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HomeMy WebLinkAboutBLD2013-00276 - MECHANICAL °BUILDING PERMIT APPLICSON BRDI3-002 D13-00276 Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT#: BLD13-00276 Received Date: 9/9/2013 SITE ADDRESS: 125 TWINSVIEW CT PORT LUDLOW, 98365 OWNER: SYLVIAA HEUSER PHONE: PO BOX 65309 PORT LUDLOW WA 983650309 LUDLOW POINT VILLAGE DIV 4 SUBDIVISION: Block: Lot: PARCEL NUMBER: 969800017 Section: 17 Township: 28 N Range: 01 E CONTRACTOR: BRENNAN HEATING PHONE: 206-248-7900 4601S13THPL SEATTLE WA 98168 REPRESENTATIVE: PHONE: PROJECT DESCRIPTION SWAP OUT 3 TON HEAT PUMP, SAME FOR SAME. TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP MEC MAIN: VALUATION 2,400.00 ADD'L: HEAT TYPE: EEE 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 $0.00 MEB 09/09/13 /� Permit $228.00 MEB 09/09/13 142439 A 1''H t E Total: $228.00 SEP 09 2013 Jefferson County LCD \\+irlcmorir elmfe\fnrmc\G RI n Ann PIA rn+ o/o/7n12 a -I 11/M I -) m CO -I fi x -I -I CD CO -• -• CO -0 CO Of X O. Cl r+ X CO 0 -s -o 0) O - -O -5 -3 O 01 C O_ CD CO 0 CD 3 2 Cc -• co cc CD co M m r+ o CD - 7 X c -3 E - •- m 0 O O It cc 41, ro CD CD CI �d W -5 O. 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M 3 Q O -s O O I- w - O_ o rn C- O w - CD O C- O O H o �. -1 Z cr ro 11 .0 O c H PO 2 -C Contractors or Tradespeople1nter Friendly Page Page 1 of 2 General/Specialty Contractor A business registered as a construction contractor with L&I to perform construction work within the scope of its specialty.A General or Specialty construction Contractor must maintain a surety bond or assignment of account and carry general liability insurance. Business and Licensing Information Name BRENNAN HEATING&A/C LLC UBI No. 602346866 Phone 2062487900 Status Active Address 4601 S 134Th Pt License No. BRENNHA971R9 Suite/Apt. License Type Construction Contractor City Seattle Effective Date 12/29/2003 State WA Expiration Date 12/29/2013 Zip 98168 Suspend Date County King Specialty 1 General Business Type Limited Liability Company Specialty 2 Unused Parent Company Other Associated Licenses License Name Type Specialty 1 Specialty Effective Expiration Status 2 Date Date Heating/Vent/Air TRANSWT872KB TRANSFORMATIVE Construction-Conditioning Unused 5/8/2013 5/8/2015 Active WAVE TECHS LLC Contractor And Refrig (Hvac/R) MIKES Construction MIKESMS922L6 MECHANICAL Contractor General Unused 6/26/2008 6/26/2014 Active SERVICES LLC FLOORSL012JL FLOORING Construction General Unused 4/13/1999 4/6/2003 Archived SOLUTIONS LLC Contractor GUTTER HELMET Construction Out Of GUTTEHW995PH OF WESTERN WA Contractor General Unused 10/8/2001 10/8/2007 Business LL EMPIRE Construction EMPIRPS891PS PROTECTION& Contractor General Unused 10/10/2011 10/10/2013 Suspended SAFETY Business Owner Information Name Role Effective Date . Expiration Date IERDAHL, DARRIN PAUL Partner/Member 12/29/2003 Bond Information Bond Bond Company Name Bond Account Number Effective Date Expiration Date Cancel Date Impaired Date Bond Amount Received Date 2 FEDERATED MUTUAL 9127230 12/22/2004 Until Cancelled $12,000.00 11/04/2004 INS CO Assignment of Savings Information No records found for the previous 6 year period Insurance Information 'Insurance Company Name Policy Number Effective Date Expiration Date Cancel Date Impaired Date Amount Received Date 4 Federated 9820726 07/13/2007 07/13/2014 $1,000,000.0006/10/2013 Mutual Ins Co Summons/Complaint Information No unsatisfied complaints on file within prior 6 year period Warrant Information No unsatisfied warrants on file within prior 6 year period Infractions/Citations Information https://fortress.wa.gov/lni/bbip/Print.aspx 9/9/2013 Contractors or Tradespeople ' ter Friendly Page Page 2 of 2 • 1 Infraction/Citation Date RCW Code Type Status Violation Amount PPEJP00330 19/14/2012 18.106.020 (PLUMBER INFRACTION (Satisfied 1 $250.00 https://fortress.wa.gov/lni/bbip/Print.aspx 9/9/2013 .. . t — 26 tivE ECC a I/' 4 y �' .a - . DR� i r�r aEt Prr T SEP 9 VI '�� .' 380/379.4451 Fttet _ �_ - T '' ' l` JEFFERSON COUNTY, _. a '6.:- ib,r,„-DE?T.OF COMMUNITY DEVELO ''.. .- ,.Ntt-:.'`..,„',',,- ' T1110 - . ,s,' ' . - '' A., , 4” 41 ... _ — - ,,, - , , -.... ,41, ., p ) , .T.a*-Fterwo**....e rtg_\.i,itti3 4,*lb_- m at rya X25 - rNsv‘ , ? k M ci k vww S4Z1 11!hell „etf� eadtbort a ---� . a -, ..: . r.. ` o , , , tit . C V (Moor,*OW*Respond*Economic Use) Pa 0,0arage. Attached!Detached A Catrhdioonal Use thrar09,.Cat ar C)" E3 ci CJ't)hta reitltttitryF'"t'1'"orr Use Ctaesit#catiotn. C1 ` ©;Special Use Pitib�>sattas)`'" [3 elflr e • = to Eotaatahtit.bnr D 0 Road Approach '0iSiort Plat" 0 tires aCtittageinchostry O'landinp She Ran'6.:. a Co CI d r Beata as Development( -. . f Revisions w Q P M Deserrnatatten , 1 )* �.�hOr� a tb�tl�eoa ; �t�e " t C]Shoreline Mangy V 0 j �Map Amendrnerlt C1 Pores[PiatEcse Aa tiyaee of Six-Year Ma aloha, ©Jefferson .. *Oa Age***A?i► r tfow © 'nee VOp Master Program Amendment � ilof ps . `�; , or required If known: hay , , T�}OP AGENT t hereby designate *` ..a .A d�, — k W , o , act . my spent In matters -J to this arp,phostiort for perrnit(s), t1WtRER StetiaaltJrtE s ' S_ s, ,.,i '►, oa . 'i<'1 It D► t ki� ihs awaarf s sss,U p liie labs uan pa�ded and to any chats nts.is sus and o Mobile of ate,he ale , , **del d or ar��`of a matedidarit muds by the denerfagent with leans eio this Mileages packet may await in ads penti t taltandvolt. al er acme*soak i t ndemoittr andhola hamdes•,lensmon Como,*gaited Olt Ilabettleo*dynode..courtateds,11181101111110.atlamay's tees and mess which may in awgr'bnelt leatusagadeat Jn County es a result at or In:.oansegraanna estthe granting duals Mina I*aadher agree to 0000114010issaIllilial of entry to jetiatiOn County and in enigtoysio apresenaMiv*or a -ter the sole pwpO*of adidteidlon horiew and; beer Mara ante ii lard rtht ofaey wilt be ;unless the appedad intone the County a waiting at the tins oe "Waal ,�; , prior notice. Sitnq We . .A a 4, Date:_ 71+ealrlo ;' scheme Matasentwill nndeatecs ad anon* Weganna of ha*pewit +may aegaeSaa,inrpectupon or*4W mere threatened or entiangeredspsdes and amid Usd to a 'boor orationdiiiperedepecies as those terms**defined in me Mario law known es the ' ndenaerMd adesilyd"err"Enka r J t«aen County r no tawerences tb the eppIoe nt thalt the aablala that wa be andsitataen because ryas $erfi, a .neat*Dee the t 4.;Aar�. ow at*yaw tail ties a[smut on behalf or an endangered s ng yeur actian JFyenena aggpMaoart wlttother Maaoaa.t Canty dpva(ropaaS*Cade.The Aereeant sr#lowredgrart thief*,WO Ora holds-individual dua and aa�epone . adl .ia Arid aoanpgrkrp with r Es t. The As k has aid a1 and dates I lam. Dees:rdit '` 1' Cr ;itAARM.atar P«+a+iRAppics<eon 5.29-084ac • • 'CS 114e , Il O w CNJ `W } r-i W IyI g^ i . % t it re 3 • � � +' • IIP 41'. N C06 JEFFERSON COUNTY t s`1_;i��� '� l�, ' `f DEPARTMENT OF COMMUNITY DEVELOPMENT ' # 621 Sheridan Street• Port Townsend •Washington 98368 'tGc+ 2013 360/379-4450 • 360/379-4451 Fax 0 www.co.jefferson.wa.us/commdevelopment Master Permit Application NL • Prje es 'prior,(inlude sgparate h>< eetsYN ssary): V m * b 14 ✓ b e i . .- \\ `� e Q'uickGcm ' O Tax Parcel Number: ` Property Size: (acres/square feet) Site Address and/or Directions to Property: 195 Tw)r sv∎ ) QA l'- 13(-4 Lv dkovk_ R ?;∎Z Property Owner(s)of Record: \ • - -f-.r Telephone: `o• •'i .-4- • i • • Fax: email: Mailing Address7b �Ox _ Oct 'W)(74- •'-- U..)a of bsLoS Applicant/• ,ent(if different from owner): .'C : ■ & A 1,- Telephone:. ,.. % ° ¶ Fa _i - U !. b email riVut £ Df.L4\ 'a ANAck- Y∎Q Mailing Address: . i ~V ¶A r _ _i _ e: • r • a COM 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 0 Garage Attached/Detached ❑Conditional Use[C(a),C(d),or C]** ❑ Manufactured Home 0 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 O Binding Site Plan** O Propane O Long Plat** ❑Sign ❑Planned Rural Residential Development(PRRD)/Amendments*" O Allowed"Yes"Use Consistency Analysis ❑Plat Vacation/Alteration** ❑Stormwater Management ❑Shoreline Master Program Exemption/Permit Revisions** O Site Plan Approval Advance Determination(SPAAD)* ❑Shoreline Management Substantial Development*'" O Temporary Use O 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: D SIGNATION OF AGENT I hereby designate 1 I.■ A. :_A& I. _• I. /' act as my agent in matters r hating to this application for permit(s). OWNER SIGNATURE Q i e 0 ' 0 4N __ q, e' 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. Staffs 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: G:\PemvtCenter\###FORMS###\DAD FORMS\Master Permit Application 5-29-08.doc 0 • 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: &AA\X\M\RAL CONTRACTOR OR ANUFACTURED HOME INSTALLER: PHONE: FAX: L 1C 0,---\1 ( �� o q ( Oki) G e6t - J MAILING ADDRESS: EMAIL: CONTRACTOR'S LICENSE NU(.v (VIA SLIN (46(Aims co m NUMBER: 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 Cr Alteration/Remodel ❑ Concrete Total: Height: ❑ Individual System ❑ Repair ❑ Masonry SEP Permit# ❑ Demolition ❑ Other: Bedrooms: Water Supply: Existing: Setback: ri Private well ❑ Two Party Type f Heat: Proposed: ❑ Public ..(� Total: Name of System:• If this is a Commercial Protect 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: 1 Underground Tank 1 Above ground Tank Size of Propane Tank: 1 Heat Stove 1 Cook Stove I Woodstove 1 Fireplace Insert I Hot Water Tank I Pellet Stove I 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. ... rn�ai � r Cgl f rr F.771,7777,-, . � � 1 m, R,-, ,7 'i m � xu F 1��. p , 1:1 Ej$•Uare Foote•e Current Pro'need � ± . 3 . `„�. N ��!�� ' *,s �il'i 'gt. .1.;t n i. 1qn? !1�uh v�.41 ,,It I , s i ,6 Main Floor Heated � ;,�,�r _�� EH Bld App Review: 2n0 Floor Heated 11,It:31 ,, Consistency Review: Other Heated lw'�� ' a Base fee: R Mezzanine ,” Additional Section: Heated Basement „, u Plan Check fee:1 t ., Unheated Basement t, State Surcharge fee: 7ita Other Unheated ll:TiAtill f::': Pot Water Review fee: 5 r Garage/Carport fi� r, SUBTOTAL Decks 911/Rd Approach fee: Other 1 t a4 K rn TOTAL: $ �a �;',' 0:',,M ' F 4 :_ i , x Receipt Number: /1 al 31 '@k Cash/Check Number: fir: wr o`c5L)a Io � �,�� s+t i�3s�u.^'. i:yi ESTIMATED COST(REQUIRED)4► c )4 8--‘04 .Fair market value of all labor and mater7- oundatron tofinish Initials: • G:\PermitCenter\###FORMS###\DRD FORMS\Master Permit Application 5-29-08.doc Jul.26.2013 01:51 PM GUNNAR HEUSER MD 360 437— PAGE. 1/ 1 BRENNAN PROPOSAL Hr IN AN; C;CN[ rI 4801 South 13411 Place Seattle,WA 68166 (208)248-7900 1-0 -BRENNAN•FAX(2011)246-7906 Lie tea 811ENNMAa7111$ Date: 7f1/13 Project Sylvia Hauser Address: 123 Twinsvlew Ct City,State St Zip Port Ludlow 94365 Phone: 360-437.0910 Fax:3604370970 Castro Stow it 13 PROPOSED SYSTEM 16 4.6 FOLLOWS: Deliver end Install Lennox AMU Certified Heat Pump System.Rmmove]and disposal of vrlot ng equipment included,Brennan liaeneed eleetriolan to supply all necessary electrical dreuits to equipment.Tie into existing ductwork to be pressure tested for leakage.Tie Into existing heat pump t ermosttat.All labor and malarial included to complete to code.All neoeeary prinks included. Cosec°Cosh Card$109/CMoo&e'a ve garatlnts Contribution$1 Pl EQUIPMENT, Lowar101134.36 S71G1V Meet Poop/Lew=C,tltMM-sad Reeder r0Jlw ADDITIONAL UPGRADES: I, Dot Cleaning Service+250,00 WARRANTY: 1 Year Labor Warranty/10 Year Pan Warranty(with product registration) MATERIAL/LARDS 8285.00 PERMITS 270.00 TAX 769.95 TOTAL 5938135 (Coetco CNA Cod -800.00) (Executive Earnings 17L00) NET INVESTMENT $5353.93 Bid valid for 30 days. We Propose hereby to nimbi'meterhl and labor-complete in accutdance with abovo rpoclfoatione Al rrW is rrersda Ms 40111$AR walk hwk••.e:M 411MAe.Yd AMMO*yOtIlsor udA,sr4•Y*•MY dwYNdmrl Y swoop=pot wYdAtidias mow ssniy albs*odour sioedpsismdaslmAee Ya vadl,It ard/Nrmiask47)'elks 1Lurlr diatom.n in ApirNrM M.YwiYay.4wirsletd YierY.rw•il 4 mood no maid kali Anna+..Arnr/rVeil awed IY UMMYYN mor dnal.Yrr MdYYdipWwll u rAc Ai*olvtaidn.,e.rem•. •w�+.■a IMbw YarKVAOr.ds Aemptione eat Proposal h1reeY*Anise*eaten work end aisle to pay the am.aat sel ibrttt in this pr.poml.l agree to die tams and conditions of this contras.I reserve the right to Moll this WAWA*within(3)Wyse wait days of dr.below date unless work hoe conaneseed.Custom will be lespomiblo for may collation and/or attumy lees le manse is not mad.. • Au:hadaed Signature Dali of Acceptance /24/r2)l3 Signature // e 4 • 1 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#: BLD13-00276 Received Date 9/9/2013 SITE ADDRESS: 125 TWINSVIEW CT Issue Date 9/9/2013 PORT LUDLOW, 98365 APPLICANT: SYLVIAA HEUSER PHONE: PO BOX 65309 PORT LUDLOW WA 983650309 SUBDIVISION: LUDLOW POINT VILLAGE DIV 4 Block: Lot: PARCEL NUMBER: 969800017 Section: 17 Township: 28N Range: 01E CONTRACTOR: BRENNAN HEATING PHONE: 206-248-7900 4601 S 13TH PL SEATTLE WA 98168 OWNER, SYLVIAA HEUSER PHONE: if different: PO BOX 65309 PORT LUDLOW WA 983650309 PROJECT DESCRIPTION: SWAP OUT 3 TON HEAT PUMP, SAME FOR SAME. 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 9/9/2014. REQUIRED INSPECTIONS: Tank/Line/Appliance: FinalApproval: 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 9/9/2013 of n wito I co.-7.77.- mew p ``e' 'QQx u.1.J Q i J / eet Date 1V—./ L/_1 time received 10:71) Q1 pm 2-- Mon. Tues. ,Wed: lab Pd. BLD: 13 �9-� Date: /U° j.3----1. OWNER: y Contact Name S r/i/cL —I ADDRESS: 175 11411' vI.ew Comer+ Contact Number 360 7, /- O1/ 7 Notes: ������( �1� x 206 ?�'` � Foundation Plumbing Framing Propane Tank Mechanical ' Setbacks _ Under-ground Framing Under ground — Furnace Footing Rough In Air seal Stemwall — Hydronic Above ground _ Gas _ Straps Exterior shear Exterior lines Oil _ Interior shear Interior lines Ducts . Post Hole _ Ventilation — Underfloor Appliance Man=Honies Gas/wood stove Setbacks Insulation. • Foundation Final Inspection•Block&Tie . `:•:; �� — floor wall ceiling ," 4 Address Posted JEFFERSON COUNTY �C, NO. 14243 48 DATE �3 RECEIVED FROM ����G-r Qr CI Alf�r rl r 1 cc DESCRIPTION BARS&K AMOUNT CURRENCY /15t". i ...aag � COIN �R BIDS �So Jo t� c , �i nl�1 o K .. qtr r, Q - :..r 0 11 i Est �` .4 TOTAL R g-d(c ECEIVED BY