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HomeMy WebLinkAboutBLD2014-00219 - MECHANICAL BUILDING PERMIT APPLICION BLD14-00219 Review Type: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT#: BLD14-00219 Received Date: 6/18/2014 SITE ADDRESS: 61 SADDLE DR PORT TOWNSEND, 98368 OWNER: MARY D HUERTA PHONE: 360-344-2009 RAULAHUERTA PO BOX 278 HAMILTON NY 13346-0278 CAPE GEORGE VILLAGE DIV 5 SUBDIVISION: Block: Lot: PARCEL NUMBER: 941100016 Section: 13 Township: 30 N Range: 02 W CONTRACTOR: ALL WEATHER HTG &COOLING PHONE: 360-452-9813 302 KEMP STREET PORT ANGELES WA 98362 Contractor's License ALLWEHC150KU Expires 9/4/2015 REPRESENTATIVE: PHONE: PROJECT DESCRIPTION INSTALL NEW HEAT PUMP SYSTEM 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: Routing Date: Type Amount Paid By: Date: Receipt: Approved/Date Permit $152.00 SRE 06/18/14 148790 APPROVED Total: $152.00 JUN 1 2014 Jefferson County DCD \\tidemark\data\forms\F_BLD_App_Bld.rpt 6/19/2014 v,,, { ^ °ci tFFERSON COUNTY .., ✓, DEPARTMENT OF COMMUNITY DEVELOPMENT ., ;- . 621 Sheridan Street I Port Townsend,WA 963681 Web:uavw.co,j efferson.wa.usicommunitydevelooment 0 46'iii Noy TeL 360.379.4450[Fax:360.379.4451 1 Email:dcd c`.co.jefferson.wa.us Building Permits&Inspections!Development Consistency Review!Long Range Planning 1 Watershed Stewardship Resource Center. Master Permit Application MLA: Project Description(include separate sheets as necessary): Install 3 ton Carrier heat pump system Tax Parcel Number: 94'/-/0©- ©/6 Rooerty Site. (acres/square feet) Site Address and/or Directions to Property: -\ 0 _ �/�0 v 1 --)� 61 Saddle Drive Port Townsend, WA ' i Property Owner(s)of Record: Raul&Mary Huerta JUN 1 8 2014 J, Telephone:360-344-2009 Fax: email: J Mailing Address: 61 Saddle Drive Port Townsend,WA 98368 - Applicant/Agent(if different from owner): JEFFERSON COUNTY Telephone:360452-9813 Fax: 360-452-5177 DEPT OF COMMUNITMLgPrbwnC rD.2llweathencc.com Mailing Address: 302 Kemp Street Port Angeles,WA 98362 What kind of Permit?(Check each box that applies 0 Lot or Road Segregation fABuilding ❑Critical Areas Stewardship Plan O Demolition Permit 0 Variance(Minor, Major or Reasonable Economic Use) ❑Single Family ❑Garage Attached/Detached 0 Conditional Use[C(a),C(d),or C]** ❑ Manufactured Home ❑ Modular O Discretionary"D"or Unnamed Use Classification ❑ Commercial* O Special Use(Essential Public Facilities)** O Change of Use ❑Boundary Line Adjustment O Address 0 Road Approach O Short Plat** O Home Business ❑Cottage Industry O Binding Site Plan** O Propane ❑Long Plat** Q Sign ❑Planned Rural Residential Development(PRRD)/Amendments** O Allowed"Yes"Use Consistency Analysis 0 Plat Vacation/Alteration** ❑Stormwater Management O Shoreline Master Program Exemption/Permit Revisions*" ❑Site Plan Approval Advance Determination(SPAAD)* O Shoreline Management Substantial Development** ❑Temporary Use O Shoreline Management Variance ❑Wireless Telecommunication* O 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: All W atherJ I ating & Cooiin 'NATION OF AGENT I hereby designate �/ 1....V to act as my agent in matters relating t/o_this./application for permit(s). X OWNER SIGNATURE 1 Date: (Q. I S—VI 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 ri entry to Jefferson County and its employees,representatives or agents for the sole purpose of application review and any required la r rasp ons. Staffs access and right of entry will be assumed unless the applicant informs the County in writing at the time of the application fiat a or she w is prior otice. / X Signature: b Date: (l f .1/ L 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 t ESA. Any individual,group or agency can file a lawsuit on behalf of an endangered species regarding your action(s)even if you re i compli ith the Jeff on County development code.The Applicant acknowledges that he,she or it holds individual and non-transferable sp ibility for a hering and complying with the ESA. The Applicant has read this disclaimer d signs and dates it below. X Signature: Date: ' r/ 07/24/2013 • • BUILDER STATEMENT The signer of this stateme t does her certify that they are the Owners of the parcel referenced herein,that they are not licensed contractors and that they will be assuming her ons' it f the General Contractor for the proposed projectt./.?? + X Si p gnature: \/ Date: `i SA Li GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAX: (360-3f4-2009 ( ) MAILING ADDRESS: 61 Saddle Drive Port Townsend,WA 98368 EMAIL: CONTRACTOR'S LICENSE WAINS NUMBER: NUMBER ARCHITECT/ENGINEER: PHONE (360-3)44-2009 FAX:( ) MAILING ADDRESS: 61 Saddle Drive Port Townsend,WA 98368 EMAIL Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: ❑ New ❑ Wood Existing: ❑ Sewer ❑ Addition ❑ Steel Proposed: Bank ❑ Community System ❑ Alteration/Remodel ❑ Concrete Total: Height: ❑ Individual System ❑ Repair ❑ Masonry SEP Permit# ❑ Demolition ❑ Other: Bedrooms: Water Supply: Existing: Setback: ❑ Private well ❑ Two Party Type of Heat: Proposed: ❑ Public Total: Name of System: If this is a Commercial Proiect you must answer the following: (r E u 7 [ M 11 Number of Parking Spaces: Current: Proposed: Number o ' !.; -- .' e 7- : Number of occupants(includes owners,tenants,employees,etc) Current .4osed IBC Occupancy: IBC Type of construction: Will you have IServi Y0 14 If this is a Propane Tank and/or Appliance Installation permit.mark all items below that a D : Underground Tank Above ground tank Size of Propane Tank: L _ Heat Stove Cook Stove Woodstove Fireplace.nsert rehtO i evotS telleP I WIifEft6ttaNCttiiTY Is this appliance being installed in a Manufactured/Mobile Home? Yes / No DEPT.OF COMMUNITY DEVELOPMENT 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, including the reserve area. Square Footage Current Proposed For Office Use Only Amount Revision Main Floor Heated EH Bld App Review: 2"0 Floor Heated Consistency Review Other Heated Base fee: 1.-_15 Z: 00 Mezzanine Additional Section: `��) ICI `W Heated Basement Plan Check fee: t Unheated Basement State Surcharge fee: Other Unheated Pot Water Review fee: Garage/Carport SUBTOTAL Decks 911/Rd Approach fee: Other TOTAL: $ Receipt Number: I4 1e O Cash/Check Number 021 339, ESTIMATED COST(REQUIRED) Date: /� .Fair market value of all labor and materials foundation to finish IL—( g-if Initials: on 07/24/2013 Screen: 01 • REAL PROPERTY MASTER Mode: INQUIRY • Auto Roll : OFF Parcel # 000941100016 Geo Cd 300213402111 CAPE GEORGE VILLAGE DIV 5 Nbhd Cd 5530 LOT 16 Loc ID * Taxpayer Cd HUER 5500 HUERTA, MARY D T/P Chg Dt 7/24/2013 * Title Owner T/P Chg Usr JA Tax Code 0111 Status TX TAXABLE Land Use 1100 RES-SINGLE Affidavit 119585 Vol/Page / C/U Code COMPLETE ADDRESS WINDOW Taxpayer HUER5500 MARY D HUERTA RAUL A HUERTA PO BOX 278 HAMILTON NY 13346-0278 Search Key CMD 6: End Window CMD 7: End of Job ALL WEATHER HTG & COOV INC • Page 1 of 2 Washington State Department of Labor & Industries I ALL WEATHER HTG & COOLING INC Owner or tradesperson 302 KEMP ST MCKEOWN,THOMAS J JR PORT ANGELES, WA 98362 360-452-9813 Principals CLALLAM County MCKEOWN, THOMAS J JR, PRESIDENT MCKEWON, IDA L, SECRETARY Doing business as ALL WEATHER HTG &COOLING INC WA UBI No. Business type 600 485 640 Corporation ILicense Verify the contractor's active registration/license/certification (depending on trade)and any past violations. Construction Contractor Active. Meets current requirements. License specialties GENERAL License no. ALLWEHC150KU Effective—expiration 05/31/1985—09/07/2015 Bond CBIC $12,000.00 Bond account no. SJ3232 Received by L&I Effective date 09/07/2011 09/01/2011 Cancellation date 11/27/2011 Bond history Insurance Continental Western Ins Co $1,000,000.00 Policy no. CW P2951319 Received by L&I Effective date 08/30/2013 09/01/2011 Expiration date 09/01/2014 httnsJ/secure_lni_wa_gov/verifv/Detail.asnx?TTRT=600 4R5640&T.TC=ATJ.WFHC15OKTT&SAW= 6/4/2014 ALL WEATHER HTG & COOLT INC Page 2 of 2 Insurance history Savings No savings accounts during the previous 6 year period. Lawsuits against the bond or savings No lawsuits against the bond or savings accounts during the previous 6 year period. Tax debts No tax debts during the previous 6 year period. License Violations No license violations during the previous 6 year period. 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. 482,580-00 Doing business as ALL WEATHER HEATING&COOLING Estimated workers reported Quarter 1 of Year 2014"11 to 20 Workers" L&I account representative T1 /TYRONE COLEMAN (360)902-4807-Email: COTI235©Ini.wa.gov IWorkplace 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 AIM Washington* C01,0i-N)Vt■•■ rnmtnf We+r S4te 11ttr1C4/Ca •rara in; uro rrnv/vari♦'rr/Tlatoil oonv-7T TT/T=4MAS2 /1 12rT Tr=A T T UTUTTr1[l1TIT TQ.0 A UT s1A11!11 A MECHANICAL AND DEMOLITION PERMIT Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 PERMIT#: BLD14-00219 Received Date 6/18/2014 SITE ADDRESS: 61 SADDLE DR Issue Date 6/19/2014 PORT TOWNSEND, 98368 APPLICANT: MARY D HUERTA PHONE: 360-344-2009 RAULA HUERTA PO BOX 278 HAMILTON NY 13346-0278 SUBDIVISION: CAPE GEORGE VILLAGE DIV 5 Block: Lot: PARCEL NUMBER: 941100016 Section: 13 Township: 30N Range: 02W CONTRACTOR: ALL WEATHER HTG &COOLING PHONE: 360-452-9813 302 KEMP STREET PORT ANGELES WA 98362 Contractor's License ALLWEHC150KU Expires 9/4/2015 OWNER, MARY D HUERTA PHONE: 360-344-2009 if different: RAUL A HUERTA PO BOX 278 HAMILTON NY 13346-0278 PROJECT DESCRIPTION: INSTALL NEW HEAT PUMP SYSTEM Directions To Site: THIS PERMIT IS VALID FOR ONE YEAR AND IS NOT RENEWABLE. THE FINAL INSPECTION MUST BE SCHEDULED AND PASSED WITHIN THAT YEAR. THE EXPIRATION DATE IS 6/19/2015. REQUIRED INSPECTIONS: Installation per Manufacturer Specifications/CO2: Z) /1/01/ Tank/Line/Appliance: NY4 Final Approval: ///Lb 1 BUILDING INSPECTION HOT-LINE 379-4455. REQUESTS MUST BE RECEIVED BY 3 PM THE DAY BEFORE THE INSPECTION IS NEEDED. Office Hours 9:00 a.m. -4:30 p.m. Monday-Thursday HOT LINE AVAILABLE 24 HOURS A DAY \\tidemark\data\forms\F_BLD_Permit_Propane.rpt 6/19/2014 All Weather Heating&Cooling Inc. 27334 Jefferson Country Building Pitts • 6/17/2014 COG-DIR:575 • Permits & Fees Raul &Mary Huerta Permit; 61 Saddle Drive Port To 171.00 Business Checking Fir Huerta 61 Saddle Drive 171.00 (:;-"" �, JEFFERSON COUNTY V2 DEPARTMENT OF COMMUNITY DEVELOPMENT ► 3,eU i.- gD 7 Date: ll,—t, Time Received: 51A,V Mon. Tue. Wed. Thur. Fri. Date: 1/- (Z BLD: /1/— a/9 Contact Name: Owner: Contact Number: 360 Vc,C 2,©09 Address: 6i c1" 26 pr 206 Notes: Foundation Plumbing Framing Propane Tank Illigh 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