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Home My WebLink AboutBLD2015-00019 - MECHANICAL • BUILDING PERMIT • Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 PERMIT#: BLD15-00019 Received Date: 1/21/2015 SITE ADDRESS: 113 MATS VIEW TERRACE RD Issue Date 1/21/2015 PORT LUDLOW, 98365 Expiration Date 1/21/2016 OWNER: DAN &JANA MOREILLON PHONE: 425-277-4310 4702 DAVIES AVE S. APT 2H102 RENTON WA 98055 SUBDIVISION: 9709 PARCEL NUMBER: 970900004 Section: 5 Township: 28 lock: N Range: 1E Lot: CONTRACTOR: PENINSULA HEAT INC PO BOX 173 PHONE: 360-681-3333 CARLSBORG WA 98324 Contractor's License PENINI*0440W Expires 3/2/2016 PROJECT DESCRIPTION: NEW MECHANICAL PERMIT INSTALL NEW OUTDOOR HEAT PUMP TO EXISTING SYSTEM TYPE OF WORK NON SQUARE FOOTAGE: TYPE OF IMP MEC VALUATION MAIN: CODE EDITION: 2012 AWL: HEAT TYPE: OCCUPANCY: HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: #OF STORIES: CONST TYPE: OTHER: CONST TYPE: GARAGE: SHORELINE: DECK: SETBACK: SEWAGE DISPOSAL: BANK HEIGHT: WATER SYSTEM: Type Amount Paid By: Date: Receipt: BEDROOMS: BATHROOMS: Permit $152.00 SRE 01/20/15 154033 Exist: Exist: Total: $152.00 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: BLD15-00019 Applicant: MOREILLON 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 Miscellaneous rs'N CLA 14Z t 2-1/ S.-- SE, - 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 I a—k) I — I I FINAL INSPECTIO MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED THIS PERMIT IS VALID FOR ONE YEAR akUILDING PERMIT APPLICA N BLDI5-00019 Review Type: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT#: BLD15-00019 Received Date: 1/21/2015 SITE ADDRESS: 113 MATS VIEW TERRACE RD PORT LUDLOW, 98365 OWNER: DAN &JANA MOREILLON PHONE: 425-277-4310 4702 DAVIES AVE S. APT 2H102 RENTON WA 98055 9709 SUBDIVISION: Block: Lot: PARCEL NUMBER: 970900004 Section: 5 Township: 28 N Range: 1E CONTRACTOR: PENINSULA HEAT INC PHONE: 360-681-3333 PO BOX 173 CARLSBORG WA 98324 Contractor's License PENINI*0440W Expires 3/2/2016 REPRESENTATIVE: PHONE: PROJECT DESCRIPTIOII NEW MECHANICAL PERMIT INSTALL NEW OUTDOOR HEAT PUMP TO EXISTING SYSTEM 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: BEDROOMS: BATHROOMS: Exist: Exist: Prop: Prop: Total: Total: Routing Date: Type Amount Paid By: Date: Receipt: Approved/Date Permit $152.00 SRE 01/20/15 154033 APPROVED Total: $152.00 APPROVED i/ JAN 21 2015 Jefferson County DCD \\+irinmerlArle+e\+nrmo% RI f1 Ann PIA rn+ I/71/9/li�. lSoN 006� JEFFelSON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT 49 621 Sheridan Street I Port Townsend,WA 98368 I Web:www.co.iefferson.wa.us/communitvdevelopment SHrNGc Tel:360.379.4450 I Fax:360.379.4451 I Email:dcdlp7,cojefferson.wa.us Building Permits&Inspections I Development Consistency Review I Long Range Planning I Watershed Stewardship Resource Center Master Permit Application MLA: Project Deicription(include separate sheets as necessary: Tax Parcel Number: 9 3/06 EjO 9. Property Size: (acres/square feet) Site Address and/or Directions to Property: —1 1.3 fl 4-_77_T-S-- /1 E) I. T ZAA-c--E go AD Property Owner(s)of Record: PAIJ 13ANA IttNo RAZE 1 4-1--0A1 Telephone: '- X2--5" s —4.310 Fax: email: .01.4Dr t c i 4 �1 n Mailing Address: 4402- ikon c5 Ave— S• 4 c21-1102. ; CLCri • W�c • $O S Applicant/Agent(if different from owner): Pert I PI$t.tla 14 c f- Co • Telephone: 36,0— 4=11 — 33 33 Fax: (o$/' 2-08 email: Kite?Cvi pekui>,s 4 J - Mailing Address: p•• • 1.- I As bar • - g. 2 cow. What kind of Permit?(Check each box that applies ❑Lot or Road Segregation y1 Building ❑Critical Areas Stewardship Plan /❑ Demolition Permit ❑Variance(Minor, Major or Reasonable Economic Use) ❑Single Family ❑Garage Attached/Detached ❑Conditional Use[C(a),C(d),or Cj** ❑ Manufactured Home ❑ 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 ❑Binding Site Plan** ❑Propane ❑Long Plat** ❑Sign ❑Planned Rural Residential Development(PRRD)/Amendments** ❑Allowed"Yes"Use Consistency Analysis ❑Plat Vacation/Alteration** ❑Stormwater Management ❑Shoreline Master Program Exemption/Permit Revisions""" ❑Site Plan Approval Advance Determination(SPAAD)* ❑Shoreline Management Substantial Development** ❑Temporary Use ❑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: / L DESIGNATION OF AGENT I hereby designate AC hb7 S KO hi to act as my agent in matters relating to this application for permit(s)./ �/ OWNER SIGNATURE . Date: U i// //S l O1-0 I ,, 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 V review and any req ' • ater inspections. Staff's access and right of entry will be assumed unless the applicant informs the County in writing at the time of the applica41-or sh:� prior notice. / Signature: Date: //S / 15- 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 complian with the Jefferson County development code.The Applicant acknowledges that he,she or it holds individual and non-transfera i •I nsiblity $a ng to and complying with the ESA. The Applicant has read this disclaimef and sig s and dates it below. Signature: Date: D/ / /S/ 07-40 iS !! 07/24/2013 • • Sally Ellis From: Sally Ellis Sent: Tuesday, January 20, 2015 8:17 AM To: 'Mary Lofstrom' Subject: Mechanical Permits forms and fee's have changed! Attachments: Building Permit Application-Mech.pdf Dear Mary, Good morning to you, I hope you are having a great day- Our forms have changed- please see the attached Mechanical Permit form. Also note our fee's have changed for 2015,the fees are listed on this new Mechanical permit. On Friday we received a new permit from you in the mail,for Dan &Jana Morrellon, Parcel#970900004. I will process this permit as is, however for all new permits that you file with Jefferson County, please ensure to use the new Mechanical permit form and use the 2015 fee's. If you have any questions please feel free to contact me.Thank you ! t�a,,s1 ,r .,, ,,. i 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 sellis @co.jefferson.wa.us http://www.co.jefferson.wa.us 1 • • Sally Ellis From: Sally Ellis Sent: Tuesday, January 20, 2015 8:17 AM To: 'Mary Lofstrom' Subject: Mechanical Permits forms and fee's have changed! Attachments: Building Permit Application- Mech.pdf Dear Mary, Good morning to you, I hope you are having a great day- Our forms have changed- please see the attached Mechanical Permit form. Also note our fee's have changed for 2015, the fees are listed on this new Mechanical permit. On Friday we received a new permit from you in the mail, for Dan &Jana Morrellon, Parcel#970900004. I will process this permit as is, however for all new permits that you file with Jefferson County, please ensure to use the new Mechanical permit form and use the 2015 fee's. If you have any questions please feel free to contact me.Thank you !,, � r Sally L Ellis Jefferson County Community Development Permit Technician 621 Sheridan St., Port Townsend,WA 98368 Mon-Thurs gam-4:30pm, closed from 12-1 Ph: 360-379-4452 Fax: 360-379-4451. sellis@co.jefferson.wa.us http://www.co.jefferson.wa.us 1 Parcel Details • Page 1 of 2 •, e e son Coun y t ., ,. ,, .,,1, a W r.1 " .A , ._,......l n info a artme � eats Search Parcel Number: 970900004 I SEARCH Parcel Number: 970900004 Printer Friendly Owner Mailing Address: DAN MOREILLON 5000 SE 2ND PL RENTON WA98059-4960 Site Address: 113 MATS VIEW TER RD PORT LUDLOW 98365 Scc:;i:,r: 5 School District: Chimacum (49) Qtr r'' N „4 Fre Dist: Port Ludlow (3) To ' ; ;' N Tax Status: Taxable Range: 1E Tax Code: 0231 Planning area: Port Ludlow (7) Sub Division: 9709 - MATS VIEW TERRACE As. ,.,m : ' rind Ilse Code: 1100 - Residential - Single Unit Property Description: MATS VIEW TERRACE LOT 4 Tax,A/V, Sales, Photos, and Permit Data Bich Data Map Parcel Plats&Surveys Septic Monitoring Info 3, €UII HOME I COUNTY INFO I DEPARTMENTS I SEARCH '+ Best viewed with Microsoft Internet Explorer 6.0 or later Windows - Mac http://www.co.je ff e rson.wa.us/assessors p arcel/parceldetail.asp? Parcel NO=970900004 1/21/2015 PENINSULA HEAT INC Page 1 of 2 • 10 Washington State Department of Labor & industries PENINSULA HEAT INC Owner or tradesperson PO BOX 173 CARLSBORG,WA 98324 LOFGTRJK8, �CENNETHJOHN ' 360'681'3333 Principals CLALLAM County LOFSTROM, KENNETH JOHN, PRESIDENT LOFGTROW1, MARY E. SECRETARY Doing business as PENINSULA HEAT INC WA UBI No. Business type 601 737 680 Corporation { License�� " � ''� . ' _ - :tion (d:ponding on trade) and any past violations. Construction Contract-r Active. Meets current requirements. License specialties GENERAL License no. PEN|N|°0440VV Effective—expiration 09/16/1986-- 10/18/2016 Bond CBIC $12.000.00 Bond account no. SA4812 Received by L&I Effective date 07/02/2001 09/18/2001 Expiration date Until Canceled Insurance Ohio Security Ins Co $1.000.000.00 Policy no. BKS 55013351 Received by L&l Effective date 04/04/2014 04/26/2013 Expiration date 04/26/3015 httna://scnnrc.lnd.vvm.gov/vcr . I^~6Ol73760O&L}C=PENDNI*044(]W8tSAW= 1/21/2015 PENINSULA HEAT INC Page 2 of 2 Insurance history • S 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 v: I,tions during the previous 6 year period. Workers' comp Do you know if the busing_ h employees? If so, verify the business is up-to-date on workers' comp premiums. IL&I Account ID Account is current. 920,088-00 Doing business as PENINSULA HEAT INC Estimated workers reported Quarter 3 of Year 2014 "7 to 10 Workers" I...&I account representative ^2-5552 - Emnil: PICC235 @Ini.wa.nnv - rkplace safety al ic: �;ealth No inspections during the previous 6 year period. t subject to the AAA\' rl�ta'ttt�r` https://secure.lni.wa.gov/verify/Detail.aspx?UBI=601737680&LIC=PENINI*044OW&SAW= 1/21/2015