECTRICAL CITATION https://secure.lni.wa.gov/verify/Detail.aspx?UBI=602346866&LIC=BRENNHA962DU&SAW= 10/29/2014 BRENNAN HEATING& A/C LLC Page 4 of 5 Description Failing to request an inspection lb 3 business days after completion of the installation or 1 business day after energizing, whichever occurs first as referenced in WAC 296-46B-900(10)(a),effective after 12/30/2008 see WAC 296-46B-901(10)(a). Infraction no. Satisfied ECAM000306 Violation date RCW/WAC 03/31/2011 19.28.101 RCW Violation amount Violation city $500.00 SEATTLE Type of violation ELECTRICAL CITATION Description Failing to request an inspection within 3 business days after completion of the installation or 1 business day after energizing, whichever occurs first as referenced in WAC 296-46B-900(10)(a),effective after 12/30/2008 see WAC 296-46B-901(10)(a). Infraction no. ECAM000299 Satisfied Violation date RCW/WAC 03/31/2011 19.28.101 RCW Violation amount Violation city $500.00 SEATTLE Type of violation ELECTRICAL CITATION Description Failing to request an inspection within 3 business days after completion of the installation or 1 business day after energizing, whichever occurs first as referenced in WAC 296-46B-900(10)(a),effective after 12/30/2008 see WAC 296-46B-901(10)(a). Infraction no. Satisfied EJONV00860 ........................ Violation date RCW/WAC 03/10/2009 19.28.101 RCW Violation amount Violation city $50.00 SEATTLE Type of violation ELECTRICAL CITATION Description Failing to request an inspection within 3 business days after completion of the https://secure.lni.wa.gov/verify/Detail.aspx?UBI=602346866&LIC=BRENNHA962DU&SAW= 10/29/2014 BRENNAN HEATING & A/C LLC Page 5 of 5 installation or 1 business day aft rgizing, III whichever occurs first as referenc WAC 296-46B-900(10)(a),effective after 12/30/2008 see WAC 296-46B-901(10)(a).SERIOUS VIOLATION Infraction no. ESTRL00767 Satisfied Violation date RCWIWAC 01/27/2009 19.28.101 RCW Violation city Violation amount SEATTLE $250.00 Type of violation ELECTRICAL CITATION Description Failing to request an inspection within 3 business days after completion of the installation or 1 business day after energizing, whichever occurs first as referenced in WAC 296-46B-900(10)(a),effective after 12/30/2008 see WAC 296-46B-901(10)(a). IWorkers' comp I 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. 803,761-08 Doing business as BRENNAN HEATING &AIR CONDIT Estimated workers reported Quarter 2 of Year 2014"76 to 100 Workers" L&I account representative T4/ALISON WOODWARD(360)902-4629-Email:WOAL235©Ini.wa.gov I Workplace safety and health I 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. Access as if tC}11€°' https://secure.lni.wa.gov/verify/Detail.aspx?UBI=602346866&LIC=BRENNHA962DU&SAW= 10/29/2014 Jefferson County Building Buildin Division Permit Number: BLD14-00403 Applicant: KARL T&LINDA M KOSTENBADE 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 Miscellaneous ///A Pt/ AZ l[�ePetri ertt M P Miscellaneous I/�J I 64- Ho-r 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 i iNif 4 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#: BLD14-00403 Received Date: 10/29/2014 SITE ADDRESS: 46 NANTUCKET PL Issue Date 10/29/2014 PORT TOWNSEND, 98368 Expiration Date 10/29/2015 OWNER: KARL T&LINDA M KOSTENBADER PHONE: 360-379-8867 2023 E SIMS WY#370 PORT TOWNSEND WA 98368-6905 9650 SUBDIVISION: Block: Lot: PARCEL NUMBER: 965000019 Section: 27 Township: 30 N Range: 1V1 CONTRACTOR: BRENNAN HEATING &A/C 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 AND ELECTRIC WATER HEATER TYPE OF WORK NON SQUARE FOOTAGE: TYPE OF IMP MEC MAIN: VALUATION ADD'L: HEAT TYPE: 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 10/29/14 151673 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 G2 JEFFERSON COUNTY ,}��L 1'e4 V k a�Ti { 9So DEPARTMENT OF COMMUNITY DEVELOPMENT Date: II ,-14 Time Received: 103 LI C°'%'/pm Mon. Tue. Wed. hur Fri. Date: 11 BLD: tL( — 1103 Contact Name: Owner: ( Contact Number: 3605W ,t'/j 7 Address: cit, F`1U.Ktuc,gi p 1_ 206 Notes: 1 PJl. al W/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 JEFFERSON COUNTY NO. 151673 DATE 1.°--7. °1-11 RECEIVED FROM ��- '�GN1 1� C t'- DESCRIPTION BARS# AMOUNT k CURRENCY Q`_y� lC�i COIN 1-C"► (, 71�rC` s t S I 5 o. ..A. cs% 0171 2 it ir 0 0 RECEIVED BY % T TOTAL 111 -