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Home My WebLink AboutBLD2013-00064 BLD13-000 • BUILDING PERMIT APPLIiION 04 Review Type: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT#: BLD13-00064 Received Date: 2/20/2013 SITE ADDRESS: 3135.OAK BAY RD PORT HADLOCK, 98339 OWNER: CHRIS J MALAN PHONE: 801-541-0303 LAURIE J MALAN 740 N NORTHRIDGE DR BOUNTIFUL UT 84010-1714 BATTSON SHORT PLAT SUBDIVISION: Block: Lot: 2 PARCEL NUMBER: 921191035 Section: 19 Township: 29 N Range: 01 E CONTRACTOR: ALL WEATHER HTG &COOLING PHONE: 302 KEMP STREET PORT ANGELES WA 98362 Contractor's License ALLWEWH934MU Expires 8/3/2013 REPRESENTATIVE: PHONE: PROJECT DESCRIPTION INSTALL FOUR TON AMANA 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: 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 Total: APPROVED FEB 202013 Jefferson County DCD \\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#: BLD13-00064 SITE ADDRESS: OAK BAY RD Issue Date: 02/20/2013 PORT HADLOCK, 98339 Final Date: 3/13/2013 APPLICANT: CHRIS J MALAN PHONE: 801-541-0303 LAURIE J MALAN 740 N NORTHRIDGE DR BOUNTIFUL UT 84010-1714 SUBDIVISION: BATTSON SHORT PLAT Block: Lot: 2 PARCEL NUMBER: 921191035 Section: 19 Township: 29 N Range: 01 E PROJECT DESCRIPTION: INSTALL FOUR TON AMANA 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 3/13/2013 \\tidemark\data\forms\F_BLD_Occupancy.rpt 3/20/2013 N • • *, JEFFERSON COUNTY ' DEPARTMENT OF COMMUNITY DEVELOPMENT 621 Sheridan Street• Port Townsend•Washington 98368 360/379-4450 • 360/379-4451 Fax www.co.jefferson.wa.us/commdevelopment Master Permit Application MLA: Project Description(include separate sheets as necessary): Ilns LI .ton Amami-- +suv tp yS--t` Tax Parcel Number: A P v + q aI q 6-,J6 Property Size: 3.1_ acr square feet) Site Address and/or Directions to Property: '51s6 C)aL exxy dad ► ''?pit' RS33� Property Owner(s)of Record: tiacit6avtAilt, .�-•. Telephone: si=tyf-.Sl/-Q 3ei-s Fax: email: MG z ge C Mailing Address: 74 e zt! ecu6-/,' c —ele", ‘4P ,,ri 0-e-tol a Applicant/Agent(if different from owner): AU Weather Heating&Cooling,Inc. Telephone: 360-452-9813 Fax: 360-452-5177 email:kmckeownnn,aliweathencc.com Mailing Address: 302 Kemp Street Port Angeles,WA 98362 What kind of Permit?(Check each box that applies t$Building ❑Critical Areas Stewardship Plan ❑ Demolition Permit ❑Variance(M a ' . • or,..-%;--•:.-'; 1- El Single Family 0 Garage Attached/Detached 0 Conditional Se-(t V ❑ Manufactured Home ❑ Modular 0 Discretion O"I•r 1- _ • . J - ❑ Commercial* 0 Special Use Ssential Public Facilities)** O Change of Use 0 Boundary Li Adjusme tnt O Address O Road Approach ❑Short Plat** 4 FEE 2 0 2013 O Home Business ❑Cottage Industry ❑Binding Site • ** ❑Propane ❑Long Plat'* an L� ❑Sign ❑Planned Ru I Residentiaip gpeI FRRD)/Amendments** ❑Allowed"Yes'Use Consistency Analysis ❑Plat Vacatio /Afteratiph�r v1Mli TY D!EI DP fi_NT. O Stormwater Management ❑Shoreline Master-"•• _ - . • , - • ❑Site Plan Approval Advance Determination(SPAAD)* ❑Shoreline Management Substantial Development** O Temporary Use 0 Shoreline Management Variance O Wireless Telecommunication* 0 Comprehensive Plan/UDC/Land Use District Map Amendment O Forest Practices Act/Release of Six-Year Moratorium ❑Jefferson County Shoreline Master Program Amendment *May require a Pre-Application Conference 0 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 Aft Qi.� 4LC f fakt nr5 d ci/ act as my agent in matters relating to this application for permit(s). OWNER SIGNATURE '��_ Date: 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. Staff's access and right of entry will be assumed unless the applicant informs the County in writing at the time of the application that he or she wants prior notice. Signature: Date: cs 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-transferable responsibility for adhering to and complying with the ESA. The Applicant has read this disclaimer and signs and dates it below. Signature — Date: ( 3 G:\PermitCenter\###FORMS###\DRD FORMS\Master Permit Application 5-29-08.doc III • 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: 65,t_--77—/ GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAX: ( ) ( ) MAILING ADDRESS: EMAIL: CONTRACTORS LICENSE WAINS NUMBER: NUMBER ARCHITECT/ENGINEER: PHONE ( ) FAX:( ) MAILING ADDRESS: EMAIL Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: ❑ New ❑ Wood Existing: ❑ Sewer ❑ Addition ❑ Steel Proposed: Bank 0 Community System ❑ Alteration/Remodel ❑ Concrete Total: Height: ❑ Individual System ❑ Repair ❑ Masonry SEP Permit# ❑ Demolition ❑ Other: Bedrooms: Water Supply: Existing: Setback: ❑ Private well 0 Two Party Type of Heat: Proposed: 0 Public Total: Name of System: If this is a Commercial Proiect you must answer the following: Number of Parking Spaces: Current: Proposed: Number of ADA Parking Spaces: Number of occupants(includes owners,tenants,employees,etc) Currert Proposed-- .. _ IBC Occupancy: IBC Type of construction: m r.7, h •.Ft.\ r e s I No If this is a Pro•.ne Tank and/or A. •liance Installation ,,rmit mark a I I U• nderground Tank I Above ground Tank Size of Pro tank: ii_ I Heat Stove I Cook Stove I Woodstove I Fireplace Insert I Hot attertank F El{Pelt to 13I 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 s omit a site plan showing all of J u fldings,all property lines,tank location and size,distances from the propane tank to all property linesr ltd ings and s tic system components, including the reserve area. Square Footage Current Proposed r -a, t! �i , ,w:�t !, •r J ._ .4. ,., . , a,,. 4:c i4�tf, Main Floor Heated " - : EH Bld App Review: 2"O Floor Heated ovvi Consistency Review: u Other Heated `'4,W,1014'6' Base fee: M%. Mezzanine �"a „0 ' .� � Additional Section: Heated Basement - 3 z Er Plan Check fee: Unheated Basement x< u State Surcharge fee: Other Unheated Pot Water Review fee: 1 SUBTOTAL Garage/Carport '` �3 Decks tikadilietr# 911/Rd Approach fee: Other TOTAL: $ Yr± Receipt Number: riff(' , . Cash/Check Number: ESTIMATED COST(REQUIRED) Date: .Fair market value of all labor and materials foundation to finish Initials: G:\PenmtCenter\###FORMS###\DRD FORMS\Master Permit Application 5-29-08.doc Contractors or Tradespeoplenter Friendly Page Page 1 of 2 General/Specialty Contractor A business registered as a construction contractor with LEI 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 ft 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 HEATIFA169LO FOR ALL Contractor Conditioning Heat,Ventilation,Evaporat6/20/19846/1/1985 Archived SEASNS INC ALL SEASONS Construction Air Air ALLSEHC173LA HTG& Contractor Conditioning Heat,Ventilation,Evaporat b/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, IDA L 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 $12,000.0008/14/2007 SURETY CO 5 CBIC 640315 09/01/2001 Until Cancelled 10/14/2007 $12,000.0007/30/2001 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 $1,000,000.00 08/24/2010 INS CORP LIBERTY 18 NORTHWEST C12145733 09/01/2009 09/01/2010 $1,000,000.00 08/24/2009 INS CORP 17 NORTH PACIFIC C11145733 09/01/2008 09/01/2009 $1,000,000.00 08/19/2008 INS CO 16 C10145733 09/01/2007 09/01/2008 $1,000,000.00 08/14/2007 https://fortress.wa.gov/lni/bbip/Print.aspx 2/20/2013 5duze.-Lik . ........„.... . octilk 'yl, 1 4a :r•.e— l Mon. Tues. Thur. - Fri. - Date�"time received- am I pm " � Date: l • BLD: . Contact Name: OWNER: - - - ��[' Contact Number.360 '�.J� G g I..3 ADDRESS: � - 20.6 Notes: - Foundation n dation Plumbing Framing Propane Tank Mechanical Setbacks _ Under-ground Framing Underground Furnace Footing Rough in Alrseal Above ground Gas Stemwall Flydronic Exterior shear Exterior lines Oil Interior shear Interior lines Ducts Straps Appliance Ventilation Post Hole Underfloor Gas/wood stove Man-Homes Setbacks ____ Insulation. Final Inspection •:'I Foundation floor wall ceiling. . Address Posted bicck&fte c • 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#: BLD13-00064 Received Date 2/20/2013 SITE ADDRESS: 3i355OAK BAY RD Issue Date 2/20/2013 PORT HADLOCK, 98339 APPLICANT: CHRIS J MALAN PHONE: 801-541-0303 LAURIE J MALAN 740 N NORTHRIDGE DR BOUNTIFUL UT 84010-1714 2 SUBDIVISION: BATTSON SHORT PLAT Block: Lot: PARCEL NUMBER: 921191035 Section: 19 Township: 29N Range: 01 E CONTRACTOR: ALL WEATHER HTG &COOLING PHONE: 302 KEMP STREET PORT ANGELES WA 98362 Contractor's License ALLWEWH934MU Expires 8/3/2013 OWNER, CHRIS J MALAN PHONE: 801-541-0303 if different: LAURIE J MALAN 740 N NORTHRIDGE DR BOUNTIFUL UT 84010-1714 PROJECT DESCRIPTION: INSTALL FOUR TON AMANA 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: 76 1.3_I FinalApproval: 3 -t •--t ? 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 2/20/2013