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HomeMy WebLinkAboutBLD2013-00062 4„„w,___....T • BUILDING PERMIT APPLILION BLD13-00062 Review Type: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT#: BLD13-00062 Received Date: 2/20/2013 SITE ADDRESS: 1632 KALA POINT DR PORT TOWNSEND, 98368 OWNER: CATHERINE M WHITE PHONE: 360-385-7156 1632 KALA POINT DR PORT TOWNSEND WA 98368-9532 KALA POINT#8 SUBDIVISION: Block: Lot: 328 PARCEL NUMBER: 965000287 Section: 27 Township: 30 N Range: 01 W CONTRACTOR: ALL WEATHER HTG &COOLING PHONE: 302 KEMP STREET PORT ANGELES WA 98362 Contractor's License ALLWEWH934MU Expires 8/3/2013 REPRESENTATIVE: PHONE: PROJECT DESCRIPTIOP INSTALL THREE TON HEAT PUMP SYSTEM TYPE OF WORK NON SQUARE FOOTAGE: TYPE OF IMP MEC MAIN: VALUATION ADD'L: HEAT TYPE: CODE EDITION: 2009 HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: SHORELINE: CONST TYPE: GARAGE: SETBACK: DECK: BANK HEIGHT: SEWAGE DISPOSAL: WATER SYSTEM: BEDROOMS: BATHROOMS: Exist: Exist: Prop: Prop: Total: Total: IRouting Date: Type Amount Paid By: Date: Receipt: Approved/Date APPROVED Total: FEB 2 0 2013 Jefferson County DOD \\tidemark\data\forms\F_BLD_App_Bld.rpt 2/20/2013 CERTIFICATE OF OCCUPANCY Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 (360)379-4450 FAX(360)379-4451 Carl Smith, Director/Building Official PERMIT#: BLD1 3-00062 SITE ADDRESS: 1632 KALA POINT DR Issue Date: 02/20/2013 PORT TOWNSEND, 98368 Final Date: 3/11/2013 APPLICANT: CATHERINE M WHITE PHONE: 360-385-7156 1632 KALA POINT DR PORT TOWNSEND WA 98368-9532 SUBDIVISION: KALA POINT#8 Block: Lot: 328 PARCEL NUMBER: 965000287 Section: 27 Township: 30 N Range: 01 W PROJECT DESCRIPTION: INSTALL THREE TON HEAT PUMP SYSTEM THE PROJECT LISTED ABOVE COMPLIES WITH THE REQUIREMENT OF THE BUILDING CODE 2009 EDITION. OCCUPANCY GROUP: TYPE OF CONSTRUCTION: SPRINKLER SYSTEM yes no THE PROJECT PASSED ITS FINAL INSPECTION AND RECEIVED FINAL SIGN OFF ON 3/11/2013 \\tidemark\data\forms\F_BLD_Occupancy.rpt 3/20/2013 4,1014 6 JEFFERSO COUNTY 'k0 DEPARTMENT OF COMMUNITY DEVELOPMENT 621 Sheridan Street• Port Townsend •Washington 98368 �� � 360/379-4450 • 360/379-4451 Fax www.cojefferson.wa.us/commdeve lopment 3TI � Master Permit Application MLA: Project Description(include separate sheets as necessary): nt 11 3 ion s- () r\. 5 yc+( Tax Parcel Number: q'(0, •••ze 7 Property Size: (acres/square feet) Site Address and/or Directions to Property: Pro P i 103a Viu,LLL, Pohl+ N't■fC Property Owner(s)of Record: 111e.-141\ 04 Llx: -h2,t l Ili.LOVLt , - Telephone: 360° 37 d{ Fax: email: Mailing Address: 103a, liudtk )ol f1+ Di r Applicant/Agent(if different from owner): All Weather Heating&Cooling,Inc. Telephone: 360-452-9813 Fax: 360-452-5177 email:kmckeownAa,allweathencc.com Mailing Address: 302 Kemp Street Port Angeles,WA 98362 What kind of Permit?(Check each box that applies wilding ❑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 CI** ❑ Manufactured Home 0 Modular ❑Discretionary"D"or Unnamed Use Classification ❑ Commercial* ❑Special Use(Essential Public Facilities)** ❑ Change of Use 0 Boundary Line Adjustment ❑ Address ❑Road Approach ❑Short Plat** 0 Home Business ❑Cottage Industry ❑Binding Site Plan** 0 Propane ❑Long Plat** ❑Sign ❑Planned Rural Residential Development(PRRD)/Amendments 0 Allowed"Yes"Use Consistency Analysis ❑Plat Vacation/Alteration""• ❑Stormwater Management ❑Shoreline Master Program Exemption/Permit Revisions** 0 Site Plan Approval Advance Determination(SPAAD)* ❑Shoreline Management Substantial Development** 0 Temporary Use ❑Shoreline Management Variance ❑Wireless Telecommunication* 0 Comprehensive Plan/UDC/Land Use District Map Amendment 0 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: £1 DESIGNATION OF AGENT I hereby designate i WQ t( to act as my agent in matters relating to this application for permit(s). OWNER SIGNATURE J Date: .2 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 review and any required later inspections. Staffs access and right of entry will be assumed unless the applicant informs the County in writing at the time of the applioro at he or she :•is prior notice. Signature: - Date: Z Z _ l 3 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 compliance with the Jefferson County development code.The Applicant acknowledges that he,she or it holds individual and non-trans e <••nsibility for adhering to ' complying with the ESA. The Applicant has read this die aii mer and signs and dates it below. Signature: ( !Z 1'• , , 01 Date: t !)- — / 3 G:\PermitCenter\###FORMS###\DRD FORMS\Master Pe nit Application 5-29-08.doc • S BUILDER STATEMENT The signer of this statement does hereby certify that they are the Owners of the parcel referenced herein,that they are not licensed contractors and that they will be assuming the responsibility of the General Contractor for the proposed project. Signature: Date: GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAX: ( ) ( ) MAILING ADDRESS: EMAIL: CONTRACTOR'S LICENSE WAINS NUMBER: NUMBER ARCHITECT/ENGINEER: PHONE ( ) FAX:( ) MAILING ADDRESS: EMAIL Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: O New ❑ Wood Existing: ❑ Sewer ❑ Addition ❑ Steel Proposed: Bank ❑ Community System ❑ Alteration/Remodel ❑ Concrete Total: Height: ❑ Individual System O Repair ❑ Masonry SEP Permit# O Demolition 0 Other. Bedrooms: Water Supply: Existing: Setback: ❑ Private well ❑ Two Party Type of Heat: Proposed: ❑ Public Total: Name of System: ' I If this Is a Commercial Protect you must answer the following: Number of Parking Spaces: Current: Proposed: Number of ADA Parking Spaces: Number of occupants(includes owners,tenants,employees,etc) Current Proposed IBC Occupancy: IBC Type of construction: Will you have Food Service? Yes / No If this is a Propane Tank and/or Appliance Installation permit.mark all items below that apply: Underground Tank I Above ground Tank Size of Propane Tank: 1 Heat Stove I Cook Stove 1 Woodstove I Fireplace Insert 1 Hot Water Tank I Pellet Stove 1 Other Is this appliance being installed in a Manufactured/Mobile Home? Yes / No When applying for a permit to install a propane tank you must also submit a site plan showing all of the buildings,all property lines,tank location and size,distances from the propane tank to all property lines,buildings and septic system components, including the reserve area. p="R'""'F a t r r S•uare Foote•e Current •• d . 4161":gam€ s� Main Floor Heated EH BId App Review: it 1F 2"0 Floor Heated ', Consistency Review: Other Heated Base fee: Mezzanine ;utl' Additional Section: � �., Heated Basement 11 Plan Check fee: Unheated Basement State Surcharge fee: Other Unheated . r ', 1 Pot Water Review fee: Garage/Carport "' u�, "' SUBTOTAL Decks „ , 911/Rd Approach fee: Other TOTAL: $ Receipt Number: ' a Cash/Check Number: ESTIMATED COST(REQUIRED) Date: •Fair market value of all labor and materials foundation to finish Initials: G:\PermitCenter\###FORMS###\DRD FORMS\Master Permit Application 5-29-08.doc Contractors or Tradespeopleater Friendly Page Page 1 of 2 General/Specialty Contractor A business registered as a construction contractor with Lftl to perform construction work within the scope of its specialty.A General or Specialty construction Contractor must maintain a surety bond or assignment of account and carry general liability insurance. Business and Licensing Information Name ALL WEATHER HTG a COOLING INC UBI No. 600485640 Phone 3604529813 Status Active Address 302 Kemp St License No. ALLWEHC150KU Suite/Apt. License Type Construction Contractor City Port Angeles Effective Date 5/31/1985 State WA Expiration Date 9/7/2013 Zip 98362 Suspend Date County Clallam Specialty 1 General Business Type Corporation Specialty 2 Unused Parent Company Other Associated Licenses License Name Type Specialty 1 Specialty 2 Effective Expiration Status Date Date ALL WEATHER Construction Air Air ALLWEHC161 LO HEATING& Contractor Conditioning Heat,Ventilation,Evaporat 6/20/1984 5/31/1985 Archived COOLING HEATING/CLG Construction Air Air HEATIFA169L0 FOR ALL Contractor Conditioning Heat,Ventilation,Evaporat 6/20/1984 6/1/1985 Archived SEASNS INC ALL SEASONS Construction Air Air ALLSEHC173LA HTG& Contractor Conditioning Heat,Ventilation,Evaporat 6/1/1983 6/1/1984 Archived COOLING INC Business Owner Information Name Role Effective Date Expiration Date MCKEOWN,THOMAS J JR President 01/01/1980 MCKEWON, IDAL Secretary 01/01/1980 Bond Information Bond Bond Company Name Bond Account Number Effective Date_Expiration Date Cancel Date Impaired Date Bond Amount Received Date 7 CBIC SJ3232 09/01/2011 Until Cancelled 11/27/2011 $12,000.00 09/07/2011 6 TRAVELERS CAS a 104990651 09/01/2007 Until Cancelled $12,000.00 08/14/2007 SURETY CO 5 CBIC 640315 09/01/2001 Until Cancelled 10/14/2007 $12,000.00 07/30/2001 Assignment of Savings Information No records found for the previous 6 year period Insurance Information Insurance Company Name Policy Number Effective Date Expiration Date Cancel Date Impaired Date Amount Received Date! 20 Continental CWP2951319 09/01/2011 09/01/2013 $1,000,000.00 08/29/2012 Western Ins Co LIBERTY 19 NORTHWEST C13145733 09/01/2010 09/01/2011 09/10/2011 $1,000,000.0008/24/2010 INS CORP LIBERTY 18 NORTHWEST C12145733 09/01/2009 09/01/2010 $1,000,000.0008/24/2009 INS CORP 17 NORTH PACIFIC C11145733 09/01/2008 09/01/2009 $1,000,000.0008/19/2008 INS CO 16 C10145733 09/01/2007 09/01/2008 $1,000,000.0008/14/2007 https://fortress.wa.gov/lni/bbip/Print.aspx 2/20/2013 . . . - . - • ' `.'"Tifa';'....'1V- ___ .. ' • D - . . time received / pm Date __ Mon. Tueg. Wed: BUD: , k '"-- b, _.2- di OWNER Date: S '-- - - . • LO k1/4 -. --c . Contac : ADDRESS: i 6 52— iGilcc A AA • . .Gt Number.360 t)O 46,2:q815 ,..,.. Notes: S - r - . . . . Foundation Plumbing -Framing Propane Tank - Mechanical .. . Setbacks Under-ground Framing Underground Furnace Footing _ Rough in Air seal Above ground - Gas Stemwall _ Hydronic Exterior shear Exterior lines Oil ..„. _ Straps Interior shear _ Interior lines • Ducts Y- . Post Hole Ventilation Appliance Underfloor Gas/wood stove Man-Homes • " Insulation - Setbacks Final Inspection '.. Foundation Block&Tie floor _wall ceiling Address Posted - i -- • ,,, 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#: BLD13-00062 Received Date 2/20/2013 SITE ADDRESS: 1632 KALA POINT DR Issue Date 2/20/2013 PORT TOWNSEND, 98368 APPLICANT: CATHERINE M WHITE PHONE: 360-385-7156 1632 KALA POINT DR PORT TOWNSEND WA 98368-9532 328 SUBDIVISION: KALA POINT#8 Block: Lot: PARCEL NUMBER: 965000287 Section: 27 Township: 30N Range: 01W CONTRACTOR: ALL WEATHER HTG &COOLING PHONE: 302 KEMP STREET PORT ANGELES WA 98362 Contractor's License ALLWEWH934MU Expires 8/3/2013 OWNER, CATHERINE M WHITE PHONE: 360-385-7156 if different: 1632 KALA POINT DR PORT TOWNSEND WA 98368-9532 PROJECT DESCRIPTION: INSTALL THREE TON HEAT PUMP SYSTEM 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 2/20/2014. REQUIRED INSPECTIONS: Tank/Line/Appliance: FinalApproval: 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_Pemiit_Propane.rpt 2/20/2013