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HomeMy WebLinkAboutBLD2015-00006 - MECHANICAL a 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#: BLD15-00006 Received Date 1/7/2015 SITE ADDRESS: 191 FAIRBREEZE DR Issue Date 1/7/2015 PORT TOWNSEND, 98368 APPLICANT: WOLFGANG A WERNER PHONE: 360-385-5232 LAURAA WERNER JTWROS 191 FAIRBREEZE DR PORT TOWNSEND WA 98368-9582 344 SUBDIVISION: 9650 Block: Lot: PARCEL NUMBER: 965000207 Section: 27 Township: 30N Range: 1W CONTRACTOR: EVERWARM INC PHONE: (360)452-3366 257151 HWY 101 PORT ANGELES WA 98362 Contractor's License EVERWI*088NL Expires 8/17/2016 OWNER, WOLFGANG A WERNER PHONE: 360-385-5232 if different: LAURAA WERNER JTWROS 191 FAIRBREEZE DR PORT TOWNSEND WA 98368-9582 PROJECT DESCRIPTION: NEW MECHANICAL PERMIT 1 FIREPLACE INSERT 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 1/7/2016. REQUIRED INSPECTIONS: / r Installation per Manufacturer Specifications 02: 2(l c/ / s ( O('�' Tank/Line/Appliance: N Final Approval: - (5- / i 014 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 1/7/2015 • BLD15-00006 BUILDING PERMIT APPLICATIA Review Type: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT#: BLD15-00006 Received Date: 1/7/2015 SITE ADDRESS: 191 FAIRBREEZE DR PORT TOWNSEND, 98368 OWNER: WOLFGANG A WERNER PHONE: 360-385-5232 LAURAA WERNER JTWROS 191 FAIRBREEZE DR PORT TOWNSEND WA 98368-9582 9650 SUBDIVISION: Block: Lot: 344 PARCEL NUMBER: 965000207 Section: 27 Township: 30 N Range: 1V1 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 1 FIREPLACE INSERT 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 $156.00 SRE 01/06/15 153993 /� 1, Total: $156.00 AP P RO y ED JAN 0 7 2015 Jefferson County Da- c' ry try \\tidemark\data\forms\F_BLD_App_Bld.rpt 1/7/2015 r------ . • .. ._. . . , . .. . .. . \ , Ik\4:',..R.:N.4NA V-4Ar:tk4.NA-2, •Pg.N .\\ , pe....401.4.,N6..ra.4.•■-a. 4.c... t....44.4. IA.sts%VAC. SCALE:0 , - . . a . x-_ ,%., ' - .. , • .., , 1;t0,044,,X.........14, 1114,41M 1Z.,42.,Vikabh..... • • • • — . . N411 .1 -'' .si. vie ■ . Ilk . .... . 44.- / , II Fe 0 \ , „, • . 7 . si - / , .• - , ,-, . ‘ • A%cf' , 't\4/4 ..- , ie7, ' si, / i . . t -Now 94 otot”" %• /\ /ti, '4' :1P 9 t/ rr I EXts T5' -,----„,, ,,....1 S3% FP-2._ eAIST, ...c N\sl-.....,....._.___ ,..\ Ch•AIAPCO FP't 4-. .-., • . , .5 .... \I\ N h .,,. rAc> \ — ,, . • • .• ,0 s,„ ,..,, ,,,,, ,,,...„— , -\,\ Legend, Contour Lines—___-_. 0 Water Tap Property Lines.............. V Phone Tap Roadway 0 Electrical Tap AREA: 11,53(o SIFT. Drainage • 3/4" Iron Pipe LOT 344 V KALLA PITO DOM NO0-15- - G- ■ , i -• ■ .. • . li___ -I• .. , _____ ,$oN.. C, • 4, o� DEPARTMENT OF COMMUNITY DEVELOPMENT kz,A, '- 621 Sheridan Street,Port Townsend,WA 98368 ti .< Tel:360.379.4450 I Fax:360.379.4451 TM 9 V E Web:www.co.Jefferson.wa.us/communitydeveloprnent ! !,! l\ `'�'� ' - v. E-mail:dcd(a�co.jefferson.wa.us 1 4 IsHrNO1o' ,': , ,1A:`! - 6 2015 -i i MECHANICAL PERMIT APPLICATION_. -,-- 1 Steps in the Permit Process: '''-`' ` .,,t GvitVE OM, illtIllY DEVELOPMENT -Review required submittal items to ensure all information is completed prior to submitting ail': . -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 Drtment s � r,' �� Reet# � Date teed/� ip • Related Aplcatr!, !,.00t,-.4:0, ii4 Payment k . i,> 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 Subm ttal items propane tank only i.. : i .., t r.-m General Site plan—showing propane tank, lines,and distance from tank to all existing structures. Requ r` vSuomiitt :ms-for Solar P'ai ;isolation !nly A :- f.a. ' _ Complete first page and signature block only of Mechanical Permit Application. _ _ A complete solar panel supplemental application. k Sites `, ` lrrrtietlon r ,iii iikii s� Assessor Tax Parcel Number: g, 5 (t/0. QOl Site Address and/or Directions to Property: 'i ! .�r7 i 262,E/' - .42 f'o27-- To,,✓,-'5E-"/-,b Access (name of street(s)from which access will be gained: FA, f2 5 PEE a_E Description of Work: /,US TA t L 'I(2 r i�L/tc /p. 612_7- /N o,\ Z EI.o CCF/612.A,1C1 rigeF/ALAc ,E (FP/ ) rt(crlN, lf . Name: l vai._r4-A-A,t4 rr/EA'Neit 6-4-6/AA iti e/zN-'- a� ` Address: /9( I-.A./fc'/3R, E. „ . _,p/t oP roic> - ,-)v 0 cl Phone#: 3 C'Q 3 ,IP✓----Z.�Z`'- E-mail Address: oR WOLF& C,7,g-,L , co r7 — — Please contact Authorized A:ent/Representative with projec in o. Property Owner Signature: Date: /717/j I Applicant/Contractor :Authorized Agent/R esentativ w s .., ..`;.. ,ia_ Name: eU 2 /,A /Zii 11 fA 2T/-{ 1{a/-7E Phone#: 36 0 cr,2. 3 3 0 6 E-mail Address:4U6Rt✓l92n6OCTPE License#: ' ./ r q 6-,./ (A( 0 '?N L Expiration Date: ?// 71l6 Mechanical Application 1 • Heat=Source Electric Heating Oil Propane* Wood ,j s Ind�teQua� r and Fixtuo Tye Below , � *Propane is prohibited in Quantity;;, ixtu re Type Description 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 l/US� 2 i 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 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 •plication and subsequent permit issuance. Signatu e• / •rint Name 4lDC �c,�,✓4 q/�/zI" ' Date:���/��1r 40 US ON v./ �� a /Builds g Permit Fees f/ � r M� ic Permit fee(trt ap,woodstoe,furnace,et t�a e Line ,talk $706 s ro / - t Scanning 5 r $19.50 Total Fees* *Additional fees may apply. / 5.c5 Mechanical Application 2 EVERWARM INC • Page 1 of 2 C) 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 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. 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= 1/7/2015 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. 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. 447,103-01 Doing business as EVERWARM HEARTH &HOME Estimated workers reported Quarter 3 of Year 2014"11 to 20 Workers" L&l account representative TO/CAROLYN CRAWFORD(360)902-4715-Email: CRAI235 @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 Winton https://secure.lni.wa.gov/verify/Detail.aspx?UBI=601361016&LIC=EVERWI*088NL&SAW= 1/7/2015 Parcel Print Page 1 of 1 Parcel Number 965000207 08/15/2014 Owner Mailing Address: WOLFGANG A WERNER LAURA A WERNER JTWROS 191 FAIRBREEZE DR PORT TOWNSEND WA 98368-9582 Site Address: 191 FAIRBREEZE DR PORT TOWNSEND 98368-9582 Section: 27 School District: Port Townsend(50) Qtr Section: NW1/4 Fire Dist: Chimacum(1) Township: 30N Tax Status: Taxable Range: 1W Tax Code: 0111 Planning area: 98368-9582 Sub Division: 9650 - KALA POINT 3-8 Land Use Code: 1100 98368-9582 Property Description: KALA POINT #6 LOT 344 http://www.co.jefferson.wa.us/assessors/parcel/parcelprintasp?PARCEL_NO=965000207 1/7/2015