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HomeMy WebLinkAboutBLD2014-00404 - MECHANICAL ILDING PERMIT APPLICA AN BLDI4-00404 Review Type: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT#: BLD14-00404 Received Date: 10/29/2014 SITE ADDRESS: 993 OLD TARBOO RD QUILCENE, 98376 OWNER: THOMAS &JUDY EDWARDS PHONE: 360-732-4503 PO BOX 278 QUILCENE WA 98376-0278 SUBDIVISION: Block: Lot: PARCEL NUMBER: 801204007 Section: 20 Township: 28 N Range: 1■A 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 DESCRIPTIOP INSTALL NEW HEAT PUMP TYPE OF WORK NON SQUARE FOOTAGE: TYPE OF IMP MEC VALUATION MAIN: CODE EDITION: 2012 ADD'L: HEAT TYPE: HTP OCCUPANCY: HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: #OF STORIES: CONST TYPE: OTHER: SHORELINE: CONST TYPE: GARAGE: SETBACK: DECK: 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 151672 Total: $152.00 APPROVEP OCT 'L. ;' 2f ' Jefferse-, \\tidemark\data\forms\F_BLD_App_Bld.rpt 10/29/2014 g9NC. ' o JEFFERSON COUNTY III ImcmgmErni r d DEPARTMENT OF COMMUNITY DEVELOPMENT OCT 2 7 2014�s "} 621 Sheridan Street• Port Townsend•Washington 98368 ���� �,� 360/379450. 3601379-•4451 Fax B Y:---- -------- www.co.jefferson.wa.us/commdevelopment Master Permit Application MLA: Project Description(in d e Karate she as recess ): ;q1 I,` I 0 Tax Parcel Number./ (9 7 Pro.- ize: G fps (acreslsquare feet) Site Address and/or Direction to Proms' cl93 0/d -railJaa 1t�Qd OUtIC-eIV ?cif3 6 Property Owner(s)of Record: <) u d.i l� d t,v a M S Telephone:3(o U-73 - �/SO 3 Fax: -- email: j i c ti.d i/56---)_, Mailing Address: p 4 . . . 3 Co em hr&/G m6 D''`i. Applicant/Agent(if different from owner): : r co A ,;. - a l .gam Telephone:311&0-1p 3^eA01 Fax: - • �`�vu Mailing Address: 22-1 W W. Cedar Si-• S SA.14M q q e�email: e CAIVII -- ' What kind of Permit?(Check each box that applies OBuilding •. ©,Critical Areas Stewardship Plan ❑ Demolition Permit 0 Variance(Minor, 11 fe Family 0 Garage Attached/Detached O Conditioonal Use[C(a),C(d),or C i,.I; r LI C O Manufactured Home 0 Modular 0 Discretionary or Unnamed U U. =ssiflcation �� O Commercial" 0 Special Use(Essential Public F= .4.4 1 0 Change r of Use O Road Approach 0.Shhoo.rt'Boundary one Adjustment OCT 2 g ? j I ❑Home Business 0 Cottage Industry 0 Binding Site Plan'" ©Propane 0 Long.Plat" '-""----___ !, r ❑Sign ❑Planned Rural Residential De -10• 0 040(1�Ts� O Allowed`Yes'Use Consistency Analysis ❑Plat Vacation/Alteration" r9N,u w fY DI-'1 MENT .1°' ❑Stormwater Management ❑Shoreline Master Program Exemption/Permit Revisio O Site Plan Approval Advance Determination(SPAAD)• 0 Shoreline Management Substantial Development" 1 D Temporary Use 0 Shoreline Management Variance D Wireless Telecommunication* 0 Comprehensive Plan/UDC/Land Use District Map,Amejidment 0 Forest Practices Act/Release of Six--Year Moratorium 0 Jefferson County Shoreline Master Program Amendment 'May require a Pre—Application Conference 0 Tree Vegetation Request "Requires a Pre-Application Conference. rPlease identify any other local,state or federal permits required for this proposal;if known: . • DESIGNATION OF AGENT I hereby designate ;Air C10 k1eat 1114 to act as my agent in matters relating to this application for permit(s). i OWNER SIGNATURE IOW .L_ £ C;.GUCL�t Date: /0 - °off 21—/ v. By signing this application form,1 er/agent attests that the information provided herein,and in any attachments,is true and correct to the best of i his,her or its knowledge. Any eriat falsehood or any omission of a material fact made by the ownerlagent 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 an• employees, =presen • es or agents for the sole purpose of application review and any required later inspections. Staff's access and right of e • Ube assu •,r'- e applicant Informs the County In writing at the Alt time of the application - he or she waann prior••o t Signature: �. ! .i�. ,� The action or a-/Applicant The as a result of r - sua ce of this permit may negatively impact upon one or more threatened or and known as the I endangered spec could teed to a potential"take of: endangered species as those terms are defined In the federal law own 'Endangered Species Act'or'ESA,`Jefferson County in, -.s 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-transferab responsibility •r -haring to : • -• • f g with•the E' •_ • ••`cant has read this d iscl/aimer signs and dates it below. Signature: 1 .f! f� /?1,Art 1 - / , I Date: /C!a�t/ j GAParnitCa►xr\###FORMS###\DAD FORMSWaster PcuxiApp6otion 5-2j9-QB doc rr 14 1 t ,___. 4110\% )\ - a * cu-L- w - 2 )e n 1 (0` . S t & r 0 a (k.9 „______, Iftk 611110 n il■ 4.),,p k ..) 4. - ..., � � _____Z) ._ _ _ _ - 0)- 0 c's, } 6 °- ---- ___, ' '''''' 0....„' , 0 `� 1 O l i i 0.74C3C z 1() t __1 47 0, 0 I n` OCT 2 9 2014 JEFFtkSOiN COUNTY DEPT.OF COMMUNITY DFVEFOPMENT J Parcel Details Page 1 of 2 • 4 er er on 2$.1 : Jeff s County Home County Info Departments a Search Parcel Number: 801204007 SEARCH Parcel Number: 801204007 Printer Friendly Owner Mailing Address: THOMAS A EDWARDS PO BOX 278 QUILCENE WA98376-0278 Site Address: 993 OLD TARBOO RD QUILCENE 98376 Section: 20 School District:Chimacum (49) Qtr Section: SE1/4 Fire Dist:Quilcene (2) Township: 28N Tax Status: Taxable Range: 1W Tax Code: 0221 Planning area: South Toandos Peninsula,Coyle Area (9) Sub Division: Assessor's Land Use Code: 1100 - Residential - Single Unit Property Description: S20 T28 R1W TAX 4(LS TAX 8) SUBJ TO EASEMENT Tax,A/V, Sales, Photos, and Permit Data Bldg Data Map Parcel Plats&Surveys Septic Monitoring Info '»x" Jefferson County HOME I COUNTY INFO I DEPARTMENTS I SEARCH mal Best viewed with Microsoft Internet Explorer 6.0 or later ke Windows- Mac http://www.co.j efferson.wa.us/assessors/parcel/parceldetail.asp?Parcel_NO=801204007 10/29/2014 AIR FLO HEATING CO INC Page 1 of 2 • • Washington State Department of 10 Labor & industries I 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 ILicense I 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 Active. BERSON,JOEL RAY 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= 10/29/2014 AIR FLO HEATING CO INC Page 2 of 2 • Expiration date 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. IWorkers' 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 IWorkplace 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 CO Washington State Dept.of Labor&Industries.Use of this site is subject to the laws of the state of Washington. Access WaShirtgbae ks(t;ryp9gjY tt;#4: https://secure.lni.wa.gov/verify/Detail.aspx?UBI=600347761&LIC=AIRFLHC009C8&SAW= 10/29/2014 Jefferson County Building Division Permit Number: BLD14-00404 Applicant: EDWARDS 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 r I (� 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 (jf4iii.FINAL IN E ION 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#: BLD14-00404 Received Date: 10/29/2014 SITE ADDRESS: 993 OLD TARBOO RD Issue Date 10/29/2014 QUILCENE, 98376 Expiration Date 10/29/2015 OWNER: THOMAS &JUDY EDWARDS PHONE: 360-732-4503 PO BOX 278 QUILCENE WA 98376-0278 SUBDIVISION: Block: Lot: PARCEL NUMBER: 801204007 Section: 20 Township: 28 N Range: 1V1 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: INSTALL NEW HEAT PUMP TYPE OF WORK NON SQUARE FOOTAGE: TYPE OF IMP MEC VALUATION MAIN: CODE EDITION: 2012 ADD'L: HEAT TYPE: HTP OCCUPANCY: HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: #OF STORIES: CONST TYPE: OTHER: SHORELINE: CONST TYPE: GARAGE: SETBACK: DECK: BANK HEIGHT: SEWAGE DISPOSAL: WATER SYSTEM: Type Amount Paid By: Date: Receipt: BEDROOMS: BATHROOMS: Permit $152.00 SRE 10/29/14 151672 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 AIR FLO HEATING COMPANY 4 311 4 Check Number: 4. 114 Jefferson Co. Building Dept Date Description Amount 10/27/2014 Permit Edwards 171.00 45°N co JEFFERSON COUNTY JP- ''''''' j DEPARTMENT OF COMMUNITY DEVELOPMENT ,,'rHI NG'i ,Time Received: am/pm Mon. Tue. Wed. Thur. >ate: piDate: . ,,, Contact Name: 3LD: Contact Number: 360 Wirer owner: -- - 206 ��� address: ��. y,yyy{� Notes: Foundation Plumbing Framing Framin Propane Tank Mechanical Framing Under ground Furance Setbacks Under ground Rough In Air Seal Above ground Gas Footing Stemwall Hydronic Exterior shear Exterior lines Oil — Interior shear Interior lines Ducts Straps Hot Water Htr Appliance Ventilation Post Hole Gas/Wood stove Underfloor Insulation Man-Homes Final Inspection Floor Setbacks Wall Address Posted Foundation — Ceiling Block&Tile