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HomeMy WebLinkAboutBLD2014-00251 - MECHANICAL •UILDING PERMIT APPLICA*N BLD14-00251 Review Type: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT#: BLD14-00251 Received Date: 7/18/2014 SITE ADDRESS: 60 MC CURDY LN PORT LUDLOW, 98365 OWNER: JULIE S MARTIN PHONE: 360-945-2787 PO BOX 65297 PORT LUDLOW WA 98365-0297 9906 SUBDIVISION: Block: Lot: PARCEL NUMBER: 990603129 Section: 9 Township: 28 N Range: 1E CONTRACTOR: WASHINGTON ENERGY SERVICES CO PHONE: 206-282-4700 2800 THORNDYKE AVE W SEATTLE WA 98199 Contractor's License WASHIES971OB Expires 9/2/2015 REPRESENTATIVE: PHONE: PROJECT DESCRIPTION REPLACE ELECTRIC HOT 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 07/18/14 148893 APPROVED Total: $152.00 JUL 18 2014 Jefferson County DCD r \\tidemark\data\forms\F_BLD_App_Bld.rpt 7/18/2014 4i,5°N % JEFFERSOt UNTY S DEPARTMENT OF COMMUNITY DEVELOPMENT 621 Sheridan Street• Port Townsend •Washington 98368 360/379-4450 • 360/379-4451 Fax www.co.jefferson.wa.us/commdevelopment bt?N Master Permit Application MLA: Project Description(include separate sheets as necessary): REPALCE ELECTRIC WATER HEATER Tax Parcel 990603129 Property Number: Size: (acres/square feet) Site Address and/or Directions to Property: 60 MCCURDY LN, PORT LUDLOW 98365 Property Owner(s)of Record: JULIE MARTIN Telephone:2069400791 Fax: email: Mailing Address: 98365 LANE,PORT LUDLOW 98365 Applicant/Agent(if different from owner): NORTHWEST PERMIT INC. Telephone: 360-945-2787 Fax: 360-945-2091 email: NAIDA©NWPERMIT.COM Mailing Address: 1345 GULF RD,POINT ROBERTS WA 98281 Cep I(A. Kilt. '_f uwIf' .CGp t, What kind of Permit?(Check each box that applies 1Building ❑Variance(Minor,Major or Reasonable Economic Use) ❑ Demolition Permit ❑Conditional Use[C(a),C(d),or C]** p Single Family ❑Garage Attached/Detached ❑Discretionary"D"or Unna = e Classification ❑ Manufactured Home ❑ Modular ❑Special Use(Essential P- • ** ❑ Commercial* ❑Boundary Line Adjustm ❑ Change of Use ❑Short Plat*" ell ❑ Address ❑Road Approach ❑Binding Site Plan** ❑Home Business ❑Cottagelndustry ❑ Long Plat** �' ❑Propane ❑Planned Rural Resid tial beveloViMint(PRJJD)/!Amend ❑Sign ❑Plat Vacation/Alterati rt* 6 ,2 j4 '/ r ❑Allowed"Yes"Use Consistency Analysis ❑Shoreline Master Program tion/Permit Re ions // ❑Stormwater Management ❑Shoreline Manage -nt S9b tantial ent** ❑Site Plan Approval Advance Determination(SPAAD)* ❑Shoreline Management . - - 044` 'V COVN J ❑Temporary Use ❑Comprehensive Plan/UDC/Land I - ), Amendm t ❑Wireless Telecommunication* ❑Jefferson County Shoreline Master Program.'r4,,:i nt ❑Forest Practices Act/Release of Six-Year Moratorium ❑Tree Vegetaion Request *May require a Pre—Application Conference **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 NORTHWEST PERMIT INC. to act as my agent in matters relating to this application for permit(s). OWNER SIGNATURE Date: 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 it's 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 application that he or she wants prior notice. Signature: Date: 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 responsibility for adhering to and complying with the ESA. The Applicant has read this disclaimer and signs and dates it below. Signature: Date: C:\Documents and Settings\caral\Local Settings\Temporary Internet Files\OLK86\Master Permit Application 12-19-2006.doc 1 ill 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: WASHINGTON ENERGY SERVICES ( 800)398-4663 ( ) MAILING ADDRESS: naida @nwpermit.com EMAIL: naida(ilnwpermit.com CONTRACTOR'S LICENSE WAINS NUMBER: WASHIES971 OB NUMBER ARCHITECT/ENGINEER: PHONE ( ) FAX:( ) MAILING ADDRESS: EMAIL Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: ❑ New ❑ Wood Existing: ❑ Sewer ❑ Addition ❑ Steel Proposed: Bank ❑ Community System VI 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 Electric Total: Name of System: If this is a Commercial Proiect 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: ❑Underground Tank 0 Above ground Tank Size of Propane Tank: ❑Heat Stove ❑Cook Stove ❑Woodstove ❑ Fireplace Insert ❑Hot Water Tank ❑Pellet Stove ❑Other Is this appliance being installed in a Manufactured/Mobile Home? Yes / tit When applying for a permit to install a propane tank you must also submit a site plan showing _ Idings,all property lines,tank location and size,distances from the propane tank to all property lines,buildings a 1/`s . its, including the reserve area. +! r I ! Square Footage Current Proposed For Office Use Only aunt J 8n Main Floor Heated EH Bid App Review: U L, 2014 2"d Floor Heated Consistency Review: Ny w Other Heated Base fee: �r•�FCp)�n�n��,��,ON Mezzanine Additional Section: Heated Basement Plan Check fee: Unheated Basement State Surcharge fee: Other Unheated Pot Water Review fee: Garage/Carport SUBTOTAL Decks 911/Rd Approach fee: Other TOTAL: $ 1 00 Receipt Number: lki CW) Cash/Check Number ‘ce).3, ESTIMATED COST(REQUIRED) Date: /f 1 941 •Fair market value of all labor and materials foundation to finish Initials: C" CC C:\Documents and Settings\caral\Local Settings\Temporary Internet Files\OLK86\Master Permit Application 12-19-2006.doc �\ mod, • y r ___. E C E i v C --�°1 1r 4i, O1V co.. JEFFERSON COU ' . . , In 1 WDEPARTMENT OF COMMUNITY DEVELOPMENT Jill 621 Sheridan Street• Port Townsend•Washington 98368 ;� L 360/379-4450 • 360/379-4451 Fax j � www.co.jefferson.wa.us/commdevelopment 1��([P,SUII t Ot'' loins �° Ur PT�FtfNi,'+gUlvrTYDPIPI('/F�J7 Master Permit Application MLA: Project Description(include separate sheets as necessary): � '/- _j_,,,�- p�A taCe.li 1 Y -fir- f 17-'h0Q.,tW��14 -Wai�t -- 5:11 ' Tax Parcel Property Number. 990603129 Size: (acres/square feet) Site Address and/or Directions to Property: 60 MCCURDY LN 9� � &r^ �l.JwuCi i �� � Property Owner(s)of Record: JULIE MARTIN JULIESMARTIN(�O.COM Telephone: 2069400791 Fax: email: Mailing Address: iiir • Applicant/Agent(if different from owner): NOR H EST PERMIT INC. Telephone:360-945-2787 Fax: 360-945-2091 email: NAIDA@NWPERMIT.COM Mailing Address: 1345 GULF RD,POINT ROBERTS WA 98281 What kind of Permit?(Check each box that applies Building ❑Variance(Minor,Major or Reasonable Economic Use) ❑ Demolition Permit 0 Conditional Use[C(a),C(d),or C]*" j)Single Family ❑Garage Attached I Detached ❑Discretionary"Cr or Unnamed Use Classification ❑ Manufactured Home ❑ Modular 0 Special Use(Essential Public Facilities)** ❑ Commercial* ❑Boundary Line Adjustment ❑ Change of Use ❑Short Plat** ❑ Address ❑Road Approach ❑Binding ❑Home Business ❑Cottagelndustry ❑Long Plat 0 ,, ❑Propane ❑Planned F amendments ❑Sign ❑Plat Vacate ❑Allowed"Yes"Use Consistency Analysis ❑Shoreline F r ;ions** ❑Stormwater Management ❑Shoreline tti ❑Site Plan Approval Advance Determination(SPAAD)* ❑Comeliinee J' mendment ❑Temporary Use ❑Jefferson Co ..,,�ument ❑Wireless Telecommunication ❑Forest Practices Act/Release of Six-Year Moratorium ❑Tree Vegetaii "May require a Pre—Application Conference **Require ...Application Conference Please identify any other local,state or federal permits required for this proposal,if known: DESIGNATION OF AGENT I hereby designate NORTHWEST PERMIT INC. to act as my agent in matters relating to this application for permit(s). OWNER SIGNATURE Ilk/ J'...j 4. -L. Date: 7-8-/"/ By signing this applicatio 410,the owner/agent attests that the information provided herein,and in any attachments,is true and correct to the best of his,her or it's 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 applicati. at h- or-he want- r or notice. / t�_Pj_ 1 Signature: y j i*1 i?i e -',Al- Date: // Q The action or a ;•. :;.scant 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 r- •nsi.ili for adh •to and complying with the ESA. The Applicant has read this disyLgimerand signs and dates it below. Signature: N r Date: �-� C:\Documents and Settings\carat\Lucas Setungs\Temporary Internet Tides\OLI:86\taster Permit Application 12-19-2006.doc i`f ,1) i itmlhit few I`JI. • ' No thwest Permit Inca EGEUVE \1 July 15, 2014 JUL 1 8 2014 Jefferson County Department of Community Development JEFFERSON CQ JNTY 621 Sheridan Street pErT °F CO" r Port Townsend, WA 98368 To Whom It May Concern: Please process attached mechanical permit. We act as permit expeditors for our clients and as such would ask that you do not mail the permits to the address on the application. Instead, please mail them to the address below: Attn: Sheila Monty Northwest Permit Inc. 1345 Gulf Road Point Roberts WA 98281 Please see attached check for payment of the permit fees. Please be informed that we, Northwest Permit Inc. have taken over the permitting services for Washington Energy Services. Please update your contact information with the above contact address and below: I • . e any questions please call me at 360.945.2787 or Sheila @nwpermit.com ou. 400eila Monty Northwest Permit Inc. • • 0 JEFFERSON COUNTY liE, CIEOVE1 etyli' DEPARTMENT OF COMMUNITY DEVELOPMENT tt ' 621 Sheridan Street• Port Townsend •Washington 98368 1 U 2 360/379-4450 • 360/379-4451 Fax Llj i t www.co.jefferson.wa.us/commdevelopment JEFFERSON COUNTY t DEPT.OF COMMUNITY DEVELOP_MENT Master Permit Application MLA: Project Description(include separate sheets as necessary): te-plaCefria C- 16-hotit5 .i"1-k-1/ cR - ` e01 1.1-..f Tax Parcel 990603129 Property Number: Size: (acres/square feet) Site Address and/or Directions to Property: 60 MCCURDY LN co lout, Li3V1 411f6'.5-' Property Owner(s)of Record: JULIE MARTIN Telephone: 2069400791 Fax: email: JULIESMARTIN @Q.COM Mailing Address: "7:4" j v. 6 i 65,0....9� feJ"6- jet,ri/ kW /T-3Cor. Applicant/Agent(if different from owner): NORTH \�TVVEST PERMIT INC. — Telephone: 360-945-2787 Fax: 360-945-2091 email: NAIDA @NWPERMIT.COM Mailing Address: 1345 GULF RD,POINT ROBERTS WA 98281 What kind of Permit?(Check each box that applies VIBuilding ❑Variance(Minor,Major or Reasonable Economic Use) ❑ Demolition Permit ❑Conditional Use[C(a),C(d),or C]** 0 Single Family ❑Garage Attached/Detached ❑Discretionary"D"or Unnamed Use Classification ❑ Manufactured Home ❑ Modular ❑Special Use(Essential Public Facilities)** ❑ Commercial* ❑Boundary Line Adjustment ❑ Change of Use ❑Short Plat** ❑ Address ❑Road Approach ❑Binding ❑Home Business El Cottagelndustry ❑Long Plat NO ❑Propane ❑ Planned F I amendments** ❑Sign ❑Plat Vacati ❑Allowed"Yes"Use Consistency Analysis ❑Shoreline II P ` , r >ions** ❑Stormwater Management CI Shoreline Ni r t 0 ❑Site Plan Approval Advance Determination(SPAAD)* ❑Shoreline M ❑Temporary Use CI mendment ❑Wireless Telecommunication* ❑Jefferson Co ..,.,tument ❑Forest Practices Act/Release of Six-Year Moratorium ❑Tree Vegetal( - *May require a Pre—Application Conference **Require .. Application Conference Please identify any other local,state or federal permits required for this proposal, if known: DESIGNATION OF AGENT NORTHWEST PERMIT INC. I hereby designate to act as my agent in matters relating to this application for permit(s). OWNER SIGNATURE } �/ Date: / —O "` f'T By signing this applicatio the owner/agent attests that the information provided herein,and in any attachments,is true and correct to the best of his,her or it's 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 attorneys 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. Staffs access and right of entry will be assumed unless the applicant informs the County in writing at the time of the applicati• at h or he want- ••or n,tice. Signature: �� = J i&l /AML. _iI. Date: / —g- / /y The action or ac'*1a scant 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 r- =si ili for adh-,.to and complying with the ESA. The Applicant has read this dis mer and signs and dates it below. Signature: __ l vi. /D l �' Date: --6i)re)• C:\Documents and Settings\carat\Local Settings\Temporary Internet Files\OLK86\Master Permit Application 12-19-2006.doc 49119 ■iplitorevp • • w COLLQA Wk C-01,-7-112de C-LpF (i'Mji-e(y) Ce-C 3 si,° V6h0 Con+rac=o r tiAl 52_ - 1)31c1 kkSC. Cee, - Ecirc° 5c -ree - $ — 9 NORTHWEST PERMIT INC Page 1 of 1 • • VVashincgtc n State Department of Labor & Industries INORTHWEST PERMIT INC Owner or tradesperson DEBORAH L HART, PRES 1345 GULF RD DEBORAH HART POINT ROBERTS,WA 98281 Doing business as NORTHWEST PERMIT INC WA UBI No. Governing persons 601 286 822 DEBORAH L HART WAYNE KNOWLES; IWorkers' comp Do you know if the business has employees? If so, verify the business is up-to-date on workers'comp premiums. This company has multiple workers'comp accounts. Active accounts L&I Account ID Account is current. 818,696-01 Doing business as NORTHWEST PERMIT INC Estimated workers reported Quarter 1 of Year 2014"4 to 6 Workers" L&I account representative T4/RYANNE BONAUDI (360)902-5133-Email: BONR235 @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 4111111Washingtorto ,v,,A1 txxr.rr;rtre+#§U https://secure.lni.wa.gov/verify/Detail.aspx?UBI=601286822&SAW= 7/14/2014 Parcel Details Page 1 of 2 • 7-1 offerson ,.e � _ � .. .. n� not n n D rtments Search Parcel Number: 990603129 SEARCH Parcel Number: 990603129 Printer Friendly Owner Mailing Address: JULIE S MARTIN PO BOX 65297 PORT LUDLOW WA98365-0297 Site Address: 60 MCCURDY LN PORT LUDLOW 98365 Section: 9 School District:Chimacum (49) Qtr Section: NW1/4 Fire Dist: Port Ludlow (3) Township: 28N Tax Status: Taxable Range: 1E Tax Code: 0231 Planning area: Sub Division: 9906 - PORT LUDLOW NO. 2 Assessor's Land Use Code: 1100 - Residential - Single Unit Property Description: PORT LUDLOW NO 2 AREA 3 LOT 129 Tax,A/U, Sales, Photos, and Permit Data Bldg Data Map Parcel Plats&Surveys Septic Monitorinq Info JCSdn 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=990603129 7/18/2014 NORTHWEST PERMIT INC • Page 1 of 1 10 Washington State Department of Labor & Industries NORTHWEST PERMIT INC Owner or tradesperson DEBORAH L HART, PRES 1345 GULF RD DEBORAH HART POINT ROBERTS, WA 98281 Doing business as NORTHWEST PERMIT INC WA UBI No. Governing persons 601 286 822 DEBORAH L HART WAYNE KNOWLES; IWorkers' comp I Do you know if the business has employees? If so, verify the business is up-to-date on workers'comp premiums. This company has multiple workers' comp accounts. Active accounts L&I Account ID Account is current. 818,696-01 Doing business as NORTHWEST PERMIT INC Estimated workers reported Quarter 1 of Year 2014"4 to 6 Workers" L&I account representative T4/RYANNE BONAUDI (360)902-5133-Email: BONR235 @Ini.wa.gov IWorkplace 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 https://secure.lni.wa.gov/verify/Detail.aspx?UBI=601286822&SAW= 7/18/2014 elof9 WASHINGTON ENERGY SERVICES CO Pa• g CiWashington State Department of Labor & Industries I WASHINGTON ENERGY SERVICES CO Owner or tradesperson 3909 196TH ST SW O LYNNWOOD,WA 98036 OLSON,VERN ALLEN 206-282-4700 Principals SNOHOMISH County OLSON,VERN ALLEN, PRESIDENT HEAGLE, RANDELL S,VICE PRESIDENT CHRISTIANSON, STEVEN ROY, SECRETARY OLSON, CRAIG EVAN, PRESIDENT (End: 11/20/2013) OLSON, VERN,VICE PRESIDENT (End: 11/20/2013) HEAGLE, RANDELL S, SECRETARY (End: 11/20/2013) CHRISTIANSON, STEVE, TREASURER (End: 11/20/2013) Doing business as WASHINGTON ENERGY SERVICES CO WA UBI No. Business type 602 320 560 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. WASHIES971OB Effective—expiration 09/02/2003—09/02/2015 Bond DEVELOPERS SURETY&INDEM CO $12,000.00 Bond account no. 571389C Received by L&I Effective date 09/02/2003 08/29/2003 Expiration date https://secure.lni.wa.gov/verify/Detail.aspx?UBI=602320560&LIC=WASHIES971OB&SAW= 7/18/2014 WASHINGTON ENERGY SERVICES CO Page 2 of 9 • Until Canceled . Insurance United Specialty Insurance Com $1,000,000.00 Policy no. BVO1452757 Received by L&I Effective date 04/30/2014 05/01/2014 Expiration date 05/01/2015 Insurance history Savings No savings accounts during the previous 6 year period. Lawsuits against the bond or savings Cause no. 13-2-00091-1 Open Complaint filed by Complaint against bond(s)or savings COLEMAN, ROBERT&SHAUNA 571389C Complaint date Complaint amount 04/25/2013 $9,972.79 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 Infraction no. EBATI01053 Satisfied Violation date RCW/WAC 05/29/2014 19.28.271 RCW Violation city Violation amount LYNNWOOD $250.00 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.Washington Energy Services, employed Miguel Corro Herrera,to perform electrical work when expired as an electrical trainee. Performing low voltage wiring installation on a new furnace. Infraction no. PJACH00746 Satisfied Violation date RCW/WAC 04/15/2014 18.106.020 Violation city Violation amount $1,000.00 https://secure.lni.wa.gov/verify/Detail.aspx?UBI=602320560&LID=WASHIES971OB&SAW= 7/18/2014 WASHINGTON ENERGY SERVICES CO Page 3 of 9 LYNNWOOD • • Type of violation PLUMBER INFRACTION Description Improper supervision while engaged in the trade of plumbing.(Employed Christopher Boughal a plumber trainee to install a gas water without journeyman supervision as required) Infraction no. PJAJC01642 Satisfied Violation date RCW/WAC 10/25/2013 18.106.020 Violation city Violation amount LYNNWOOD $1,000.00 Type of violation PLUMBER INFRACTION Description Contractor failed to provide proper supervision as required. (Washington Energy Services Co dispatched Plumber trainee Christopher M Boughal to replace the HWT at the above SFR without providing him with proper supervision) Infraction no. PPEJP00346 Satisfied Violation date RCWIWAC 10/18/2012 18.106.020 Violation city Violation amount Seattle $1,000.00 Type of violation PLUMBER INFRACTION Description Contractor employed a person to engage in the trade of plumbing without a current journeyman,specialty or trainee certificate, temporary permit or medical gas endorsement as required.On 10/17/12,WASHINGTON ENERGY SERVICES CO employed Terry Jay Giersdorf II, an unlicensed plumber,to perform plumbing related duties. Infraction no. PPEJP00345 Satisfied Violation date RCW/WAC 10/18/2012 18.106.020 Violation city Violation amount Seattle $1,000.00 Type of violation https://secure.lni.wa.gov/verify/Detail.aspx?UBI=602320560&LIC=WASHIES971OB&SAW= 7/18/2014 WASHINGTON ENERGY SERVICES CO Page 4 of 9 PLUMBER INFRACTION • • Description Contractor employed a person to engage in the trade of plumbing without a current journeyman, specialty or trainee certificate, temporary permit or medical gas endorsement as required.On 10/17/12,WASHINGTON ENERGY SERVICES CO employed Lance Alderdice Johnson,an unlicensed plumber,to perform plumbing related duties. infraction no. NRUS000590 Satisfied Violation date RCW/WAC 04/11/2012 18.27.100(1) RCW Violation city Violation amount Seattle $250.00 Type of violation CONSTRUCTION INFRACTION Description Contractor registered under one name,while engaging in or acting in the capacity of another. (Advertising under the dba of PlumbWorks) Infraction no. PBUJD00283 Satisfied Violation date RCW/WAC 03/01/2012 18.106.020 Violation city Violation amount Seattle $1,000.00 Type of violation PLUMBER INFRACTION Description Contractor employed a person to engage in the trade of plumbing without a current journeyman,specialty or trainee certificate, temporary permit or medical gas endorsement as required.Washington Energy Services employed Andrew Seiders to install a hot water tank at the listed address. Infraction no. PBUJD00284 Satisfied ........................... Violation date RCW/WAC 03/01/2012 18.106.020 Violation city Violation amount Seattle $1,000.00 Type of violation PLUMBER INFRACTION Description https://secure.lni.wa.gov/verify/Detail.aspx?UBI=602320560&LIC=WASHIES971 OB&SAW= 7/18/2014 WASHINGTON ENERGY SERVICES CO Page 5 of 9 Contractor employed a person to elge in • the trade of plumbing without a current journeyman,specialty or trainee certificate, temporary permit or medical gas endorsement as required.Washington Energy Services employed Roman Golonko to install a hot water tank at the listed address. Infraction no. PZETD00531 Satisfied Violation date RCW/WAC 07/14/2011 18.106.020 Violation city Violation amount Seattle $1,000.00 Type of violation PLUMBER INFRACTION Description Employee who authorized the plumbing work assignment of the person employed in violation of 18.106.020. (Craig Olson assigned Chris Boughal to install hot water tank when inactive) Infraction no. PZETD00530 Satisfied Violation date RCW/WAC 07/14/2011 18.106.020 Violation city Violation amount Seattle $1,000.00 Type of violation PLUMBER INFRACTION Description Contractor employed a person to engage in the trade of plumbing without a current journeyman,specialty or trainee certificate, temporary permit or medical gas endorsement as required.(inactive trainee installing hot water tank) Infraction no. PJACH00612 Satisfied Violation date RCW/WAC 02/24/2010 18.106.020 Violation city Violation amount Seattle $1,000.00 Type of violation PLUMBER INFRACTION Description Contractor failed to provide proper supervision as required. (Employed Danny Padilla to install a gas water heater at a SFR without having supervision as required) https://secure.lni.wa.gov/verify/Detail.aspx?UBI=602320560&LIC=WASHIES971OB&SAW= 7/18/2014 WASHINGTON ENERGY SERVICES CO Page 6 of 9 • Infraction no. PBATI00550 Satisfied Violation date RCWIWAC 10/23/2009 18.106.020 Violation city Violation amount Seattle $250.00 Type of violation PLUMBER INFRACTION Description Contractor employed a person to engage in the trade of plumbing without a current journeyman/specialty/trainee/med-gas certification as required. Employee Rene Raham installed a new water heater at the above address when not certified as required. Infraction no. PBATI00549 Satisfied Violation date RCW/WAC 10/23/2009 18.106.020 Violation city Violation amount Seattle $250.00 Type of violation PLUMBER INFRACTION Description Contractor employed a person to engage in the trade of plumbing without a current journeyman/specialty/trainee/med-gas certification as required. Employee Jay Gehling installed a new water heater at the above residence when not certified as required. Infraction no. PBATI00551 Satisfied Violation date RCW/WAC 10/23/2009 18.106.020 Violation city Violation amount Seattle $250.00 Type of violation PLUMBER INFRACTION Description Contractor employed a person to engage in the trade of plumbing without a current journeyman/specialty/trainee/med-gas certification as required. Employee Rich Paradis installed water heater when not certified as required. https://secure.lni.wa.gov/verify/Detail.aspx?UBI=602320560&LIC=WASHIES971OB&SAW= 7/18/2014 WASHINGTON ENERGY SERVICES CO Page 7 of 9 Infraction no. • • PBATI00548 Satisfied Violation date RCW/WAC 10/23/2009 18.106.020 Violation city Violation amount Seattle $250.00 Type of violation PLUMBER INFRACTION Description Contractor employed a person to engage in the trade of plumbing without a current journeyman/specialty/trainee/med-gas certification as required. Employee Cory Stuart installed a new water heater at the above residence when not certified as required. Infraction no. PBATI00552 Satisfied .......................... Violation date RCW/WAC 10/23/2009 18.106.020 Violation city Violation amount Seattle $250.00 Type of violation PLUMBER INFRACTION Description Contractor employed a person to engage in the trade of plumbing without a current journeyman/specialty/trainee/med-gas certification as required. Employee Danny Padilla installed a water heater when not certified as required. Infraction no. PBATI00546 Satisfied Violation date RCW/WAC 10/23/2009 18.106.020 Violation city Violation amount Seattle $250.00 Type of violation PLUMBER INFRACTION Description Contractor employed a person to engage in the trade of plumbing without a current journeyman/specialty/trainee/med-gas certification as required. Employee Cory Stuart installed a water heater at the above residence when not certified as required. Infraction no. https://secure.lni.wa.gov/verify/Detail.aspx?UBI=602320560&LIC=WASHIES971OB&SAW= 7/18/2014 WASHINGTON ENERGY SERVICES CO Page 8 of 9 PBATI00547 • Satisfied • Violation date RCW/WAC 10/23/2009 18.106.020 Violation city Violation amount Seattle $250.00 Type of violation PLUMBER INFRACTION Description Contractor employed a person to engage in the trade of plumbing without a current journeyman/specialty/trainee/med-gas certification as required. Employee Hiran Eskeets installed a water heater at the above residence when not certified as required. Infraction no. EJONM00414 Satisfied Violation date RCW/WAC 01/22/2009 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 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. 224,000-06 Doing business as WASHINGTON ENERGY SERVICES CO Estimated workers reported Quarter 1 of Year 2014"Greater than 100 Workers" L&I account representative T3/THOMAS BOYLE (360)902-4886-Email: BOYT235©Ini.wa.gov IWorkplace safety and health No inspections during the previous 6 year period. https://secure.lni.wa.gov/verify/Detail.aspx?UBI=602320560&LIC=WASHIES971OB&SAW= 7/18/2014 WASHINGTON ENERGY SERVICES CO Page 9 of 9 ©Washington State Dept.of Labor&Industries. U this site is subject to the laws of the state of Wash*. ACCft i Hirt i."N•°,.'SE yjvyg i'rea'f.rn§BfEf�'@S*..tij#.;.. https://secure.lni.wa.gov/verify/Detail.aspx?UBI=602320560&LIC=WASHIES971OB&SAW= 7/18/2014 • • 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#: BLD14-00251 Received Date 7/18/2014 SITE ADDRESS: 60 MC CURDY LN Issue Date 7/18/2014 PORT LUDLOW, 98365 APPLICANT: JULIE S MARTIN PHONE: 360-945-2787 PO BOX 65297 PORT LUDLOW WA 98365-0297 SUBDIVISION: 9906 Block: Lot: PARCEL NUMBER: 990603129 Section: 9 Township: 28N Range: 1 E CONTRACTOR: WASHINGTON ENERGY SERVICES CO PHONE: 206-282-4700 2800 THORNDYKE AVE W SEATTLE WA 98199 Contractor's License WASHIES971OB Expires 9/2/2015 OWNER, JULIE S MARTIN PHONE: 360-945-2787 if different: PO BOX 65297 PORT LUDLOW WA 98365-0297 PROJECT DESCRIPTION: REPLACE ELECTRIC HOT WATER HEATER 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 7/18/2015. REQUIRED INSPECTIONS: Installation per Manufacturer Specifications/CO2: Tank/Line/Appliance: �- C 0 (I a Final Approval: I ( [4( f. 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 elY1CLa 7/ 1E/ t' \ \\tidemark\data\forms\F_BLD_Permit_Propane.rpt 7/18/2014 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#: BLD14-00251 Received Date 7/18/2014 SITE ADDRESS: 60 MC CURDY LN Issue Date 7/18/2014 PORT LUDLOW, 98365 APPLICANT: JULIE S MARTIN PHONE: 360-945-2787 PO BOX 65297 PORT LUDLOW WA 98365-0297 SUBDIVISION: 9906 Block: Lot: PARCEL NUMBER: 990603129 Section: 9 Township: 28N Range: 1E CONTRACTOR: WASHINGTON ENERGY SERVICES CO PHONE: 206-282-4700 2800 THORNDYKE AVE W SEATTLE WA 98199 Contractor's License WASHIES971OB Expires 9/2/2015 OWNER, JULIE S MARTIN PHONE: 360-945-2787 if different: PO BOX 65297 PORT LUDLOW WA 98365-0297 PROJECT DESCRIPTION: REPLACE ELECTRIC HOT WATER HEATER 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 7/18/2015. REQUIRED INSPECTIONS: Installation per Manufacturer Specifications/CO2: Tank/Line/Appliance: Final Approval: 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 7/18/2014 go°1., JEFFERSON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT Date: )2, ��',Time Received: ' r L/3 ()pm Mon. Tue. 610 t Fri. Date: BLD: I 4 --OZ r i Contact Name: Owner: Contact Number: 360 Address: (At e? VMt+N12,?y it-IA 206 9yo 079/ Notes: 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 —t--� Foundation Wall Address Posted Block&Tile Ceiling JEFFERSON COUNTY 9C NO. 148893 DATE --7-1K-1`-1 RECEIVED FROM \i ""✓ \ DESCRIPTION BARS# AMOUNT CURRENCY p�7n"i T'"`vn�n t 152 „6) .. COIN S 1e°o A 2 goU0'3I ISS"Z- 0 0 M X0 1 • RECEIVED BY .c!"1 s TOTAL 1 1`� .� _... � r