Loading...
HomeMy WebLinkAboutBLD2014-00394 - MECHANICAL ',BUILDING PERMIT APPLICSON BLD14-00394 Review Type: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT#: BLD14-00394 Received Date: 10/23/2014 SITE ADDRESS: 51 SEAVIEW CT PORT TOWNSEND, 98368 OWNER: JAMES M GORSKI PHONE: 907-230-6801 SUSAN E GORSKI JTWROS 10230 CRESTVIEW LANE EAGLE RIVER AK 99577 9655 SUBDIVISION: Block: Lot: 4005 PARCEL NUMBER: 965500005 Section: 27 Township: 30 N Range: 1V1 CONTRACTOR: AIR FLO HEATING COMPANY INC PHONE: 360-683-3901 221 W CEDAR SEQUIM WA 98382 Contractor's License AIRFLI*206DG Expires 4/25/2016 REPRESENTATIVE: PHONE: PROJECT DESCRIPTION INSTALL AND REPLACE NEW HEAT PUMP TYPE OF WORK NON SQUARE FOOTAGE: TYPE OF IMP MEC MAIN: VALUATION ADD'L: HEAT TYPE: HTP 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: IRouting Date: Type Amount Paid By: Date: Receipt: Approved/Date Permit $152.00 SRE 10/22/14 151650 APPROVED Total: $152.00 OCT 2. 3 2014 Jefferson County DOD \\tidemark\data\forms\F_BLD_App_Bld.rpt 10/23/2014 f 1 4 ,i---) rc_.0 [L4 [1 V E IL JEFFERSON COUNTY i 1 0.1601v-68.\ OCT �?� DEPARTMENT OF COMMUNITY DEVELOPMENT vii.szt:::*1 621 Sheridan Street•Port Townsend•Washington 98368 360/379-4450. 360/379.4451 Fax JEFFERSON COUNTY www.co.jefferson.wa.us/commdevelopment DEPT.OE COMMUNITY DEVELOPMENT Cliv- Master Permit Application MirA: _ .�- . Project De���'ption(include s-•a = --is - ecessa . /� f / • 4 ,, „4, - , A i i. ............... / .._. Tax Parcel Number. q L.p GS 0000 S Pro r Size: (acres/square feet), Site Address and/or Directions to Property: 51.1 SGiViC -0 e....-i. , IPov-+ -re ivtn,sevbot , ti) a Property Owner(s)of Record: .1 a tM e-S t• S t t.e: 3 V1 Go Gattr4IA1 Telephone:cj0•3•-3 0-6BO1 Floc Qb •Z63- 832.0 emal:eotski (DMi'sovltiWe.lne'r Mailing Address: 10 ri 0 G ireSt t t aW L. a In e. = e R 1 v er, A k. �q 5 4 Applicant/Agent(if different from owner): tr Ft 0 +e et-v), Telephone: 3FSS.c-3 Fax: email:Ka/v1a-TV, � ' Mailing Address: 2 Z t (.r3. C e��y 5 k .� �- -ct_ ' What kind of Permit?(Check each box that applies DBuilding 0 Critical Areas Stewardship Plan ❑ D hermit O Variance(Minor,Major or Reasonable Economic Use) angle Family D Garage Attached/Detached 0 Conditional Use[C(a),C(d),or C)" ❑ Manufactured Home 0 Modular 0 Discretionary'D'or Unnamed Use Classification D Commercial" 0 Special Use(Essential Public Facilities)" O Change of Use 0 Boundary Line Adjustment D Address ❑Road Approach 0 Short Plat" ❑Home Business ❑Cottage industry 0 Binding Site Plan" ❑Propane 0 Long Plat" ❑Sign D Planned Rural Residential Development(PRRD)/Amendments" ❑Allowed'Yes`Use Consistency Analysis ❑Plat Vacation/Afleration" D Stormwater Management ❑Shoreline Master Program Exemption/Permit Revisions" . O Site Plan Approval Advance Determination(SPAAD)• 0 Shoreline Management Substantial Development" O Temporary Use ❑Shoreline Management Variance ❑Wireless Telecommunication" 0 Comprehensive PIan/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: • DESiGNATION OF AGENT I hereby designate at i r f 10 4 a' + v11 CD to act as my agent in matters relating to this application for permit(s). k OWNER SIGNATURE �• - `_•• . '44aam , •, Date: -r I 1 0 I I L By signing this apps • form,the owner/agent attests that the Information provided herein,and in any attachments,is true and coned 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. 1 further agree to save.indemnify and hold harmdess Jefferson County against all liabilities,Judgments,court costs,reasonable attorneys 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 t applica_n h s a County in written at tea time of the app(".`don that he or she wants •,y; notice. (�.a�I tl d(a6//� Signature: `o„�r - ' 4. Date: Cr I'. 0 / 1 iF- The action or-- • s 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 toe potential"take"of an endangered species as those terns are defined in the federal law known as the "Endangered Species Acr or'ESA."Jefferson County makes no assurances to the applicant that the actions that will be undertaken because this permit has been issued wit 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-trans - =ble responsibility •,, .he •to and plying with the E• ,The •• -nt has read this disclaimer and signs and dates it below. Signature: - -- - ,t, ,n,,,_ f. : •,4 _4 e.. ! Date: ( ( 3 0 / /4- G:\Pemntcenter\###FORMS###\DIU)FORMS\Mastcr Petmit.Application 5-29.084oe Pre: (3.0: -. 151 (e50 1.-�'f' (% t52- a) �1 ) 6P\SL ---- - . _ _--t .C°- _Scan nil .OL) r • Z + 4 In EC I OCT 222014 JEFFERSON COUNTY DEPT OF COMMUNITY DEVELOPMENT 19. \\} \\N AIR FLO HEATING COMPANY Check Number: 43079 4 3 0 7 9 Jefferson Co. Building Dept Date Description Amount 10/17/2014 Permit for Gorski 171.00 • • Parcel Details Page 1 of 2 • • 4.k ferson County Home , County Info Departments Search Parcel Number: 965500005 SEARCH Parcel Number: 965500005 Printer Friendly Owner Mailing Address: JAMES M GORSKI SUSAN E GORSKI JTWROS 10230 CRESTVIEW LANE EAGLE RIVER AK99577 Site Address: 51 SEAVIEW CT PORT TOWNSEND 98368 Section: 27 School District: Port Townsend (50) Qtr Section: NE1/4 Fire Dist:Chimacum (1) Township: 30N Tax Status: Taxable Range: 1W Tax Code: 0111 Planning area:Tri-Area (4) Sub Division: 9655 - KALA HEIGHTS Assessor's Land Use Code: 1400 - Residential Condominiums Property Description: KALA HEIGHTS UNIT 4005 PHASE 1 BLDG 3 No Permit Data Tax"A/V, Sales, Photos,and Bldo Data Map Parcel Plats&Surveys Available - Jefferson Conroy HOME I COUNTY INFO I DEPARTMENTS I SEARCH Best viewed with Microsoft Internet Explorer 6.0 or later Windows- Mac http://www.co.jefferson.wa.us/assessors/parcel/parceldetail.asp?Parcel NO=965500005 10/23/2014 AIR FLO HEATING COMPANY INC Page 1 of 2 II • 45 Washington State Department of Labor & industries AIR FLO HEATING COMPANY INC Owner or tradesperson 221 W CEDAR BEQUETTE, MARK A SEQUIN, WA 98382 360-683-3901 Principals CLALLAM County BEQUETTE, MARK A, PRESIDENT BEQUETTE, SANDRA A, VICE PRESIDENT BERSON, JOEL R, SECRETARY FULLAWAY, MICHAEL (End: 04/01/2010) Doing business as AIR FLO HEATING COMPANY INC WA UBI No. Business type 600 347 761 Corporation License Verify the contractor's active registration/license/certification (depending on trade)and any past violations. Construction Contractor Active. Meets current requirements. License specialties HeatingNent/Air-Conditioning and Refrig (HVAC/R) License no. Al RFLI*206DG Effective—expiration 03/07/1980—04/25/2016 Bond CBIC $6,000.00 Bond account no. SI5215 Received by L&I Effective date 02/05/2010 02/01/2010 Expiration date Until Canceled Bond history Insurance American Hallmark Ins Co of Te $1,000,000.00 Policy no. 44CL483619 https://secure.lni.wa.gov/verify/Detail.aspx?UBI=600347761&LIC=AIRFLI*206DG&SAW= 10/23/2014 AIR FLO HEATING COMPANY INC Page 2 of 2 Received by L&I • Effective date • 04/18/2014 04/25/2014 Expiration date 04/25/2015 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&l Tax debts No L8d 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. 351,432-00 Doing business as AIR FLO HEATING COMPANY INC. Estimated workers reported Quarter 2 of Year 2014"21 to 30 Workers" L&I account representative T1 /FEARAED FEROZE(360)902-4797-Email: FERH235©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 07/24/2012 Violations Inspection no. 315954529 Location 125 Horizon View Dr. Sequim,WA 98382 ©Washington State Dept.of Labor&Industries.Use of this site is subject to the laws of the state of Washington. Access: 'Washington* ';•9?•E_ay3 LI•`a i a rt(nnzgtf`f%'S`b,t„'ACvE https://secure.lni.wa.gov/verify/Detail.aspx?UBI=600347761&LIC=AIRFLI*206DG&SAW= 10/23/2014 ,, ; ,'4, JEFFERSON COUNTY ft _ E DEPARTMENT COMMUNITY DEVELOPMIIIT �'4ii'x°'�° 1 /,� Date: l 9 5 Time Received: q:63 t�✓ pm Mon. ed. Thur. Fri. Date: .20 S BLD: 1 4- OD.;#4- Contact Name: 1T/i _ L2weer- _'& ' 0 Contact Number: / 6gf0r Address: /t (Ct •p j )- !I: Notes: 1-4604 Foundation Plumbing Framing Propane Tank Mechanical Setbacks Under-ground Framing Under ground Furance Footing Rough In Air Seal Above ground Gas Stemwall Hydronic Exterior shear Exterior lines Oil Straps Hot Water Htr Interior shear Interior lines Ducts Post Hole Ventilation Appliance Underfloor Gas/Wood stove Man-Homes Insulation Finallnspectio Setbacks Floor Foundation Wall Address Posted Block&Tile Ceiling Jefferson County Building Division Permit Number: BLD14-00394 Applicant: GORSKI 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 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 f)...1)(1 is FINAL INSPECTIO MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED THIS PERMIT IS VALID FOR ONE YEAR • BUILDING PERMIT S Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 PERMIT#: BLD14-00394 Received Date: 10/23/2014 SITE ADDRESS: 51 SEAVIEW CT Issue Date 10/23/2014 PORT TOWNSEND, 98368 Expiration Date 10/23/2015 OWNER: JAMES M GORSKI PHONE: 907-230-6801 SUSAN E GORSKI JTWROS 10230 CRESTVIEW LANE EAGLE RIVER AK 99577 9655 SUBDIVISION: Block: Lot: 4005 PARCEL NUMBER: 965500005 Section: 27 Township: 30 N Range: 1■1 CONTRACTOR: AIR FLO HEATING COMPANY INC PHONE: 360-683-3901 221 W CEDAR SEQUIM WA 98382 Contractor's License AIRFLI*206DG Expires 4/25/2016 PROJECT DESCRIPTION: INSTALL AND REPLACE NEW HEAT PUMP TYPE OF WORK NON SQUARE FOOTAGE: TYPE OF IMP MEC MAIN: VALUATION ADD'L: HEAT TYPE: HTP 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: Type Amount Paid By: Date: Receipt: BEDROOMS: BATHROOMS: Permit $152.00 SRE 10/22/14 151650 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 f�C_0 NO. 151650 DATE )1.1111 / L"1 RECEIVED FROM �� DESCRIPTION BARS# AMOUN.T. CURRENCY h � S �c° DU \._Viti ` b COIN-C'�it/'1 [? Q i " -Goo- J �CHECK� �. Ae ' II y .c .—■ir�..n.�.�____ 4 0 1 , Seau�e i CJ PT. 33 iii -� 8 w RECEIVED BY LaPACD TOTAL �� N