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HomeMy WebLinkAboutBLD2014-00428 - MECHANICAL ILDING PERMIT APPLICATIII BRLD1e 004428 Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT#: BLD14-00428 Received Date: 11/19/2014 SITE ADDRESS: 612 OLYMPIC RIDGE DR PORT LUDLOW, 98365 OWNER: MARVIN PITTS PHONE: MARY BETH E PITTS 612 OLYMPIC RIDGE DR PORT LUDLOW WA 98365-9555 SUBDIVISION: Block: Lot: PARCEL NUMBER: 821355046 Section: 35 Township: 28 N Range: 1E CONTRACTOR: EVERWARM INC PHONE: (360)452-3366 257151 HWY 101 PORT ANGELES WA 98362 Contractor's License EVERWI*088NL Expires 8/17/2016 REPRESENTATIVE: PHONE: PROJECT DESCRIPTIOP NEW MECHANICAL PERMIT REPLACE EXISTING PROPANE FIREPLACE WITH PROPANE FIREPLACE 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: it, r 'Vet/ Permit $152.00 SRE 11/19/14 151748 Total: $152.00 Jefferson County 'C`'_ \\tidemark\data\forms\F_BLD_App_Bld.rpt 11/19/2014 ti " c DEP TMENT OF COMMUNITY Di VELOPMENT 4,;,,5::f;--: r � 621 Sheridan Street,Port Townsend,WA 98368 �, �, Tel:360379.4450 I Fax:360.379,4451 Web:www.co.jefferson.wa.us/communitydevelopment - °' E-mail:dcdCa co.jefferson.wa.us 4.9,'kINO,s'p MECHANICAL PERMIT APPLICATION Steps in the Permit Process: -Review required submittal items to ensure all information is completed prior to submitting application. -Make an appointment to meet with the Permit Technician by calling 360-379-4450. -Fees will be collected at intake. Additional fees may apply after review and payment is required before permit is issued. fiV':-.4.irl?-M91 i ., ,z 1:2frr'7i'1.,' ,2;".4,14,4 4174',444';304:i.wolikt'll liFirKiit. ,..'',i-1,-t-,1_„.1)-41,,,:ggialool 'F _rt 9. � � <t a ati �. Is this application for use in a Mobile/Manufactured Home? * If Yes: A permit from Washington State Department of Labor and Industries, not Jefferson County, is required for appliances installed within a mobile/manufactured home. L&I-360-417-2702 * If No: Complete this form and make an appointment to submit to Jefferson County Permit Tech 360-379-4450 - °,', Apr,----. g ,' � sl �°�' f V '=� r 4:�� , n yiOa 1a i x 1 ,,,,, .7,4"fuagib.4.4*"Lfat-'6-441/4'6'1''6-64444 1 Complete Site plan- Please refer to the site plan checklist to ensure all items are on the site plan. 9rx d �i" i ,n ar��� ,!? i� " is tin aF x a 1- l7 a�'., �4 f �" � '' r* er, , c 1 asa s as tatrt t e • ' ,' '' k, - # Complete first page and signature block only of Mechanical Permit Application. A complete solar panel supplemental application. -€ '', 1,--,,- ,, z - , ' 7 '',77:,,:.',2.4 i — `Iw q : i e i'%k r � ' [W.1 j�g(14i1�'u� _ C �« l!,l. _m6 a A I „ E 1�4 ti, _ 3 �Ir o a r =4. ,4 ? _ F,s" � - !� Assessor Tax Parcel Number: C)� — _ n4LQ f Site Address and/or Directions to Property: ! ?. !�,,�'�a c > td e he, T i IA M �,) Access (name of street(s)from which access will be gained: w.L.,,7,. L 4.i?,"1��,,,,J K.�,M J ;,ate "N-11 G Description of Work: Rp l a_ce ? . �r .n V' i 0 e ^ c_.G.- G,.� -1 d/l E'er.)� ✓t I` � � I 4�"� b µ�� 1 fa__ I�� .a sa i t (III iiF! � ,�,� ;I�i 0 — I6;( + t,.,_ -tr ,;„11-1,;:-..1,00,0;44001014-__ - .� _I I I _fig 4 E (Ii G,,p ,,4 'I �,, r ,, ,.,,,.I�'�I N, y�,,,,i4 ,:w,(��,1 H,h,, '"r- ..,7 `�1,' ' „I " .�. a::.d. �'.�:c.=. I'.ha�ti�v ''..., .. �� +y r�. "�M�I11 °; ,. -�`i', u6 ,.,, I`t nM1 IdI� iil i « � Name: )14.0,ry i in MAMA I �7` , Address: f.. �' L. A r �4 �s is - li ` C�, Phone#: r.,a. "h` - j E-mail Address:t - u) k � • C �. #. Please contact Authorized A• •ant/Representative with project in o. Property Owner Signature: ,�/4,�..- AV , f Date: l! ,r_ ! Name: --u ^3iae*'n� t :h.E' Phone#: ,p Z2- 3 ® E-mail Address: OLIP'uk License#: Expiration Date: Ok Mechanical Application 1 ., ,1;" r �� �( a I t i , 41000611, iirlli, i VKt, n II 1 I v: �l i a �I` ) i ate ,_N Ill9 t wII .1 ' -ri oa -m rrf sa _ -. 6 � .4 Electric Heating Oil Propane* Wood :Pub y=- a'� -"� III a _ l�a .r) Il�ri �IIi�� - 7�i�l lfi��•�tl�lha i lo- ��1 , II°k€ - E r .1 I °4 • 3 IfiII�tBIo a ` �; h' �� *Propane is prohibited in s . - 93 iii i (r i, i - (N �.� �� " i�7 ,) 7� e • a s l :° s 4�, if: ,l 1;� _ ,, hazardous locations such as Fan _Bath Fan and/or Exhaust Fan basements or pits or Clothes Dryer Clothes Dryer with Exhaust Vent anywhere "heavier-than-air" Cook Stove Cook Stove, Range Hood Exhaust gas can unsafely collect. Fireplace-Gas Fireplace-Gas or Gas Log Insert *Propane tanks over 12$ Fireplace-Wood Fireplace-wood,Wood Stove,or gallons require 10 a minimum Pellet Stove setback of ft. Electric Furnace Electric Furnace or HP+/-Ducting property line and b , Propane(LP)Gas Furnace Propane Furnace+/-Ducting and a site plan must be uildings submitted with the Water Heater-Gas Gas WH Vent and Combustion Air application showing the Gas Pipe System Gas Pipe System LPG/Oil o Propane Tank LP Fuel Tank(#gallons: ) over setb 500 acks.gallonprs,a pane site tank plan is is Heat Pump required to accompany this Generator application, and a separate Air Conditioner Fire Code approval is also required. Installation manual must be on site at time of inspection or a re-inspection fee will be charged. 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 making any issued permit null and void. I further agree to that all activities I intend to undertake or complete associated with this permit will be performed in compliance with all applicable federal, state and county laws and regulations and I 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. Applicant may request notice of the County's intent to enter upon the property for visits related to this application and subsequent permit issuance. /` 1-i41-5 Signature: / a 6%I Print Name: CL Date:1./t/—//4(1 n pll l4'Sh'lm__ FiP�� 5i 91N - t ��w =, i nuLN7�Nigm■ ;1911 .�li �IiH 24 +e `r ����hNI II�IN �i k Yea (pi _ gIiI{i j,l a ( r i k 5 a€ IIiIIN i �I ( a I 1� _ 1 _lir �I�t a`� } ft r r 59s p - J 't ii i�t r ,, l ' ) t ( to ( 1,i s `i;l �y ". " Ir piNJ Atc ,��qNe Elg F N 1'i " ltii, tip() t' r y.i _ s G(Ii ll I r ?`, 7an al l ik -3 e} ii Iii!I Nf II�Mj II _ € �� i�V E 1�� �� viii a ?;04 N " ' l " IF I� �O� �'+.N s� .u�N uillt �i � � 8l I '�,i r tl tl lilt ',t �ti ' , 1 d ��r �a �N �i' r ,a' n �u 11 , I� i};N{:"1,4 '`� - §d in t .� 'tali ri lina �� 4 (i: ag 1 2 �� (I t � � 1I �I tt -_ F I "� t III i i-°i*_ d L fiR 1 ! elk>„ t t is _ i) r � �tt ; w tsCctve �JF��e F ,r , , 1 t r 1 1 w r d a t,1 t > 9 elf r"N 7 vy ,,�t�t ,:' I `: I ,pll 4l .,,,� m� �I, r.�, p� ��l Ihl r 1 � Prop a lii e-- °nce(ad 1 ? ,:� Ih I I j a�, .tv� c r ,!!Gi 1", "pi ny ✓ 5a I � � r I '' ------�'v . "i I 1 "' t 7��"u~nNh a r �a pa ,;:;�, 1 N:N t llh hlir �I H° £. s T ,!ail' S NI 4 ��{ytll _ o $4� g �1e4 t t �i1 I ,„- �Gt ,ll . ally 4 1 ) , t*a'd{ �li tF�l,. Ihr ,-t � k ° +, '� , " - .a �"w` E�@,I �- _ "�,. <�-",tea a „ f � *Additional fees may apply. Mechanical Application 2 EVERWARM INC Page 1 of 2 S I Washington State Department of Labor & Industries EVERWARM INC Owner or tradesperson 257151 HWY 101 MCCARTNEY,TERRENCE J PORT ANGELES, WA 98362 360-452-3366 Principals CLALLAM County MCCARTNEY, TERRENCE J, PRESIDENT MCCARTNEY, VIRGINIA RIMSTAD, SECRETARY Doing business as EVERWARM INC WA UBI No. Business type 601 361 016 Corporation License 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. EVERWI*088NL Effective—expiration 08/13/1992—08/17/2016 Bond TRAVELERS CAS&SURETY CO $12,000.00 Bond account no. 206809004 Received by L&I Effective date 08/09/2001 08/02/2001 Expiration date Until Canceled Insurance Nautilus Ins Co $1,000,000.00 Policy no. BN958693 Received by L&I Effective date 01/17/2014 01/20/2014 Expiration date 01/20/2015 https://secure.lni.wa.gov/verify/Detail.aspx?UBI=601361016&LIC=EVERWI*088NL&SAW= 11/19/2014 EVERWARM 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. L&I Tax debts No L&I tax debts are recorded for this contractor license during the previous 6 year period, but some debts may be recorded by other agencies. License Violations No license violations during the previous 6 year period. 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. 447,103-01 Doing business as EVERWARM HEARTH & HOME Estimated workers reported Quarter 3 of Year 2014"11 to 20 Workers" L&I account representative TO/CAROLYN CRAWFORD(360)902-4715-Email: CRAI235 @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 Wing https://secure.lni.wa.gov/verify/Detail.aspx?UBI=601361016&LIC=EVERWI*088NL&SAW= 11/19/2014 Everwarm He arth & Hon. e 1 e Sales Order 257151 Hwy 101 E Port Angeles,WA 98362 Sales Order ID: 44521 United States Customer ID: 10648 Employee ID: Colette Ordered: 11/14/2014 Invoiced: Ship To: Distribution: Installed Mary Pitts Mary Pitts 612 Olympic Ridge Drive 612 Olympic Ridge Drive Port Ludlow,WA 98365 Port Ludlow,WA 98365 Home(208)301-4695 Qty Item List Price Unit Price Total 1 GENERAL LABOR-General Labor $775.00 $775.00 $775.00 Frame for new Fireplace with Wonderboard.Homeowner to finish 1 5641-10-2 GSR2 DANCING FYRE-564 HO-2 GSR2(Best Valuel $4,209.00 $4,209.00 $4,209.00 Dancing Fvre Burner W/Loa&Bik Painted Fineback 1 -94400999-Stepper motor conversion for DVS GS&DVL GS $45.00 $45.00 1 -96900114-564 HO Dancing-Fyne Basic Kit $306.00 $306.00 1 -98500270-564 HO NB GSR2 SCR $2,886.00 $2,886.00 Include GSR2 Remote and 180 CFM Blower 1 -98500769-Power Heat Duct Kit within 20 feet $386.00 $386.00 1 -96100191-Fireback Ledgestone 564 $288.00 $288.00 1 -95400408-564 Ss French Country Face.Black $298.00 $298.00 Homeowner requested this face on 11112/14 1 GENERAL LABOR-General Labor $350.00 $350.00 $350.00 labor to Install Power duct 1 Electrical Subcontractor-See comment $0.00 $0.00 $0.00 Electrician may be required for Blower in stove and blower for Heat Duct My crew will inform you if it is neccessary Everwarm does not do electrical work. Electrical charges are set by the subcontractor. This charge is not reflected in our contract price and will be added to final invoice upon completion of work. 1 UN-INSTALL/RE-INSTALL CHASETOP-Install Chase top $127.00 $127.00 $127.00 1 PIPE AND LABOR PACKAGE-Pipe and Labor Package $1,025.00 $1,025.00 $1,025.00 Install and Vent Gas Fireplace 1-Story 6112 Comp Roof 1 Gas Plumbing-Gas Plumbing Pipe/Labor $2755.00 $275.00 $275.00 Reconfigure existing gas plumbing Gas plumbing needs to be Grounded&Bonded. Homeowner to schedule electrician or let Everwarm know to schedule an electrician and add the charges to the open sales order. Sub Total+. $6,761.00 Deposits/Invoices Terms:Due On Receipt Taxes $608.49 11/14/2014 Deposit-Check-2085 $4,000.00 Total $7,369.49 I Deposits I -$4,000.001 IInvoices l $0.001 fOrder Balance I $3,369.491 257151 Hwy 101 E, Port Angeles. WA 98362, (360)452-3366,Fax:(360)452-3367, everwarm@olypen.com Date Accepted 1111111111111 ece Friday,November 14,2014,5:06:18 PM Received By Date 1 of 2 Printed By colette Parcel Details Page 1 of 2 0 0 I ,, i ' e erson 1._-15:„..4„ „ „.,.,.. County ,\ , 4`' ' A.,- %., —PI'--1' ,--:"..7, - "--1"'—^ ' ---,-F-L::,_, -4,--.,...... ....1,-- ,„.:.: ,...- ,-..:"...... ...0 "4. - IL.-... - 1. L *.;'-' 41 ''''' ''11137- 1,\' Home County Info Departments Search Parcel Number: 821355046 I SEARCH Parcel Number: 821355046 Printer Friendly Owner Mailing Address: MARVIN PITTS MARY BETH E PITTS 612 OLYMPIC RIDGE DR PORT LUDLOW WA98365-9555 Site Address: 612 OLYMPIC RIDGE DR PORT LUDLOW 98365 Section: 35 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: Paradise Bay (8) Sub Division: Assessor's Land Use Code: 1100 - Residential - Single Unit Property Description: OLYMPIC RIDGE ESTATES PARCEL 10 SURVEY V10/P178 Tax,AN, Sales, Photos, and Permit Data Bldg Data Map Parcel Plats&Surveys Septic Monitoring Info , 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 NO=821355046 11/19/2014 Map Output Page 1 of 1 • • ArcIMS HTML Viewer Map I 624355050. 1 02135%04 E y' � 7 A il V ---82€33605.3 1 11,713 145 I Legend 67435 - Selected Feature j ( Towns b �. ___. _ 0 County Sost qqq ( * Rican ,.�,,,: JC_Roada Lei Parceled{ 621Y-0062 824345345 1 t 1 5' _ y �y ,...,... .,...,�.... ......... r...,,,,..� ,.as _........,a.» .... ._.._.,._ 7i E 824356061 52116504.7 1121305000 yi 4400 0.00000.01 sm Ciat*C000 T.,e mes f53 0i 1057n FOR INFORMATIONAL PURPOSES ONLY- Jefferson County does not attest to the accuracy of the data contained herein and makes no warranty with respect to its correctness or validity.Data contained in this map is limited by the method and accuracy of its collection.Wed Nov 19 2014 10:09:38 GMT-0800(Pacific Standard Time) http://maps.co.jefferson.wa.us/servlet/com.esri.esrimap.Esrimap?ServiceName=ovmap&... 11/19/2014 Q�w T ��'2 JEFFERSON COUNTY �, � DEPARTMENT OF COMMUNITY DEVELOPMENT vzia HSNrNG Date: C 04•Time Received: _ am/pm Mon. Tue. Wed. Thur. Fri. Date: BLD: .A .' e1 Contact Name: Owner: .,— y mt. Contact Number: —WO .J /, /b/7 Address: —7;7- 0 0 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#: BLD14-00428 Received Date 11/19/2014 SITE ADDRESS: 612 OLYMPIC RIDGE DR Issue Date 11/19/2014 PORT LUDLOW, 98365 APPLICANT: MARVIN PITTS PHONE: MARY BETH E PITTS 612 OLYMPIC RIDGE DR PORT LUDLOW WA 98365-9555 SUBDIVISION: Block: Lot: PARCEL NUMBER: 821355046 Section: 35 Township: 28N Range: 1E CONTRACTOR: EVERWARM INC PHONE: (360)452-3366 257151 HWY 101 PORT ANGELES WA 98362 Contractor's License EVERWI*088NL Expires 8/17/2016 OWNER, MARVIN PITTS PHONE: if different: MARY BETH E PITTS 612 OLYMPIC RIDGE DR PORT LUDLOW WA 98365-9555 PROJECT DESCRIPTION: NEW MECHANICAL PERMIT Directions REPLACE EXISTING PROPANE FIREPLACE WITH PROPANE To Site: FIREPLACE 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 11/19/2015. REQUIRED INSPECTIONS: Installation per Manufacturer Specifications/CO2: 014-* 6 vill 'V 10 l W Tank/Line/Appliance: d(A-' Vr (_?i// Ica Final Approval: V"" 17110 ) 12/14-41/‘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 11/19/2014