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HomeMy WebLinkAboutBLD2014-00386 - MECHANICAL GILDING PERMIT APPLICATA" BLD14-00386 Review Type: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT#: BLD14-00386 Received Date: 10/20/2014 SITE ADDRESS: 131 MACHIAS LOOP RD PORT LUDLOW, 98365 OWNER: NELSON L MORRIS PHONE: RHONDA B MORRIS 3609 GRANADA TRL DENTON TX 76205-8405 9904 SUBDIVISION: Block: Lot: PARCEL NUMBER: 990400509 Section: 9 Township: 28 N Range: 1 E CONTRACTOR: FAST WATER HEATER COMPANY PHONE: 425-636-7055 12601 132ND AVE NE KIRKLAND WA 98034 Contractor's License FASTWWH947BK Expires 1/20/2016 REPRESENTATIVE: PHONE: PROJECT DESCRIPTION NEW 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 10/20/14 151662 APPROVED Total: $152.00 OCT 202014 Jefferson County DCD ._....r�� ' ' r t s I)eCstn, E0/ /)r-( - \\tidemark\data\forms\F_BLD_App_Bld.rpt 10/20/2014 . • loolcsqq 443,aoN oQ,„ JEFFERSON COUNTY 1 'kiiii:41 DEPARTMENT OF COMMUNITY DEVELOPMENT _` �( ^ 621 Sheridan Street• Port Townsend•Washington 98368 ��J & 360/379-4450 • 360/379-4451 Fax Qdi4 t www.cojefferson.wa.us/commdevelopment Master Permit Application MLA: Project iF•C. Per Y1 Ivy Description n cje ri PIS eV.SWOd 1--(,r hater i in Wit SAW Le, l oc ti . Tax Parcel Number:O 010 L- 'C'5 Doi Property Size: (acres/square feet) Site Address and/or Directions to Property: ,nh ,fin I� /4 o C C D 12, 1 ni e,un I i t O O a k.b l ' l,' , 6 6 4- (, yk 1 Property Owner(s)of Record Y If 1.S i ntis0 in TelephoneL' U e ") S 3) , t Fax: email: Mailing Address: 6, / ( 19©1 1.-- V tAtA k() • / Applicant/Agent(ii different from owner): i . 1 Telephone:4 M.--C G-'1 OS t-I Fax: <-42K--{ C-,--10 SS email: A . r' Mailing Address: ' ∎' C • • W Sr ("TO to tf ti E 1 ) t ft ' 46 0�1! What kind of Permit?(Check each box that applies ❑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 C]** ❑ Manufactured Home ❑ Modular ❑Discretionary"D"or Unnamed Use Classification ❑ Commercial* ❑Special Use(Essential Public Facilities)** ❑ Change of Use ❑Boundary Line Adjustment ❑ Address ❑Road Approach ❑Short Plat** ❑Home Business ❑Cottage Industry ❑Binding Site Plan** ❑Propane ❑Long Plat** ❑Sign ❑Planned Rural Residential Development(PRRD)/Amendments** ❑Allowed"Yes"Use Consistency Analysis ❑Plat Vacation/Alteration""" ❑Stormwater Management ❑Shoreline Master Program Exemption/Permit Revisions** ❑Site Plan Approval Advance Determination(SPAAD)* ❑Shoreline Management Substantial Development** ❑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 ❑Tree Vegetation Request **Requires a Pre-Application Conference Please identify any other local,state or federal permits required for this proposal,if known: DESIGNATION OF AGENT I hereby designate to act as my agent in matters relating to this application for permit(s). OWNER SIGNATURE 40" X 764.1. Date: 9 -/u - /4 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 required later inspections. Staff's access and right of entry will be assumed unless the applicant informs the County in writing at the time of the applicatio that he or she wants prior notice. Signature: ' Date: "14 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 action(s)even if you are in compliance with the Jefferson County development code.The Applicant acknowledges that he,she or it holds individual and non-transferable for adhering to and complying with the ESA. The Applicant has read this disclaimer and signs and dates it below. Signature: 7✓e /`b. Date: g— I t- i V G:\PJ7ece tCent ter\#{##FORMS #\DRDFC�RTfS aster Permit Application 5-29-08.doc seedi, �� l5, ,6/V� cmtr ca,v- i # • 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: GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAX: FA WATER. E-Wake 1,t) 'P.. (4 636 `7Og9 NO'63l,. 10S"S" MAILING ADDRESS: ` 6 ' EMAIL: (.( IS iN C$tE , a pc.�ryu,�s:�. 1,�>rwc c r. rrr CONTRACTORS LICENSE i t i�NAINS NUMBER: i>tsTpowHt�4 3 6( �7 • TO<jI UMBER ARCHITECT/ENGINEER: PHONE ( ) FAX:( ) MAILING ADDRESS: ' EMAIL Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: ❑ New ❑ Wood Existing: n Sewer n Addition ❑ Steel Proposed: Bank ❑ Community System X Alteration/Remodel ❑ Concrete Total: Height: ❑ Individual System ❑ Repair ❑ Masonry SEP Permit# ❑ Demolition ❑ Other: Bedrooms: Water Supply: Existing: Setback: ❑ Private well 0 Two Party Type of Heat: Proposed: 0 Public Total: Name of System: If this is a Commercial Project 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: I 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/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. _ p';': �s_,--e-,-..,,,,,,,.7,a 7 t it, -4, v * . ,ez , , �` N t s ?� its fi i ', f i Square Foote•e Current P ••osed , )�,t'• 2 , , : � � . ,l''',11 t ,, <._.„,�,,4.�, �� Main Floor Heated �`! 4 4'u . EH Bid App Review: 2ntl Floor Heated :g4, r Consistency Review: Other Heated -4w • Base fee: 1 v`) Mezzanine �� ;' . Additional Section: i I ,UV k Heated Basement 7- k #fir Plan Check fee: Unheated Basement H • State Surcharge fee: Other Unheated .; Pot Water Review fee: Garage/Carport �t 4 SUBTOTAL Decks `4, 911/Rd Approach fee: Other i ,Y, " • TOTAL: $ r�� x ;! Receipt Number: 51 m Cash/Check Afii-,..,;- °. �' ],� ,°"ter �L�1U ESTIMATED COST(REQUIRED) Date: 1D/241i-1 'Fair market value of all labor and materials foundation to finish Initials: < G:\PermitCenter\###FORMS###\DRD FORMS\Master Permit Application 5-29-08.doc FAST WATER HEATER COMPANY Page 1 of 7 • Washington State Department of Labor & industries IFAST WATER HEATER COMPANY Owner or tradesperson 11715 NORTH CREEK PARKWAY S JORDAN,JEFF BOTHELL,WA 98011 425-814-3124 Principals KING County JORDAN, JEFF HANLEYBROWN, JASON Doing business as FAST WATER HEATER COMPANY WA UBI No. Business type 602 564 544 Limited Liability Company Parent company FWH ACQUISITION COMPANY LLC ILicense Verify the contractor's active registration/license/certification (depending on trade)and any past violations. Electrical Contractor Active. Meets current requirements. License specialties RESIDENTIAL MAINTENANCE License no. FASTWWH947BK Effective—expiration 01/12/2006—01/20/2016 Designated administrator Active. JORDAN,JEFFREY D Meets current requirements. License type License no. Electrical Administrator JORDAJD991RP Bond DEVELOPERS SURETY&INDEM CO $4,000.00 Bond account no. 549793C Received by L&I Effective date 01/12/2006 01/03/2006 Expiration date Until Canceled Savings No savings accounts during the previous 6 year period. https://secure.lni.wa.gov/verify/Detail.aspx?UBI=602564544&LIC=FASTWWH947BK&SAW= 10/20/2014 FAST WATER HEATER COMPANY Page 2 of 7 License Violations • Infraction no. PWADE00468 Satisfied Violation date RCWIWAC 07/07/2014 18.106.020 Violation city Violation amount BOTHELL $500.00 Type of violation PLUMBER INFRACTION Description Contractor failed to provide proper supervision as required.The firm had their plumber trainee Matt Smith perform plumbing duties at the home while working by him self without a journeyman with him. no supervision was on site. Infraction no. PWADE00469 Satisfied Violation date RCW/WAC 07/07/2014 18.106.020 Violation city Violation amount BOTHELL $250.00 Type of violation PLUMBER INFRACTION Description Employee who authorized the plumbing work assignment of the person employed in violation of 18.106.020. Mike Kirk is the representative of the firm who dispatched Plumber trainee Matt Smith to the job site to take out the old hot water tank in the home and put in the new one. Infraction no. EJONV01182 Satisfied Violation date RCW/WAC 03/10/2010 19.28.101 RCW Violation city Violation amount KIRKLAND $2,000.00 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(3)(6). https://secure.lni.wa.gov/verify/Detail.aspx?UBI=602564544&LIC=FASTWWH947BK&SAW= 10/20/2014 FAST WATER HEATER COMPANY Page 3 of 7 Infraction no. • • EJONV01183 Satisfied Violation date RCWIWAC 03/10/2010 19.28.271 RCW Violation city Violation amount KIRKLAND $500.00 Type of violation ELECTRICAL CITATION Description Employing an individual for the purposes of chapter 19.28 RCW who does not possess a valid certificate of competency or training certificate to do electrical work. Infraction no. EJONV01184 Satisfied Violation date RCW/WAC 03/10/2010 19.28.101 RCW Violation city Violation amount KIRKLAND $250.00 Type of violation ELECTRICAL CITATION Description Energizing electrical equipment without an electrical inspection as referenced in WAC 296-46B-900(10)(a),effective after 12/30/2008 see WAC 296-46B-901(10)(a). Infraction no. EJONV01181 Satisfied Violation date RCW/WAC 03/10/2010 19.28.041 RCW Violation city Violation amount KIRKLAND $3,000.00 Type of violation ELECTRICAL CITATION Description Offering, bidding,advertising, or performing electrical installations,alterations or maintenance outside the scope of the firm's specialty electrical contractors license. Infraction no. EJONV01174 Satisfied Violation date RCW/WAC 03/10/2010 19.28.271 RCW Violation city Violation amount KIRKLAND $500.00 Type of violation https://secure.lni.wa.gov/verify/Detail.aspx?UBI=602564544&LIC=FASTWWH947BK&SAW= 10/20/2014 FAST WATER HEATER COMPANY Page 4 of 7 ELECTRICAL CITATION • • Description Employing an individual for the purposes of chapter 19.28 RCW who does not possess a valid certificate of competency or training certificate to do electrical work. .. ................................. Infraction no. EJONV01173 Satisfied Violation date RCW/WAC 03/10/2010 19.28.101 RCW Violation city Violation amount KIRKLAND $2,000.00 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(3)(6). Infraction no. EJONV01175 Satisfied Violation date RCW/WAC 03/10/2010 19.28.101 RCW Violation city Violation amount KIRKLAND $250.00 Type of violation ELECTRICAL CITATION Description Energizing electrical equipment without an electrical inspection as referenced in WAC 296-46B-900(10)(a),effective after 12/30/2008 see WAC 296-46B-901(10)(a). Infraction no. EJONV01172 Satisfied Violation date RCM/VAC 03/10/2010 19.28.041 RCW Violation city Violation amount KIRKLAND $1,500.00 Type of violation ELECTRICAL CITATION Description Offering, bidding,advertising, or performing electrical installations,alterations or maintenance outside the scope of the firm's specialty electrical contractors license. https://secure.lni.wa.gov/verify/Detail.aspx?UBI=602564544&LIC=FASTWWH947BK&SAW= 10/20/2014 FAST WATER HEATER COMPANY Page 5 of 7 • • Infraction no. ECAML00859 Satisfied Violation date RCWIWAC 10/26/2009 19.28.271 RCW Violation city Violation amount Kirkland $500.00 Type of violation ELECTRICAL CITATION Description Employing an individual for the purposes of chapter 19.28 RCW who does not possess a valid certificate of competency or training certificate to do electrical work. Infraction no. ECAML00858 Satisfied .......................... Violation date RCW/WAC 10/26/2009 19.28.101 RCW Violation city Violation amount Kirkland $2,000.00 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(3)(6). Infraction no. ECAML00857 Satisfied Violation date RCW/WAC 10/26/2009 19.28.041 RCW Violation city Violation amount Kirkland $500.00 Type of violation ELECTRICAL CITATION Description Offering to perform,submitting a bid for, advertising, installing or maintaining cables, conductors or equipment that convey or utilize electrical current without having a valid electrical contractor license. Infraction no. ECAML00818 Satisfied https://secure.lni.wa.gov/verify/Detail.aspx?UBI=602564544&LIC=FASTWWH947BK&SAW= 10/20/2014 FAST WATER HEATER COMPANY Page 6 of 7 Violation date • RCW/WAC • 10/02/2009 19.28.041 RCW Violation city Violation amount Kirkland $1,500.00 Type of violation ELECTRICAL CITATION Description Offering, bidding,advertising, or performing electrical installations, alterations or maintenance outside the scope of the firm's specialty electrical contractors license. Infraction no. ECAML00820 Satisfied Violation date RCW/WAC 10/02/2009 19.28.271 RCW Violation city Violation amount Kirkland $500.00 Type of violation ELECTRICAL CITATION Description Employing an individual for the purposes of chapter 19.28 RCW who does not possess a valid certificate of competency or training certificate to do electrical work. Infraction no. ECAML00819 Satisfied Violation date RCW/WAC 10/02/2009 19.28.101 RCW Violation city Violation amount Kirkland $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 296-466-900 (3)(6),effective after 12/30/2008 see WAC 296- 46B-901(3)(6). 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. 053,806-01 Doing business as FAST WATER HEATER COMPANY https://secure.lni.wa.gov/verify/Detail.aspx?UBI=602564544&LIC=FASTWWH947BK&SAW= 10/20/2014 FAST WATER HEATER COMPANY Page 7 of 7 Estimated workers reported • Quarter 2 of Year 2014"51 to 75 Workers" • L&i account representative T1 /NIKKI BUTLER(360)902-4918-Email: BUTQ235 @Ini.wa.gov Workplace 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 Access t1 a shin tort ta:,,,oltesll',AV,S3M II https://secure.lni.wa.gov/verify/Detail.aspx?UBI=602564544&LIC=FASTWWH947BK&SAW= 10/20/2014 Parcel Details Page 1 of 2 • • 1 Jefferson County e u " Home County Info Departments Search Parcel Number: 990400509 ' SEARCH Parcel Number: 990400509 Printer Friendly Owner Mailing Address: NELSON L MORRIS RHONDA B MORRIS 3609 GRANADA TRL DENTON TX76205-8405 Site Address: 131 MACHIAS LOOP RD PORT LUDLOW 98365 Section: 9 School District: Chimacum (49) Qtr Section: SW1/4 Fire Dist: Port Ludlow (3) Township: 28N Tax Status: Taxable Range: 1E Tax Code: 0231 Planning area: Port Ludlow (7) Sub Division: 9904 - PORT LUDLOW NO. 1 Assessor's Land Use Code: 1100 - Residential - Single Unit Property Description: PORT LUDLOW NO. 1 AREA 5, LOT 9 No Permit Data Tax,A/V,Sales, Photos,and Bldct Data Mao Parcel Plats&Survevj Available � `�a,. Jefferson County HOME I COUNTY INFO I DEPARTMENTS I SEARCH Best viewed with Microsoft Internet Explorer 6.0 or later le Windows- Mac http://www.co.jefferson.wa.us/assessors/parcel/parceldetail.asp?PARCEL NO=990400509 10/20/2014 it • Jefferson County Building Division Permit Numb BLD14-00386 Applicant: MORRIS 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 7V4,0_ 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 FINAL INS E TIO MU T BE APPROVED PRIOR TO BUILDING BEING OCCUPIED THIS PERMIT IS VALID FOR ONE YEAR 0 BUILDING PERMIT • Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 PERMIT#: BLD14-00386 Received Date: 10/20/2014 SITE ADDRESS: 131 MACHIAS LOOP RD Issue Date 10/20/2014 PORT LUDLOW, 98365 Expiration Date 10/20/2015 OWNER: NELSON L MORRIS PHONE: RHONDA B MORRIS 3609 GRANADA TRL DENTON TX 76205-8405 9904 SUBDIVISION: Block: Lot: PARCEL NUMBER: 990400509 Section: 9 Township: 28 N Range: 1 E CONTRACTOR: FAST WATER HEATER COMPANY PHONE: 425-636-7055 12601 132ND AVE NE KIRKLAND WA 98034 Contractor's License FASTWWH947BK Expires 1/20/2016 PROJECT DESCRIPTION: NEW 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 10/20/14 151662 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 ems°N cod. JEFFERSON COUNTY gsy[NG,°4 DEPARTMENT OF COMMUNITY DEVELOPMENT Date: 11/3 Time Received: I: 1/6 am 40 Mon. 4gr Wed. T ur. Fri. Date: 1/ V BLD: 14- 39‘ Contact Name: Owner: MGR SE- Contact Number: 360 Address: /3/ M,!a,Aas Loop 206 Notes: idtiliA, <aL 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