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HomeMy WebLinkAboutBLD2015-00014 - MECHANICAL ILDING PERMIT TAO BR D15-00014 Type: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT#: BLD15-00014 Received Date: 1/13/2015 SITE ADDRESS: 181 WINDROSE PL PORT LUDLOW, 98365 OWNER: ALEX SALINAS PHONE: 561-333-1020 181 WINDROSE DR PORT LUDLOW WA 98365-9552 9319 SUBDIVISION: Block: Lot: PARCEL NUMBER: 931900033 Section: 16 Township: 28 N Range: 1E CONTRACTOR: AA-SAVE CONST. &MGMT LLC PHONE: 360-732-0477 340 CHERRY AVE CHIMACUM WA 98325 Contractor's License ALLSASC915LE Expires 6/5/2015 REPRESENTATIVE: PHONE: PROJECT DESCRIPTIOI NEW MECHANICAL PERMIT- TO REPLACE ELECTRIC 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: Routing Date: Type Amount Paid By: Date: Receipt: Approved/Date Permit $156.00 SRE 01/12/15 154057 APPROVED Total: $156.00 JAN 13 2015 Jefferson County DCD \\tidemark\data\forms\F_BLD_App_Bld.rpt 1/13/2015 O • ` N i7" C'06 DEPARTMENT OF COMMUNITY DEVELOPMENT 4t, 621 Sheridan Street,Port Townsend,WA 98368 ti Tel:360.379.4450 I Fax:360.379.4451 - E C F D V L! Web:www.co.jefferson.wa.us/communitydevelopment -` 4, ltiO4, 00- E-mail:dcd(dco.jefferson.wa.us - .r 16'1 1•16C- flL JAN 1 2 2015 MECHANICAL PERMIT APPLICATION-,« E sU COUNTY Steps in the Permit Process: DEPT.OF COMMUNITY DEVELOPMENT -Review required submittal items to ensure all information is completed prior to submitting application. -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. For© ntj se # Receipt# 1 /- 5 Application#5. .. r _ c Payment ; °r S 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 Required S it m al It ms :fora t l s t r�. . . F General Site plan—showing propane tank, lines,and distance from tank to all existing structures. — R+ quired Subml l Items for Smear P nel installation only ' — — Complete first page and signature block only of Mechanical Permit Application. A complete solar panel supplemental application. — — Site Informattiort °� Assessor Tax Parcel Number: 1 ROD sO 3 Site Address and/or Directions to Property: 113( 60 in6 vosp2 Da • L al°u, ► 1,0 Pc ct '53(6S Access (name of street(s)from which access will be gained: Description of Work: 'j2_,.p p`me_ A -1-\p1- &\--e/L. r\fecrov- LU i S lU ✓\e w ,f2.0t rtA Sr.\ '1111.7114:41iff.: ...M4.;W':;" 4 ':'7,-,p409,A.-00;;;: Wig:;:;:fer‘ Name: ek k,0 ',< ��� (1 Address: t Phone#: S(,Q, i - E-mail Address: ai ,Uqs Lie a Please contact Authorized Agent/Representative with project info. — — Property Owner Signature: Date: I 1 z ° IS Applicant/Co tractor Authorized Agent/Representa r ,t� Name: a it ;a0,,c.- Phone#: 36?0 471- E-mail Address:0 Lsatx. ? A License#: ii�,� �t�!l��%�� �;jj�?� Expiration Date: ��-- C C LP - ``gun ,� 2oi ( s Mechanical Application 1 . • `Heat Source Electric / Heating Oil Propane* Wood Indicate Quantityandi fixtOt Types Below " *Propane is prohibited in �iption Q����"fjufru* Yi�t,, .:::.,11'':' 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 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: ) over 500 gallons,a site plan is Heat Pump required to accompany this Generator application,and a separate A' Con itioner �I [_ / Fire Code approval is also �— tdr I L (.0 -1P.tr\1 1�-E✓(/ (ref.c'li U -e 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 relat this a lication and subsequent permit issuance. Signature: Print Name:�� I Date: 1 0 12 ° ] , OFFICE USE k. P Building P � ,14 Mechanical Permit fee(tank swap,woodstove,furnace,etc(, E '''';''''..t.: $156.0 d E gip � Propane :ms s ta�and appliance(add`I'-$7800 too Project Scanning.Fee , 1 7 6 ,.. ,•;-,,,-%' ',',A,R';';'";;' ,/',,',.' *Additional fees.mayappl.�_:.=.s I JAN 1 2 2015 ii ,i-,) Mechanical Application 2 ' , °',Y ,;, 01!,P,FNT .1 I. r ') ............. 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I . . . . , .,... ..„ ...,. ...:' ''' ...I , 1,t IA g ,el V ___, ALL-SAVE CONST& MGMT LLC Page 1 of 2 Ci • • Washington State'Department of Labor & Industries IALL-SAVE CONST & MGMT LLC Owner or tradesperson 340 CHERRY AVE CLEVENGER, PAMELA ANN CHIMACUM,WA 98325 360-732-0477 Principals JEFFERSON County CLEVENGER, PAMELA ANN, PARTNER/MEMBER CLEVENGER, MICHAEL ELTON, PARTNER/MEMBER CLEVENGER, DAVID E, PARTNER/MEMBER Doing business as WA UBI No. Business type 602 925 961 Limited Liability Company Governing persons DAVID CLEVENGER 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. ALLSASC915LE Effective—expiration 06/05/2009—06/05/2015 Bond Wesco Insurance Co $12,000.00 Bond account no. 46WB025530 Received by L&I Effective date 05/16/2013 05/26/2013 Expiration date Until Canceled Bond history Insurance Contractors Bonding & Insuranc $1,000,000.00 Policy no. https://secure.lni.wa.gov/verify/Detail.aspx?UBI=602925961&LIC=ALLSASC915LE&SAW= 1/13/2015 ALL-SAVE CONST& MGMT LLC Page 2 of 2 C11SJ9184 11111 • Received by L&I Effective date 04/07/2014 05/26/2014 Expiration date 05/26/2015 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 No active workers' comp accounts during the previous 6 year period. 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 Washington ` https://secure.lni.wa.gov/verify/Detail.aspx?UBI=602925961&LIC=ALLSASC915LE&SAW= 1/13/2015 Parcel Details 410 • Page 1 of 2 „ , `�JPiJeHerson ',t , a Safi * ,,„z,-.... -, '-`�, - f�H:. ,`' „w,_,,,,,:-.=--,",` dome County Info : Departments :, Search Parcel Number: 931900033 SEARCH • Parcel Number: 931900033 Printer Friendly Owner Mailing Address: ALEX SALINAS 181 WINDROSE DR PORT LUDLOW WA98365-9552 Site Address: 181 WINDROSE DR PORT LUDLOW 98365 Section: 16 School District: Chimacum (49) Qtr Section: SE1/4 Fire Dist: Port Ludlow (3) Township: 28N Tax Status: Taxable Range: 1E Tax Code: 0231 Planning area: Port Ludlow (7) Sub Division: 9319 - BAYVIEW VILLAGE DIV 1-3 Assessor's Land Use Code: 1100 - Residential - Single Unit Property Description: BAYVIEW VILLAGE DIV 1 LOT 33 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 1 SEARCH Best viewed with Microsoft Internet Explorer 6.0 or later Windows- Mac http://www.co.j efferson.wa.us/assessors/parcel/parceldetail.asp?Parcel_NO=931900033 1/13/2015 Jefferson County Building Division Permit Number: BLD15-00014 Applicant: SALINAS 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 b signed off by the State Inspector prior to the County's Framing Inspection Inspection Item ate Approval Signature Notes Miscellaneous Miscellaneous 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 f2 -4 efiz, FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED THIS PERMIT IS VALID FOR ONE YEAR • • BUILDING PERMIT Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 PERMIT#: BLD15-00014 Received Date: 1/13/2015 SITE ADDRESS: 181 WINDROSE PL Issue Date 1/13/2015 PORT LUDLOW, 98365 Expiration Date 1/13/2016 OWNER: ALEX SALINAS PHONE: 561-333-1020 181 WINDROSE DR PORT LUDLOW WA 98365-9552 9319 SUBDIVISION: Block: Lot: PARCEL NUMBER: 931900033 Section: 16 Township: 28 N Range: 1E CONTRACTOR: ALL-SAVE CONST. & MGMT LLC PHONE: 360-732-0477 340 CHERRY AVE CHIMACUM WA 98325 Contractor's License ALLSASC915LE Expires 6/5/2015 PROJECT DESCRIPTION: NEW MECHANICAL PERMIT- TO REPLACE ELECTRIC WATER HEATER TYPE OF WORK NON SQUARE FOOTAGE: TYPE OF IMP MEC VALUATION MAIN: CODE EDITION: 2012 ADD'L: HEAT TYPE: OCCUPANCY: HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: #OF STORIES: OTHER: CONST TYPE: GARAGE SHORELINE: CONST TYPE: DECK: SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: WATER SYSTEM: Type Amount Paid By: Date: Receipt: BEDROOMS: BATHROOMS: Permit $156.00 SRE 01/12/15 154057 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