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HomeMy WebLinkAboutBLD2015-00021 - MECHANICAL BUILDING PERMIT Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 PERMIT#: BLD15-00021 Received Date: 1/23/2015 SITE ADDRESS: 60 HELM LN Issue Date 1/23/2015 PORT LUDLOW, 98365 Expiration Date 1/23/2016 OWNER: MARILYN K&WAYNE SMITH PHONE: 60 HELM LN PORT LUDLOW WA 98365-9725 9904 SUBDIVISION: Block: Lot: 26 PARCEL NUMBER: 990400126 Section: 9 Township: 28 N Range: 1E CONTRACTOR: GREENWOOD HEATING AND AC PHONE: 206-784-1818 825 S STACY ST SEATTLE WA 98134 Contractor's License GREENHA922D7 Expires 3/27/2016 PROJECT DESCRIPTION: NEW MECHANICAL PERMIT REPLACE ELECTRIC FURNACE - SAME FOR SAME 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: SETBACK: DECK: BANK HEIGHT: SEWAGE DISPOSAL: WATER SYSTEM: Type Amount Paid By: Date: Receipt: BEDROOMS: BATHROOMS: Permit $156.00 SRE 01/23/15 154069 Exist: Exist: Total: $156.00 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 Jefferson County Building Division Permit Number: BLD15-00021 Applicant: SMITH 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 Mechanical Systems vfirc- �y(FtS Miscellaneous (/-Z4(0- �I�` 4 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 2�I l C. Fb FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED THIS PERMIT IS VALID FOR ONE YEAR 6 BUILDING PERMIT APPLTION BRD1e OOpe1 Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT#: BLD15-00021 Received Date: 1/23/2015 SITE ADDRESS: 60 HELM LN PORT LUDLOW, 98365 OWNER: MARILYN K&WAYNE SMITH PHONE: 60 HELM LN PORT LUDLOW WA 98365-9725 9904 SUBDIVISION: Block: Lot: 26 PARCEL NUMBER: 990400126 Section: 9 Township: 28 N Range: 1E CONTRACTOR: GREENWOOD HEATING AND AC PHONE: 206-784-1818 825 S STACY ST SEATTLE WA 98134 Contractor's License GREENHA922D7 Expires 3/27/2016 REPRESENTATIVE: PHONE: PROJECT DESCRIPTIOP NEW MECHANICAL PERMIT REPLACE ELECTRIC FURNACE - SAME FOR SAME 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: AP .R I D Permit $156.00 SRE 01/23/15 154069 Total: $156.00 JAN 2 3 2015 Jefferson, County DCD \\tidemark\data\forms\F_BLD_App_Bld.rpt 1/23/2015 • • SON C, tiw A o DEPARTMENT OF COMMUNITY DEVE e ,i T 4, ,� 621 Sheridan Street,Port Townsend,WA 98368 W LAr ti � � Tel:360.379.4450 { Fax:360.379.4451 �L7JT22O7fl�7:N � �/f(�Web:www,co.Jefferson.wa.us/coinmunitydevelopmenl 4J �C'= . '-mail:dcd(tt),co.jetier,on.wa.us iSNI NO�O MECHANICAL PERMIT APPLICATION Steps in the Permit Process: , „, t t r ' ��'��' ,��,J,,t1YDEVf1o�. -Review required submittal items to ensure all information is completed prior to submitting application. �� ='�fENT -Mechanical Permits can be mailed into our office-and do not require an appointment. -Fees are due at time of submittal, Mechanical permits are generally issued within 5 business days. WetATI-M317',#71ilk41;74,q.:,:i".4;1:?44--- 2274(eit„ -.).,.,-.4,,,,,:ii .*W-0;t,,,, -.II f„,,,,''''' ,4,..., .,,,e.. 70,j.f.,*.-,,,,.>. ..„iifi 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 3 . General Site plan—showing propane tank, lines,and distance from tank to all existing structures. 1t �n •4 qX sue_, •�s �-;<' Complete first page and signature block only of Mechanical Permit Application. — — A complete solar panel supplemental application. — — Assessor Tax Parcel Number: 990400126 Site Address and/or Directions to Property: 60 Helm Ln, Port Ludlow, WA 98365 `` In VJ Access (name of street(s) from which access will be gained: 9 Description of Work: replace electric furnace, like for like 4,1,N.' 44,,,%,,, f s1wr e j .> 2 a -q Fes. r zx s r � 0., h Name: Wayne Smith , Address: 60 Helm Ln, Port Ludlow, WA 98365 Phone#: 425-329-9852 E-mail Address: h ✓ — Please contact Authorized Agent/Representative with project info. Property Owner Signature: Date: 1/19/15 ,A,, nth ��: , m � - Name: Greenwood Heating and AC Phone#: 206-784-1818 E-mail Address: ashleyb@greenwoodib License #: GREENHA922U7 Expiration Date: 02/03/15 to 0 -/--1 Mechanical Application 1 i i;PC 0 a o Electric ✓ Heating Oil Propane* Wood ` � *propane is prohibited in `p, r i F = 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 125 Fireplace-Wood Fireplace-wood,Wood Stove,or gallons require a minimum Pellet Stove setback of 10 ft.from 1 Electric Furnace Electric Furnace or HP+/-Ducting property line and buildings, Propane(LP)Gas Furnace Propane Furnace+/-Ducting and a site plan must be submitted with the Water Heater-Gas Gas WH Vent and Combustion Air application showing the Gas Pipe System Gas Pipe System LPG/Oil setbacks. If propane tank is Propane Tank LP Fuel Tank(#gallons: I over 500 gallons,a site plan 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 relate• tot/�+ , .tion and subsequent permit issuance. Signature / /" Print Name:Ashley Bouck Date: 1/19/15 — �� -a ®' .mod, ., � ys F �` y 3 °`'" t ,-: ^ate - - - ti Wi g' %r „ , y, �x f 8a.� Gil = ,, is � L? ,� i >�`t tea\ `-. f �y� \ ,na g _ r` y`\4 i i-77 �� „ o a ) + 1 �, ` � c x b, „ .- s .s a x� �., �...`..�_,,,��� � . te. �;� �` ". '''''''s- . *Additional fees may apply. f ■--- ��' � � � R „E Mechanical Application 2 j ' ` JAN 2 2 2015 0 1 ‘EE. s 4 ;DUiNTY . _ < uP, .h�, DEVELOPMENT GREENWOOD HEATING&A/C Page 1 of 4• 0 Washington State Department of Labor & Industries IGREENWOOD HEATING & A/C Owner or tradesperson 2850 SW YANCY ST PMB 203 PORTER, MICHAEL SEATTLE,WA 98126 206-365-3313 Principals KING County PORTER, MICHAEL, OWNER Doing business as GREENWOOD HEATING&A/C WA UBI No. Business type 602 259 014 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. GREENHA922U7 Effective—expiration 03/27/2008—02/03/2015 Bond ................. CBIC $12,000.00 Bond account no. SI4989 Received by L&I Effective date 01/13/2010 01/14/2010 Expiration date Until Canceled Bond history Insurance Federated Mutual Ins Co $1,000,000.00 Policy no. 9363113 Received by L&I Effective date 07/14/2014 08/01/2013 Expiration date 08/01/2015 Insurance history https://secure.lni.wa.gov/verify/Detail.aspx?UBI=602259014&LIC=GREENHA922U7&SAW= 1/23/2015 GREENWOOD HEATING&A/� Page 2 of 4 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 Infraction no. PWADE00309 Satisfied Violation date RCWNVAC 11/29/2012 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 or trainee certificate, temporary permit or medical gas endorsement as required.The firm sent out Mike Walker to change in and out an old and new water heater from the residence without having any type of plumbers card. Infraction no. PWADE00313 Satisfied Violation date RCWNVAC 11/29/2012 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 or trainee certificate, temporary permit or medical gas endorsement as required.The firm sent out Trevor Allen to change in and out an old and new water heater from the residence without having any type of plumbers card. Infraction no. NCZIK00526 Satisfied Violation date RCWNVAC 05/25/2012 18.27.100(3A)RCW Violation city Violation amount Seattle $250.00 Type of violation https://secure.lni.wa.gov/verify/Detail.aspx?UBI=602259014&LIC=GREENHA922U7&SAW= 1/23/2015 GREENWOOD HEATING& A/C Page 3 of 4 CONSTRUCTION INFRACTION • • Description Registered contractor advertising to do work without showing a current registration number. (Greenwood Heating &A/C has flyers offering to perform heating and cooling systems repair,service and installation, without their contractor registration number listed on the advertisement.) Infraction no. PJAJC01326 Satisfied Violation date RCW/WAC 11/09/2011 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 or trainee certificate, temporary permit or medical gas endorsement as required.(employed Justin D Havener,an electrical trainee,to install a gas HWT at the above SFR). Infraction no. PJAJC01325 Satisfied Violation date RCWIWAC 11/09/2011 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 or trainee certificate, temporary permit or medical gas endorsement as required.(employed Bryce J Burke, an electrical trainee,to install a gas HWT at the above SFR). 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. 043,142-00 Doing business as GREENWOOD HEATING&AIR CONDIT https://secure.lni.wa.gov/verify/Detail.aspx?UBI=602259014&LIC=GREENHA922U7&SAW= 1/23/2015 GREENWOOD HEATING& A/4 Page 4 of 4 Estimated workers reported Quarter 3 of Year 2014"Greater than 100 Workers" L&I account representative T2/DAN STRATE(360)902-4635-Email: STRE235@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 06/12/2013 Violations Inspection no. 316775709 Location 825 S Stacy St Seattle,WA 98134 Citation issue date 10/30/2012 Violations Inspection no. 316535871 Location 3217 Eastlake Ave E Seattle,WA 98102 ©Washington State Dept.of Labor&industries.Use of this site is subject to the laws of the state of Washington. Access Washintait https://secure.lni.wa.gov/verify/Detail.aspx?UBI=602259014&LIC=GREENHA922U7&SAW= 1/23/2015 Parcel Details • • Page 1 of 2 tfe, e Jefferson County '=-7-1.7_577-;:f r7-: '4k '•„ £ k Home County Info s Departments 7... Search Parcel Number: 990400126 SEARCH Parcel Number: 990400126 Printer Friendly Owner Mailing Address: MARILYN K SMITH 60 HELM LN PORT LUDLOW WA98365-9725 Site Address: 60 HELM LN PORT LUDLOW 98365 Section: 9 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: Port Ludlow (7) Sub Division: 9904 - PORT LUDLOW NO. 1 Assessor's Land Use Code: 1100 - Residential - Single Unit Property Description: PORT LUDLOW NO 1 AREA 1 LOT 26 Tax,A/V,Sales, Photos, and Permit Data Bldg Data Map Parcel Plats&Surveys Septic Monitoring Info _ Jefferson County HOME I COUNTY INFO I DEPARTMENTS I SEARCH 1 Best viewed with Microsoft Internet Explorer 6.0 or later Windows- Mac http://www.co.jefferson.wa.us/assessors/parcel/parceldetail.asp?Parcel_NO=990400126 1/23/2015 • • Sally Ellis From: Ashley Bouck<ashleyb @greenwoodheating.com> Sent: Thursday, January 22, 2015 3:31 PM To: Sally Ellis Subject: RE: Jefferson County Permit/Greenwood Heating and AC New Permit. No permit number. I got a phone call from someone at Jefferson County saying that you couldn't give us a permit without the homeowners okay. All I've got for you is the name and address, someone in your office has the permit application: Wayne Smith/Marilyn Smith 60 Helm Ln. Port Ludlow,WA Ashley Bouck Install Coordinator Seattle 206-784-1818 Toll Free 800-698-0490 Fax 206-462-6216 825 S.Stacy St.,Seattle,WA 98134 6435 SE Mile Hill Dr., Port Orchard,WA 98366 Original Message From:Sally Ellis [mailto:SEllis @co.jefferson.wa.us] Sent:Thursday,January 22,2015 3:16 PM To:Ashley Bouck Subject: RE:Jefferson County Permit/Greenwood Heating and AC Good afternoon- Could you please advise a building permit number? Is this an existing building permit? Or is there going to be a new permit? I am sorry but I need a little more information, before I know what to apply this email too. Thank you Sally Ellis Sally L Ellis Jefferson County Community Development Permit Technician 621 Sheridan St., Port Townsend, WA 98368 Mon-Thurs 9am -4:30pm,closed from 12-1 Ph: 360-379-4452 Fax: 360-379-4451 1 • sellis @co.jefferson.wa.us http://www.co.jefferson.wa.us Original Message From:Ashley Bouck[mailto:ashleyb @greenwoodheating.com] Sent:Thursday,January 22, 2015 11:36 AM To:Sally Ellis Subject: FW:Jefferson County Permit/Greenwood Heating and AC Good Morning, Here is a forwarded authorization,as requested for Wayne Smith at 60 Helm Ln, Port Ludlow. Thank you, Ashley Bouck Install Coordinator Seattle 206-784-1818 Toll Free 800-698-0490 Fax 206-462-6216 825 S.Stacy St.,Seattle,WA 98134 Original Message From: seekwsmith @iinet.com [mailto:seekwsmith @iinet.com] Sent:Thursday,January 22, 2015 11:34 AM To:Ashley Bouck Subject: Re:Jefferson County Permit/Greenwood Heating and AC Yes,Absolutely. Wayne Smith/Marilyn Smith Howmeowner 60 Helm Ln. Port Ludlow,WA Good morning, Jefferson County has asked me to get authorization from you for us to pull a permit for the job we are doing. They said an email would work just fine. Could you please respond to this email letting me know that it is alright for us to pull a mechanical permit on your behalf? 2 0 • Thank you, Ashley Bouck Install Coordinator Seattle 206-784-1818 Toll Free 800-698-0490 Fax 206-462-6216 <http://www.greenwoodheating.com/> cid:part1.02080502.05090406 @greenwoodheating.com <http://www.youtube.com/user/Greenwood HeatingWA> cid:part3.09010904.08010205 @greenwoodheating.com <https://www.facebook.com/pages/Greenwood-Heating-Air/139240746131504> cid:pa rt5.05050909.06030502 @greenwood heati ng.co m <https://twitter.com/HeatingSeattle> cid:part7.04060000.03040002 @greenwoodheating.com <https://plus.google.com/u/0/+Greenwood HeatingAirConditioningSeattle/posts> cid:part9.01010506.07080407 @greenwoodheating.com 825 S.Stacy St.,Seattle,WA 98134 3